Cosmetic Surgery for Men in Orange County

Before & After

Our society places a high value on looking young and fit. Today, men of all ages and all walks of life are requesting plastic surgery for cosmetic reasons which include: a more balanced nose, a rejuvenated face, or a trimmer waistline. The procedures used to achieve these goals must take skin thickness, beard growth and body type into account.

Planning your surgery

Good communication between you and your plastic surgeon is essential. In your initial consultation, you'll be asked to explain in detail why you want the procedure and how you hope to look and feel afterward. It's important to set aside any awkwardness you might feel, and speak candidly about the changes you'd like to see. You should feel completely assured that you and your surgeon understand one another.

Your doctor will also evaluate your health, conduct a physical exam, take pre-operative photographs, and explain which surgical techniques are most appropriate for you. You'll discuss the type of anesthesia to be used, the type of facility where the surgery will be performed, the possible risks, and the costs involved. Medical insurance usually doesn't cover cosmetic procedures. However, some plastic surgeons offer special financing plans for cosmetic surgery or accept credit cards.

Tell your surgeon if any part of the consultation makes you uncomfortable, or if you have any special privacy requests. Above all, it's important to have realistic expectations about your surgery.

The surgery

Your consultation will extensively cover information on your operation. Dr. Wald will discuss a number of factors that may influence your surgery. Make sure you fully understand these considerations.

Facial surgery

If you are planning facial surgery or neck surgery, your doctor will evaluate your entire head-face-neck region. Is the hairline receding? How full are the sideburns? Does the beard-growing skin extend up the cheeks or down the neck? Are there facial scars? Is the skin sun-damaged? Is the neck skin loose or drooping? In general, male facial skin has a richer blood supply than female facial skin. Men's faces tend to bleed more during surgery and are at greater risk for forming a temporary collection or pooling of blood under the skin, called a hematoma, after surgery. Also, any residual scarring may be more difficult for men to hide, since they don't wear make-up or style their hair toward their faces, as many women do.

Hair growth and beard growth may play a major role in the outcome of a facelift.

If you are balding or have thinning hair, surgical artistry may be required to hide the facelift incision, especially in the temple area. If the hair-bearing skin of your upper neck is pulled behind your ears during surgery, you may find that you must shave behind your ears or the back of your neck. However, sometimes electrolysis can correct this problem. Be sure to discuss these possibilities with your surgeon.

A fatty or "jowly" area beneath the chin is also a concern for many men. In younger patients, liposuction alone may be sufficient to correct the problem. Older patients may require a full facelift and necklift, which may include the removal of excess skin and tightening the platysma muscles, which run down each side of the neck. These muscles are usually thicker in men than they are in women, but do not pose a greater challenge for your plastic surgeon.

"Refinishing" treatments for facial skin

Shaving must be postponed for about 3 weeks after a skin-smoothing treatment such as chemical peel or dermabrasion. Because these procedures strip away the surface layers of skin, you can expect your faces to remain sensitive, swollen and bright pink for several weeks after surgery. Some men are happy that the beard growth helps conceal the redness-especially if they feel uncomfortable using camouflage make-up. Men who feel self-conscious about their condition are also advised to give up alcoholic drinks for about 4 weeks. Alcohol causes the areas of treated facial skin to become noticeably red and flushed.

Changing the facial features

Cosmetic procedures such as eyelid surgery, nose surgery, and facial-implant surgery are performed essentially the same way for men and women. However, it's important to let your surgeon know if you are seeking a more masculine look to your facial features-a chin with better projection, more prominent cheekbones, a stronger nose.

Hair replacement

The primary consideration for men contemplating hair-replacement surgery is the time involved. Natural-appearing hair replacement usually requires multiple surgical procedures, with long recovery intervals. A full regimen of hair transplants may last anywhere from 18 months to 2 years or more. You should be aware that incisions or transplant sites might be noticeable to others, especially in the early stages of the hair transplant process. If your work or lifestyle isn't compatible with a long treatment period, ask your surgeon about alternatives to hair-transplant options, such as flap surgery or scalp reduction.

