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Fernando Burstein MD, Facial Plastic Surgeon
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Fernando Burstein MD, Facial Plastic Surgeon
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon
Just another WordPress site
Fernando Burstein MD, Facial Plastic Surgeon

Facial Plastic Surgery Procedures Achieve Longer-Lasting Results

January 29th, 2016 | Posted by drburstein_marketing in Blog | Face Lift Surgery | Facial injectables | Plastic Surgery news - (Comments Off on Facial Plastic Surgery Procedures Achieve Longer-Lasting Results)

Non-surgical facial rejuvenation techniques are more popular than ever.  Since 2000, the number of Botox®-related cosmetic facial procedures performed in the United States increased by nearly 750%.  Similarly, the numbers of soft tissue filler and laser skin resurfacing treatments have each more than tripled over the same period.  Altogether, these minimally-invasive techniques accounted for more than 60% of the cosmetic plastic surgery procedures performed in the United States in 2014.  But despite the popularity of these versatile procedures, many patients have found that they can achieve much more substantial and long-lasting results by combining them with more traditional plastic surgery techniques.  Advancements in surgical technology and technique allow for modern plastic surgery procedures to be tailored specifically to the needs of the individual patient, allowing them to achieve exceptionally natural-looking results with significantly reduced recovery time and cost.

non surgical facial rejuvenation atlanta ga - dr fernando bursteinIn the more than twenty-five years that I have been a practicing facial plastic surgeon in Atlanta, I have come to believe that patients should begin their treatment plans earlier in the aging process, and only undergo more comprehensive, surgical procedures as they become necessary later in life.  It is my facial rejuvenation philosophy that this graduated approach, focusing on each patient’s specific areas of concern, is the best way to address the traditional signs of facial aging and keep the patient looking younger, longer.  Early in the process, particularly when patients are in their early thirties, non-surgical facial rejuvenation procedures are usually enough.  Laser skin resurfacing treatments can help treat skin that has been damaged by excessive sun exposure, and injections of Botox® or facial fillers like Juvéderm® can alleviate the appearance of tiny expression lines early, preventing them from deepening to form more substantial facial wrinkles later on.  As the years go by, however, the tissues and muscles that support facial architecture naturally begin to weaken, potentially making these techniques less effective.  The effects of facial rejuvenation treatments can generally only last for several months, but studies have found that patients who had undergone facelift surgery still looked younger than they did before the procedure even after an average of five and a half years.  Ultimately, minimally invasive facial rejuvenation procedures do not have the long-term persistence that full plastic surgery can provide.

However, modern facial plastic surgery techniques are very different than the ones that were used even a few decades ago.  Long gone are the dramatic, stretched, wind-blown appearances that characterized facelifts in the 1970’s and 80’s.  Instead, today’s plastic surgery patient can benefit from highly targeted procedures, specifically designed to address individual areas of concern.  Mini-facelifts, for example, can focus on the upper, middle, or lower thirds of the face, depending on which areas of concern the patient would most like to address and which are needed.  This increased specialization makes it possible to achieve subtle effects with less extensive surgery, which means less post-surgery recovery time and results that will give you a rejuvenated look without making it obvious that you have had any work done at all.

It is important to note that facial aging can vary dramatically from person to person, and the different areas of the face usually do not age at precisely the same rate.  I believe that every patient needs a personal treatment plan to address facial aging in order to achieve the best results.  Contact me and schedule a personalized consultation to find out how you can achieve the look you want with a minimum amount of surgical downtime and discomfort.

About Dr. Fernando D. Burstein, M.D., F.A.C.S., F.A.A.P.

Dr. Fernando Burstein is a well-respected Atlanta facial plastic surgeon with board certifications in both plastic and reconstructive surgery and otolaryngology (head and neck surgery.)  With nearly thirty years of experience specializing in cosmetic and reconstructive facial plastic surgery procedures, Dr. Burstein has served as both the chief of plastic and reconstructive surgery and the director of the Center of Craniofacial Disorders at Children’s Healthcare of Atlanta as well as a clinical professor of plastic and reconstructive surgery at Emory University.  He has authored and published more than 100 articles and book chapters on facial plastic and reconstructive surgery and has been honored as one of Atlanta Magazine’s Top Doctors, a peer-nominated award in the field of plastic surgery, for the past seven consecutive years.

