Fernando D. Burstein, M.D., F.A.C.S., F.A.A.P.
Board Certified in Plastic & Reconstructive Surgery
Board Certified in Otolaryngology (head & neck) Surgery
Director of the Center of Craniofacial Disorders for CHOA
Located at our Northside Location
Cosmetic Facial Plastic Surgery
A board certified plastic surgeon, Dr. Fernando Burstein specializes in aesthetic surgery of the face. What makes Dr. Fernando Burstein unique as a plastic surgeon is his advanced training in cosmetic surgery and his years of experience in facial reconstruction. Over the years, Dr. Burstein has learned and developed multiple techniques for facial reconstruction in children and adults – making him an expert in the anatomy of the face. This specialized surgical training allows him to produce exceptional, natural-looking results for his cosmetic surgery patients.
Click on a procedure listed below to read more.
Dr. Burstein specializes in eyelid surgery, also known as blepharoplasty, a procedure to remove fat, excess skin, and muscle from the upper and lower eyelids. There are several specialized techniques for both the upper and lower eyelid that Dr. Burstein utilizes in order to ensure the best results for each individual patient. One such technique, known as transconjunctival blepharoplasty, involves a small incision through the membrane lining the inside of the lower eyelid (called the conjunctiva) – allowing for fat removal without an external scar. For patients with slight wrinkling around the eye, laser resurfacing is often recommended in addition to this procedure.
Surgery of the nose can be one of the most complicated cosmetic procedures, and should only be reserved for surgeons who have a wealth of experience in the area. The goal of a rhinoplasty is to preserve the function of the nose, while simultaneously enhancing appearance. Surgical precision is a must in achieving a natural look. As a plastic and reconstructive surgeon who is also trained in Otolaryngology/Head and Neck surgery, Dr. Burstein is world renowned for his technique in both plastic and reconstructive surgery of the nose.
The trick to a successful facelift is having the patient look naturally younger, without making their skin look too stretched or tight. Dr. Burstein takes into account the anatomy of each person’s face to determine the best method for getting rid of wrinkles and excess skin. In order to minimize scarring from the procedure, Dr. Burstein employs the short scar method, or a specialized, minimal-incision facelift technique where scars are hidden within the hairline and within the ear canal. This technique avoids any distortion of the sideburn area and minimizes scarring; while producing appreciable, natural-looking results.
A mid-facelift is a variation of a full, traditional facelift that focuses on rejuvenating the mid face – or the triangular area formed between the corners of the mouth and two corners of the eyes. A mid-facelift works to correct sagging and deep wrinkles/creases (such as the nasal furrow) by going beyond the skin to tighten the supporting muscles and tissue found underneath. By working with the deeper layers of the face, Dr. Burstein can rejuvenate the cheek and jowl area with minimal risk.
The upper facelift, is similar in technique to a brow lift or forehead lift and can be performed two basic ways – Dr. Burstein making incisions at several places in the hair line (also known as the short scar technique) or endoscopically (using a tiny probe to look and work beneath the skin, also resulting in minimal incisions). Dr. Burstein will work with each individual patient to determine which technique will be most beneficial to achieve their desired look.
In order to minimize scarring and target problem areas of the lower face, a small incision is either made within the ear canal or a “key-hole” incision is made to remove the excess fat endoscopically. To support the new look of the face and provide longer lasting results, the muscles beneath the skin are then tightened. Liposuction to remove small pockets of fat under the chin (commonly referred to as a “double chin”) is a technique also employed by Dr. Burstein to give the lower face a more lifted and youthful look.
As we age, the collagen-building mechanisms in our skin slow down, and the elasticity and suppleness of facial skin begins to fade. The slowing of collagen production often leaves us with sagging skin that makes us look older than we actually are. For those with lax skin around the face and neck, a new non-surgical facelift is now available at Atlanta Plastic Surgery—Ulthera® skin tightening. Ultherapy® utilizes ultrasound technology to target sound waves deep into the tissue lifting and tightening loose skin. Whether you’re looking to lift sagging brows and awaken tired-looking eyes or treat and reduce loose skin under the chin, Ultherapy® is a safe, FDA cleared method for toning lax tissue and stimulating collagen production to enhance your results. Younger looking skin can be seen after just one treatment and anyone with sagging skin may be a candidate. For more information on Ulthera®, contacts us for a consultation at our Atlanta location near Northside and close to many metropolitan areas such as Buckhead, Alpharetta, Smyrna, and Sandy Springs.
Click here to view more Atlanta Ulthera® before and after photos from Dr. Burstein’s non-surgical facelift.
Dr. Burstein utilizes the latest techniques to perform forehead lift surgery, or the lifting of the skin and muscles to raise the brows and smooth the wrinkles and furrows on the forehead. Depending on the technique recommended, Dr Burstein will make short scar incisions hidden within the hairline. More commonly though, Dr. Burstein will recommend an endoscopic approach, also known as the “key-hole” technique, making very small incisions, that result in minimal scarring, to lift the brows and forehead.