Liposuction/body contouring

The ideal male body shape is considered to be trim and athletic-looking, with broad shoulders and chest, a flat abdomen, and a narrow hip-thigh area. However, as men age, areas of fat tend to accumulate around the abdomen, the flanks ("love handles"), the breast area (a condition called gynecomastia), and along the chin and neck. Men sometimes seek liposuction to remove these fatty areas that are resistant to diet and exercise.

In many cases, liposuction alone can effectively correct these problem areas. Men retain their skin elasticity longer than women do, and the areas of fat beneath the skin tend to be firmer and more vascular. Because of these and other factors, liposuction in men is usually very effective. Men who have some loose, hanging skin as well as areas of excess fat may opt for a traditional excision procedure (surgical skin removal) in addition to liposuction. An excision may also be performed on gynecomastia patients whose breast enlargement is made up of mostly glandular tissue, rather than fat.

Abdomen reduction

A full abdominoplasty or "tummy tuck" is an option for men with hanging abdominal skin (usually the result of massive weight loss), loose abdominal muscles, and/or neglected hernias. It is a major surgical procedure that removes excess fat, tightens the muscles of the abdominal wall, and trims the waistline. Men who have a full abdominoplasty are often surprised at the long recovery period. Some patients aren't able to return to work up to 4 weeks after surgery. Men with good skin elasticity who have only a moderate amount of excess abdominal fat may benefit from liposuction alone.

Muscle-enhancing surgery

In recent years, plastic surgeons have developed ways of improving muscle contour with cosmetic implants and "sculpting" techniques. Calf implants, which were originally developed to restore leg contour in accident or polio victims, are now sometimes used to create cosmetic fullness in the lower leg. Similarly, pectoral implants, which are used to build the chests of men with Poland's syndrome, can also be used to "bulk out" the existing pectoral muscles of healthy men. A small number of doctors have begun offering their male patients abdominal etching, a new liposuction technique that creates a muscular, rippled appearance in the abdominal area. Men who consider cosmetic muscle enhancement should keep in mind that these procedures are still relatively new.

After your surgery

The days and weeks immediately following your surgery are critical to obtaining a good final result. Therefore, it's essential that you follow your doctor's instructions. This may mean taking adequate time off work; wearing bandages or tight compression garments; getting enough rest; staying out of the sun; saying no to alcohol and cigarettes; and avoiding strenuous activity, exercise, sports, and even sex.

However, plastic surgeons understand that it's sometimes difficult for men, who are programmed by society to be stoic, to remain in bed for very long or to accept help from others during recovery. Studies have shown that men often deny their pain and feel foolish about asking for help after surgery. Men who reject help may have an especially difficult recovery if post-operative depression sets in during the weeks following surgery.

To avoid post-operative problems, it's important that you arrange to have a support person available to help you-both physically and emotionally-for about a week after surgery. If you get the help and rest you need, you'll improve your chances of a quicker recovery-and see your results sooner.

When reviewing information about specific plastic surgery procedures, it is important to understand that the circumstances and experience of every individual are unique. If you are considering plastic surgery, please ask your plastic surgeon for further information about the particular procedure and what you can expect.

Before & After

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Robert Wald, MD, FACS
The Aesthetic Institute


100 E. Valencia Mesa Drive, Suite 300
Fullerton, CA 92835

Phone 714.738.4282
Fax 714.738.1862

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Dr. Robert Wald is a Natrelle Preferred Doctor

Abdominoplasty The removal of excess abdominal fat with tightening of the abdominal wall. Also called tummy tuck.

Arm Lift To contour the upper arms by removing skin and fat

Augmentation Mammaplasty To enlarge the breasts making them more youthful and full using breast implants

Blepharoplasty To remove the excess skin and fat of the upper and lower eyelids

Body Lift To tighten and improve contour of the back, thighs, and abdomen

BOTOX® To soften the lines around the eyes and forehead

Brachioplasty To improve contour and reduce excess skin and fat of upper arms

Breast Augmentation To enlarge the breasts making them more youthful and full using breast implants

Breast Enhancement To enlarge the breasts making them more youthful and full using breast implants

Breast Enlargement To enlarge the breasts making them more youthful and full using breast implants

Breast Implant Revision To improve overall shape and size of breasts following previous cosmetic breast surgery