Correcting Pediatric Malformations of the Ear

December 18th, 2015 | Posted by drburstein_marketing in Blog | Ear Surgery | Pediatric Plastic Surgery - (Comments Off on Correcting Pediatric Malformations of the Ear)

When I was Chief of Plastic and Reconstructive Surgery at Children’s Healthcare of Atlanta (CHOA) at Scottish Rite, I had the opportunity to help many infants born with a variety of congenital facial deformities, and one of the most common concerns that I addressed was ear malformation.  Minor problems during normal fetal development cause the ears to protrude unnaturally far from the head or, conversely, may result in constricted ear or “cup ear” where the patient’s ears are abnormally small, or microtia where the majority of the external ear is missing.  In all of these cases, ear surgery, or otoplasty, may be able to help give the ear a more balanced and natural looking appearance.

ear surgeryThe ear is a very intricate organ, composed of cartilage, skin, and fat folded into its characteristic complex pattern.  Although every patient is unique, and every case requires its own distinctive approach, congenital ear deformities tend to fall into a handful of distinctive categories.  Some of the specific malformations that I commonly address include:

  • Prominent Ears: Between the third and sixth months of fetal development, the cartilage forming the outer ears begins to undergo a series of folds which give the ear its characteristic appearance. In some cases, the process can be interrupted, and a missing fold causes the ears to protrude more than 2 cm from the side of the head.1
  • Constricted Ears: Also known as a “cup ear” or “lop ear” deformity, this malformation occurs when the upper helical rim is either folded over, wrinkled, or tight. In the most severe form, the ear may be rolled up almost into a tube and the front part tilted forward, requiring additional cartilage taken from elsewhere in the body to fully correct.

surgery of the earsIn general, the goals of cosmetic ear surgery are to decrease the prominence and protrusion of the ear, create an antihelical fold and superior crus if these are absent or effaced, and make the lobule proportionate to the rest of the ear.  In addition, any successful ear surgery needs to appear natural, and avoid a “pinned ear” appearance.  In the more than twenty-five years that I have been a practicing board-certified plastic surgeon and otolaryngologist in Atlanta, I have developed my own technique2 for addressing these concerns that incorporates principles and technical innovations from a variety of sources, allowing me to achieve excellent, easily reproducible otoplasty results with minimal complications.

If you have any questions about ear surgery, or are interested in discussing how any of the cosmetic or reconstructive facial plastic surgery that I perform can help you, please contact me, Dr. Fernando Burstein, to schedule a consultation.  Don’t forget to connect with me on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

  1. Cohen, SR., Burstein, FD.: “Protruding Ears.” In: Spitz, L., Coran, A.G. (ed.), Rob & Smiths’ Operative Surgery. Chapman & Hall Medical, London, 1995.
  2. Burstein, FD.: Cartilage-Sparing Complete Otoplasty Technique: A Ten Year Experience with 100 Patients. Journal of Craniofacial Surgery. 2003 Jul;14(4):521-5.

Eyelid Surgery: The Tiniest Details Achieve Impressive Results

December 4th, 2015 | Posted by drburstein_marketing in Blog | Eye Rejuvenation - (Comments Off on Eyelid Surgery: The Tiniest Details Achieve Impressive Results)

The human face is incredibly complex.  Made up of more than forty distinct muscles each capable of their own intricate movements, the face is able to twist and contort into an almost infinite number of different expressions.  Most of us spend our entire lives learning to decode the subtle interplay of these muscles, and can distinguish individual nuances of expression from even the tiniest shifts and twitches.  This is just part of the reason why I believe that the most effective approach to facial rejuvenation involves making subtle and gradual changes.  Because the underlying muscles and tissues in the face all work together, even the tiniest alteration can give the entire face a different appearance, so it has long been my philosophy on facial rejuvenation that minor cosmetic procedures performed during the early stages of the aging process can create long-lasting, natural-looking results.  One of the most effective of these subtle facial plastic surgery procedures is blepharoplasty, or eyelid surgery.

Eyelid Surgery The Tiniest Details Achieve Impressive ResultsIt is common knowledge that, as we grow older, the skin of the face gradually loses its elasticity and begins to sag.  This is an underlying factor in nearly every one of the traditional signs of facial aging, from frown lines, to crow’s feet, to drooping jowls.  One of the first places that this process becomes evident is in the parchment-thin skin of the eyelids.  As the constant pull of gravity slowly causes the eyelids to stretch and the muscles supporting them to weaken, excess skin can collect both above and beneath the eyes.  This skin wrinkles and creases in the lower eyelid and can form bulges that hang over the eyelashes on the upper lid.  In some cases, this hooding can even become so severe that it can obstruct peripheral vision.  Moreover, the fat cushioning the eyeball within skull can start to form heavy bags underneath the eyes when the thin membrane that holds it in place weakens.  In the midst of this extremely expressive and obvious location, even minute changes can have a dramatic effect, making the eyes, and by extension the entire face, appear tired, sleepy, or sad.

