Ear Pinning Orange County

How frequently do you hear from your child that other kids call them “Dumbo” because their ears are very protruding? Occasionally, we are born with projecting ears that cause social embarrassment and a lack of self confidence. There is usually no other congenital anomalies associated with this condition.

Unfortunately, there are no medicines to correct this problem. The surgery, otoplasty, is required to pin the ears back and can be performed on kids and adults. As a ear surgeon specialist, I have corrected hundreds of these prominent ears. This surgery corrects the problem and allows the individual to live with normal appearing ears. Patients are extremely pleased with this minor surgical procedure.

Please contact our office with any questions or concerns, or to schedule a complimentary consultation, 714-738-4282.

Robert M. Wald, Jr., MD

The Aesthetic Institute

This entry was posted on Saturday, January 26th, 2013 at 4:34 pm and is filed under Face Lifts, Home. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Skin Under Chin Sagging; Excess Skin Removal

In my practice, I see a number of men in their 70′s and 80′s who develop a lot of loose skin under their chin.  This deformity is commonly called a Turkey Wattle deformity.  Most men of this age group do not want a facelift and want a simple procedure to correct this problem.  This excess skin under the chin is of concern since this extra skin bulges over the shirt collar.

A simple operation to correct this problem is to directly remove the excess skin and fat from under the chin area.  A small rotation of the neck skin is also performed in the neck crease (Z-plasty).  The only downside to this procedure is the scar in the middle of the neck.  This scar usually heals beautifully and blends well.  Most men would prefer to have this scar over a larger operation.  This procedure is done under local anesthesia and only 3 days of downtime.

Dr. Robert Wald is a cosmetic surgeon in Fullerton, California.  His practice specializes in plastic surgery procedures, serving surrounding communities including La Mirada, La Habra, Orange County, Placentia, Anaheim, Yorba Linda, Orange and Brea.  Please contact our office with any questions or to schedule a complimentary consultation, 714-738-4282.

This entry was posted on Tuesday, November 20th, 2012 at 1:41 pm and is filed under Face Lifts, Home, male cosmetic surgery. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Non-Surgical Facelift Using Fillers and Botox

When a woman does not want to undergo surgery, fillers (Restylane, Juvaderm, fat) and Botox in combination can produce a youthful improvement to the face. Fillers can be used to add volume to the periorbital area, temporal area,  nasolabial folds, and jawline. Botox is used to remove the wrinkles in the forehead, upper nose and eyelid By combining these products at one time, a distinctive improvement in facial appearance occurs. A patient must realize these effects are not permanent and re-injections will be required every six to twelve months depending on the product used.

This entry was posted on Saturday, November 3rd, 2012 at 7:22 pm and is filed under Botox, Face Lifts, Home, Wrinkle Reduction. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Non Surgical Facial Rejuvenation

Lasers generate a concentrated stream of bright, pulsed light that can be used to help correct a variety of skin conditions. While some laser treatments result in complete skin resurfacing, others only help diminish fine wrinkles and discoloration. Lasers can penetrate deeply into the skin and promote reorganization of collagen, which helps diminish wrinkles and improve skin tone. They also have somewhat of a tightening effect, which can aid skin tone and appearance.
Although lasers are an effective method of facial rejuvenation, laser treatments are not a substitute for surgical procedures such as a facelift.  Laser peels can provide significant and long lasting improvement of sun damaged, unevenly pigmented or coarsely wrinkled facial skin. Peels can be performed with superficial or deep lasers. They may be used on the entire face or on a limited area, such as the vertical wrinkles around the mouth. Carbon dioxide lasers are generally the strongest and may be recommended for fair skin, severe sun damage, and deep wrinkles.

This entry was posted on Sunday, October 21st, 2012 at 8:15 pm and is filed under Face Lifts, Home, Skin Care. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Minimal Scar Facelift Under Local Anesthesia

Over the last 2 years, I have been performing a minimal scar facelift under local anesthesia.  Prior to this time, I had performed this surgery under general anesthesia or heavy intravenous sedation.  I started performing this surgery  in this manner after a number of my patients were requesting less anesthesia.  The patient is given Valium by mouth 1 hour prior to surgery.  Even though the patient is awake, I have found that the patient experiences minimal discomfort.

Following surgery, there is some bruising and swelling.  Most of my patients can return to work in 1 week.  The pain following this surgery is minimal since the sensory nerves of the face are bruised and don’t return for several weeks.  The patient must sleep upright with the head elevated for 1 week.  No heavy exercise can be done for  3 weeks following the surgery.

Unfortunately, none of us are getting younger.  While fillers and Botox are good temporary ways to enhance our appearance, nothing works better for facial rejuvenation then surgery.  When considering the excellent results and the minimal downtime with this procedure, I highly suggest to patients that they consider this type of surgery under local anesthetic.