Breast Implants Saline or silicone devices to enlarge breasts

Breast Lift To uplift breasts following pregnancy, the aging process, or congenital deformity

Breast Reconstruction The surgical procedure to remake breasts for a woman who has lost a breast due to cancer

Breast Reduction To reduce the size of breasts that are too large and heavy

Brow Lift To elevate the forehead and eyebrows following the aging process

Calf Augmentation/Implants To enlarge size of calves

Cellulite The dimpling or cheese appearance of skin following pregnancy or develops with age

Cheek Implants Implants to enlarge cheeks

Chemical Peel Various acid treatments to improve texture and fine wrinkles of the face

Chin Augmentation To enlarge and improve contour of chin

Chin Implant Silicone or other type of material device to enlarge chin

Collagen Natural bodies tissue used in healing

Collagen Injections A filler to elevate folds or wrinkles to soften facial appearance

Dermal Fillers A filler to elevate folds or wrinkles to soften facial appearance

DSL Laser Hair Removal

Ear Pinning/Surgery To correct ears that are too projecting or dumbo like in appearance

Endoscopic Brow Lift Technique to elevate forehead, low brow position and heaviness of upper eyelids

Face Lift To tighten skin of face and neck and reposition soft tissue of cheek and jowls

Facial Implants Implants to enhance contour of cheeks, chin, and mandibular angle

Fat Injections Fat added to areas of body to enhance volume and contour

Flap Surgery Tissue from one area of body added to another area to correct a body defect

Forehead Lift To elevate forehead and eyebrows

Gynecomastia Excess breast tissue of male

Hylaform® A filler to enhance facial lines and depressions

Incision A cut made in skin

IPL™ Photofacial/Fotofacial Light therapy to soften facial wrinkles and pigmentation

Labiaplasty To remove excess labial skin

Laser Hair Removal Laser to remove unwanted hair

Laser Skin Tightening Laser light to burn skin that causes new collagen formation and less wrinkles

Laser Skin Resurfacing CO2 laser therapy to correct facial wrinkles

Lip Augmentation To add fillers or fat to enlarge lips

Lipodissolve™ Technique to remove excess body or facial fat

Lipoplasty Technique to remove excess body or facial fat

Liposculpture Technique to remove excess body or facial fat

Liposuction Technique to remove excess body or facial fat

Male Breast Reduction To remove excess breast tissue and skin on a male

Mammaplasty To enlarge the breasts

Mastectomy To remove breast including breast tissue, nipple, areola, and some breast skin

Mastopexy To uplift the breast and reposition the nipple/areola

Mentoplasty To enlarge the chin and improve the chin’s contour

NeckLift To tighten the skin of the neck

Nipple Reduction To reduce the size of the nipple

Nose Job To improve the shape and contour of the nose. Also called rhinoplasty.

Obagi Skin care system that transforms skin into younger and healthier skin

Otoplasty Surgical technique to pin back ears that are too protruding

Pec Implants Implants to enlarge male breasts

Ptosis Droopiness that overhangs the pupil and may interfere with vision

Radiesse A filler to elevate depressions or wrinkles or add volume to face

Refirme™ (ST)

Restylane® Injections A filler to minimize depressions and wrinkles of face

Rhinoplasty Surgery to improve, shape, size, and contour of nose

Rhytidectomy Surgery to tighten facial and neck skin and make face more youthful. Also called face necklift.

Rosacea Skin condition that causes redness

Saline Implants Implants comprised of a silicone shell and saline content

Sclerotherapy To inject spider veins that result in their disappearance or lightening

Sculptra® A long lasting filler

Silicone Implants Implants comprised of silicone

SkinCeuticals : Skin care products to prevent damage, protect healthy skin, and correct previous damage

Skin Expansion Technique to stretch skin of breasts or body

Suture Material to bring skin or underlying tissue together

Symmastia Condition where two breast meet in middle of chest

Thermage® Laser therapy to improve texture of facial skin

Thigh Lift/Thighplasty Surgery to improve contour and shape of thighs

Thread Face Lift Surgical technique to tighten facial and neck skin using threads
Topical Solution Liquid applied to the skin

Tummy Abdomen

Vein Therapy Techniques to improve appearance of large varicose veins or small spider veins

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