Cosmetic eyelid surgery, or blepharoplasty, is a highly specific procedure that removes the excess fat and skin around the eyes while tightening the tiny underlying muscles.  In a single short session that generally takes between one and a half to two hours, a blepharoplasty can achieve impressive cosmetic surgery results with minimal cost, risk, and recovery time.  Since the incisions are naturally concealed in the folds of the eyelid or, in the case of a transconjunctival blepharoplasty, inside the lower lid, the appearance of scars is minimized.  Overall, by addressing the very smallest of details, I am able to noticeably rejuvenate and improve the appearance of the entire face.

If you have any questions about eyelid surgery or any of the other facial plastic surgery procedures that I perform and would like to schedule a consultation to discuss your particular needs, I would welcome you to contact my office for additional information.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

About Dr. Fernando D. Burstein, M.D., F.A.C.S., F.A.A.P.

Dr. Fernando Burstein is a well-respected Atlanta facial plastic surgeon with board certifications in both plastic and reconstructive surgery and otolaryngology (head and neck surgery.)  With nearly thirty years of experience specializing in cosmetic and reconstructive facial plastic surgery procedures, Dr. Burstein has served as the chief of plastic and reconstructive surgery at Children’s Healthcare of Atlanta and as a clinical professor of plastic and reconstructive surgery at Emory University.  He has authored and published more than 100 articles and book chapters on facial plastic and reconstructive surgery and has been honored as one of Atlanta Magazine’s Top Doctors, a peer-nominated award in the field of plastic surgery, for the past seven consecutive years.

Everything You Ever Wanted to Know about Your Skin

November 30th, 2015 | Posted by drburstein_marketing in Blog | Frequently Asked Questions | Skin Care - (Comments Off on Everything You Ever Wanted to Know about Your Skin)

In the more than twenty-five years that I have been a board-certified plastic surgeon, a great deal of my time has been spent dealing specifically with skin.  Many of the most popular cosmetic plastic surgery procedures are focused, primarily, on keeping the skin youthful and vibrant looking.  We use facial fillers to keep it plump and taut, chemical peels to keep it smooth and even, and surgical procedures like facelifts to keep it lifted and wrinkle-free.  But despite being the largest and most visible organ of the body, the skin is often overlooked and poorly understood.  Just what is it?  What does it do and how does it work?  Here are answers to some of the most frequently asked questions about skin.

facial plastic surgery in atlanta gaWhat is the skin made out of?

The skin is actually very complicated, composed of many different specialized cells and structures.  Basically, the skin has three distinct layers: the epidermis, the dermis, and the subcutaneous tissue.  The outermost epidermis includes an outer layer of dead skin cells that are constantly flaking off and being replaced as newly formed cells are pushed outward.  Facial rejuvenation procedures, like chemical peels, work by gently lifting away these exterior dead cells, revealing newer, fresher looking cells underneath.  Beneath the epidermis is the dermis, which contains sweat glands, hair follicles, nerve endings and so on.  Most of the useful functions of the skin happen in the dermis.  Finally, the deepest layer of skin is composed almost entirely of subcutaneous fat.  This fat anchors the dermis to the muscles and bones and helps regulate the body’s internal temperature.  Over time, the subcutaneous fat in the face can break down, giving the facial tissues a slack and drawn appearance.  Facial fillers, like Juvéderm®, use hyaluronic acid, a substance that occurs naturally in young and healthy skin, to replace this fat, giving the face a more plump and youthful appearance.

How does the skin grow?

A full-sized adult has approximately 20 square feet of skin, and in a single inch there are about 650 sweat glands, 20 blood vessels, more than 1,000 nerve endings, and 19 million skin cells.  New skin cells are constantly being formed in the deepest part of the epidermis, starting out as fat and square and slowly flattening out as they are pushed to the surface.  Every day between 30,000 and 40,000 dead skin cells flake off from the skin’s surface to be replaced by the ones growing underneath.  All the skin that you see now will be completely gone and replaced in about one month.

What gives the skin its color?