Whether through use of a facial implant or through sculpture of the face structure, facial contouring procedures can alter and enhance the overall look of the face. No one person’s face is the same, thus many procedures, techniques, and surgical variations can be recommended to give a patient a proportionate look. One such technique that Dr. Burstein specializes in is genioplasty, also known as chin surgery, which involves the repositioning of the chin to create enhanced facial harmony.
Facial fillers are collagen-based injectables that work to smooth out fine lines and wrinkles and restore volume, most commonly into areas of the face. Leading facial fillers Juvéderm® and Restylane® are non-animal collagen product made of hyaluronic acid (HA). Because hyaluronic acid is a substance found naturally in human collagen, there is little risk of allergic reaction to the product. The results of a Juvéderm® or Restylane® injection typically last about 6 months.
Similar in function is Perlane®, a facial filler made up of larger particles than Juvederm® or Restylane® and is therefore recommended for the treatment of very deep wrinkles. Facial fillers are not only effective in reducing the look of furrows and wrinkles, but can be used to correct scarring, particularly acne scarring, and can add additional volume to the lips for a plumper look.
The injection procedure, which only takes about 10-15 minutes, is now more painless than ever with the recent FDA approval of facial fillers with lidocaine (local anesthetic).
Botox® , and newer competitor Dysport®, are cosmetic injectables made of a purified form of the toxin botulinum. The effects of Botox® and Dysport® cause relaxation of one’s facial muscles, which works to smooth the appearance of undesirable furrows, fine lines, and wrinkles and prevent new and deeper wrinkles from forming. The effects of these cosmetic injectables last 4 months on average and the procedure takes about 15 minutes to perform. Botox® is also FDA approved for the treatment of muscle and neck spasms and excessive sweating in the underarms.
Genioplasty, also known as surgery of the chin, is the enhancement of the chin by moving it forward on the face. This type of repositioning can greatly improve overall face and neck aesthetics. Dr. Burstein also specializes in reconstruction of the chin for patients who suffer from a recessed chin or have experienced facial damage or a facial deformity.
With the competitive market of popular injectables like Botox® and Restylane® constantly on the rise, people often overlook fat as a rejuvenation alternative. Fat grafting into the face can provide patients with natural looking results that last longer than synthetic products not made of a person’s own tissue. If appropriate, Dr. Burstein will recommend having extracted sections of fat and supportive tissue excised during another procedure (such as a blepharoplasty or neck lift) relocated to aged or hollowed areas of the face for a younger, more enhanced appearance. Unlike fat transfer techniques which harvest only the liquid fat from donor regions, dermal fat grafting provides a more resilient sub-structure so that the transplanted tissue can more easily remain in place and survive.
Even if the rest of the face has been lifted and excess skin removed, a patient will not achieve their desired look if sagging jowls and/or a double chin are still present. Contouring the neck with liposuction and tightening of the neck muscles and skin is a key part of facial rejuvenation.
Chemical peels are non-invasive skin treatments used to even skin texture and tone that can be performed during or after facial plastic surgery. For patients wishing to revitalize their facial skin with minimal downtime, chemical peels can also be performed as a non-surgical cosmetic treatment. Chemical peels are comprised of safe chemical solutions that act as active ingredients to promote exfoliation and increase collagen production. Chemical peels address many surface conditions such as acne, hyperpigmentation, fine lines and wrinkles, rough or scaly patches of skin, and scars by chemically inducing exfoliation to reveal healthy, new skin and enhance skin cell production.
There are many different types of chemical peels, but Dr. Burstein prefers trichloroacetic acid (TCA) peels because they are relatively mild, unlikely to negatively affect pigmentation, and allows a faster recovery than most other peels. Depending on each patient’s aesthetic goals and skin condition, different TCA peel strengths are available. Patients can receive 15% TCA chemical peels in-office to address minor signs of aging or skin imperfections. For patients with severe skin conditions or to maximize plastic surgery results, 30% TCA peels are performed in the operating room during or after a surgical procedure such as a facelift or brow lift.
Using the latest Sciton® laser system, Dr. Burstein carefully targets an intense beam of light to apply light energy and remove damaged skin cells to promote collagen production. After a laser skin resurfacing treatment, collagen growth will naturally create new, healthy skin cells to improve the appearance of wrinkles, fine lines, scars, acne blemishes, and hyperpigmentation. Sciton® Erbium laser treatments can be customized to each patient’s unique skin type and aesthetic needs. Specifically, patients can choose the strength of their laser peel as well as the number of treatments.
Laser skin resurfacing treatments can be performed in-office or after a facial plastic surgery procedure in the operating room. Often, Dr. Burstein will recommend laser resurfacing treatments to even skin tone and texture or get rid of ultra fine lines and wrinkles after a surgical facial procedure.
While I often perform reconstructive otoplasty (ear surgery) on patients to correct congenital defects, I often see patients who receive aesthetic surgery of the ear (cosmetic otoplasty). Most of my cosmetic ear surgery patients complain because of the prominent appearance of their ears, meaning they protrude or stick out more than they would like. This appearance is usually caused by a missing fold in the cartilage of the ear. In order to correct this protruding effect, I create a fold to make the ear bend closer toward the head.