News Archives

September 2012

September 28th, 2012

Dr. Burns chosen by peers as one of the “Best Doctors in Dallas 2012” in D Magazine

How does D Magazine determine which doctors make the list?
Best Doctors is a peer-review voting process. We rely on the doctors’ expertise to determine who deserves to be on the list, just like a doctor would recommend a patient to a specialist. This year, we mailed a letter to 7,913 local doctors from our online directory inviting them to vote using a ballot on our website. They could vote for up to three doctors in 43 categories. The nomination form asked them to cast a vote bearing in mind the following question: which Dallas doctors would you trust with the care of a loved one? This year, 2,012 doctors voted. We vetted each voter’s Texas medical license number to ensure they were valid. We then sent the results to an outside marketing firm to tally the votes. We presented the tallied list to an anonymous panel of esteemed physicians. The panel and D staff reviewed the tallied results and decided the finalists based on the number of votes in each category. Once the list was finalized, D confirmed each doctor’s Texas medical license status and board certification and investigated his disciplinary status.

September 25th, 2012

Considering Laser Resurfacing?

Who is a good candidate for laser resurfacing?

We age in 3 ways. I discuss this very important concept at length. Most patients are well aware of the effects of gravity on aging. They also realize that dynamic muscle movements cause wrinkles over the time, such as crow’s feet and frown lines. However, many patients neglect to consider the skin itself. It is the canvas on which the painting is produced. If the canvas (skin) appears aged then it significantly contributes to the aging process and detracts from even excellent cosmetic surgery. If one has been restored by a facelift to youthful contours but yet the canvas appears older, the result is less than optimal and can give the appearance of being artificial.

Laser resurfacing is, in my opinion, the optimal approach to dealing with aging skin. Other options, such as chemical peels and dermabrasion are reasonable considerations, but are not as consistent and successful as laser in my hands. Therefore anyone who has skin with environmental changes caused by sun damage, wind, dryness, or other environmental factors is a good candidate for laser rejuvenation. These changes would appear as dark age spots or sun spots, broken blood vessels, and of course; mild, moderate, and even severe wrinkles. These wrinkles can occur over the entire face, but are often noticed around the mouth. Although these are often termed “smoker’s lines” on the upper lip, many non smokers unfortunately are troubled by this condition.

Let’s discuss ERBIUM LASERS today:

Erbium laser resurfacing (Ablative) – This procedure offers the best results for rejuvenating the skin. (LiAlthough no guarantees can be made for any individual, the average improvement on difficult upper lip wrinkles is 80%. This technique is an ablative technique and literally takes off total removal of the upper layers of skin. This procedure has replaced CO2 laser resurfacing which was popular in the late 90’s. The CO2 resurfacing procedure was almost as effective as Erbium resurfacing in my hands but had a much higher complication rate.

Erbium Laser Before
Erbium Laser After
Very difficult perioral wrinkles that have been irradicated 1 year post Erbium laser resurfacing. Not everyone can achieve total obliteration of wrinkles, but the best results that can be achieved are accomplished with Erbium ablative resurfacing in my hands.