Skin color is the result of melanin, a pigment produced in the epidermis to protect your body from the sun’s damaging ultraviolet radiation.  While everyone has about the same number of cells that make melanin, the amount these cells actually produce is largely determined your genetic heritage.  The more melanin your skin makes, the darker the skin appears.  Melanin shields the deeper layers of the skin from ultraviolet light, which can cause damage that eventually manifests as wrinkles or even skin cancer.  Because people with darker skin have more melanin, they usually don’t get as wrinkly when they get older and are also less likely to get skin cancer. Unfortunately melanin cannot completely block ultraviolet radiation, so everyone needs to protect their skin when they go outside.

It has always been my philosophy that facial aging, while inevitable, can be managed through the gradual and skillful application of a combination of non-surgical and surgical cosmetic treatments and that taking care to keep your skin healthy and vital is an excellent first step.  If you are interested in learning more about any of the various facial plastic surgery procedures that I perform or would like to discuss what approach would be best suited to your specific facial rejuvenation needs, I would welcome you to contact my office and schedule a consultation.  Don’t forget to connect with me, Dr. Fernando Burstein, on Facebook, Twitter, and Google+ for the latest facial plastic surgery news.

Frequently Asked Questions about Neck Lifts

November 19th, 2015 | Posted by drburstein_marketing in Blog | Plastic Surgery news - (Comments Off on Frequently Asked Questions about Neck Lifts)

There are a number of specific plastic surgery techniques that can be used to give the face a younger and refreshed appearance, and one of the most effective is the neck lift.  More than 50,000 neck lift procedures were performed in 2014, making it one of the ten most popular cosmetic plastic surgery procedures in the United States.  Also known as a platysmaplasty or lower rhytidectomy, the neck lift is often sought out by both men and women who are interested in lifting and tightening sagging skin below the chin and around the neck.  Here are answers to some of the questions I am most frequently asked about those interested in neck left procedures.

Frequently Asked Questions are answered about Neck Lifts Atlanta GAAm I a good candidate for a neck lift?

A neck lift can be performed at almost any age, but most seeking it out are between the ages of 30 and 70 and experiencing excess wrinkling of the neck skin, a double chin, or jowl lines.  Optimal candidates are healthy individuals who do not smoke and who do not have any medical conditions that would impair healing.  During our initial plastic surgery consultation we can discuss what you want to change and then formulate a realistic surgical plan to address your concerns.

What specifically does a neck lift treat?

As we age, the platysma muscle, which creates the neck contour, gradually separates into two parts, one on either side of the midline.  As the skin of the neck loses volume and elasticity, the free edge of the muscle can take on a much more pronounced appearance, creating what is known as a “turkey neck.”  A neck lift not only re-tightens this underlying muscle, but also removes excess, sagging skin and in some cases fat, giving the entire area a smoother look.

What can I expect after a neck lift procedure?

Every person heals at a different rate, but you will most likely experience some minor swelling and bruising of the lower face and neck that will gradually dissipate over the course of the first week or so.  Most of my patients are able to return to work within one to two weeks of the surgery, but those with more active jobs or who participate in athletics may need to wait at least three weeks before returning to more strenuous activity.  Be careful to follow all of the post-operative instructions to help ensure that your recovery goes smoothly and that you achieve optimal neck lift results.

Are the results of a neck lift permanent?

Although a neck lift, like many other facial plastic surgery procedures, can minimize or even alleviate signs of facial aging, nothing can stop the passage of time altogether.  A neck lift can effectively “turn back the clock,” making the entire area look smoother and more rejuvenated for years, but over time the effects of gravity or significant weight gain may cause the skin to sag once more.

Facial aging can vary dramatically from person to person, and the different areas of the face usually do not age at precisely the same rate.  Contact my office and schedule a personalized consultation to find out how you can achieve optimal results with the minimum amount of surgical downtime and discomfort.

About Dr. Fernando D. Burstein, M.D., F.A.C.S., F.A.A.P.

Dr. Fernando Burstein is a well-respected Atlanta facial plastic surgeon with board certifications in both plastic and reconstructive surgery and otolaryngology (head and neck surgery.)  With nearly thirty years of experience specializing in cosmetic and reconstructive facial plastic surgery procedures, Dr. Burstein has served as both the chief of plastic and reconstructive surgery and the director of the Center of Craniofacial Disorders at Children’s Healthcare of Atlanta as well as a clinical professor of plastic and reconstructive surgery at Emory University.  He has authored and published more than 100 articles and book chapters on facial plastic and reconstructive surgery and has been honored as one of Atlanta Magazine’s Top Doctors, a peer-nominated award in the field of plastic surgery, for the past seven consecutive years.