This entry was posted on Saturday, October 6th, 2012 at 7:09 pm and is filed under Face Lifts, Home. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Erasing Lines around Mouth and Eyes with Minimal Redness

Every day patients come into my office complaining of wrinkles around their mouth and eyelids. Most of these patients have tried numerous creams and ointments without success and have spent hundreds of dollars for these products.  Certainly, these people have bought these products because of good advertisement.

Over the years, I have tried a number of techniques to improve these wrinkles.  This has included dermabrasion, laser therapy and fillers.  While all these modalities work, there are downsides to  each of these therapies.  With fillers, they are only temporary.  With dermabrasion and CO2 lasers, there is prolonged redness and long healing.

Recently, I have been working with the Sciton Erbium laser.  I have found this laser to be extremely effective with minimal redness and fast healing.  This laser can reverse the effects of sun damage that cause wrinkling, sun spots and tired appearing skin.  With this laser, physicians  can control the ablation and coagulation depth for either light or deep peels and restore a healthy look to the skin.

There are 2 approaches to resurfacing: Full field and fractional.  In full field resurfacing, the entire surface areas of the skin is treated. A laser beam is scanned over the treated area and precisely removes a layer of skin.  The body will eventually replace the old, damaged skin that was removed, with a fresh, healthy layer.  Treatments can range from shallow to deep depending on the patients extent of wrinkling and texture problems.

In fractional resurfacing, the laser removes pinpoint columns of skin, leaving the surrounding tissue intact.  This approach allows the laser to penetrate very deeply for effective collagen remodeling, while the surrounding and intact tissue promotes rapid healing.

By combining these two modalities, the results in my patients are greatly improved.  Depending on the patients desires, 1 day or a week of redness is involved to achieve the desired results.

Please contact our office with any questions or concerns, or to schedule a complimentary consultation, 714-738-4282.

Robert M. Wald, Jr., MD
The Aesthetic Institute

This entry was posted on Thursday, June 7th, 2012 at 10:41 pm and is filed under Face Lifts, Home, Skin Care, Wrinkle Reduction. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Fat Transfer To The Face

After performing facial rejuvenation procedures for over 20 years, I have now found fat injections to be a wonderful adjunct to improve my results.  Not only does fat improve volume, but it appears to have a regenerating effect on tissue adjacent to where the fat is injected.  Fat contains “adult stem cells” that are believed to elaborate growth factors and other as yet not clearly defined cellular mediators.  Numerous anecdotal and a growing number of scientific reports now support this idea.  It is my clinical opinion that fat improves skin quality and further enhances my results.

It is important that the patient realizes that more bruising will occur with fat injections versus fillers such as Juvederm or Restylane.  This procedure can be done under local or general anesthesia.  The length of time that fat lasts is also not exactly known but it can last for years.

Because fat is taken from the abdomen, thighs, flanks, or buttocks, a nice improvement in those areas is also obtained.

For additional information or to schedule a complimentary consultation, please contact our office, 714-738-4282

Dr. Robert Wald

This entry was posted on Friday, March 16th, 2012 at 2:39 pm and is filed under Face Lifts, Fat Transfer, Home. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Today, economics are driving our spending. We are all concerned about our families and we all have been affected by the world downturn. As a result of these circumstances, we are all looking for the best deal and a quick fix that will correct our aging faces.

There are multiple methods to improve our facial appearance. Today, we see many TV commercials and magazine ads showing wonderful results of facelifts that are inexpensive and require minimal surgery. I would caution consumers about surgeries that promise these great results. Good surgery requires time, expense and good surgical skill. Remember, it is your face that you are improving. Bad results can occur that may not be correctable. Your financial investment in your face will be worth every dollar you spend. Please do your research well.

This entry was posted on Monday, November 29th, 2010 at 8:46 pm and is filed under Face Lifts, Home. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Botox, Radiesse, Juvederm

Serving Fullerton, Newport Beach, and all of Orange County

As we age, our faces droop and we develop lines. furrows and saggy skin. Surgery can correct many of these problems, but injecting the face with fillers can also minimize some of these problems.

 [video]http://www.youtube.com/watch?v=Af4SF_1QrtE[/video]

Today, we have many options to fill or uplift the furrows and wrinkles around the mouth, in the cheek areas and eyes. We can combine these filling agents (Radiesse, Juvederm) with Botox or minor surgery to achieve facial harmony. As a specialist in facial rejuvenation, I have found by combining a number of techniques, individuals can achieve a very youthful appearance.

This entry was posted on Tuesday, August 4th, 2009 at 10:59 am and is filed under Face Lifts, Home. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

While most patients seeking cosmetic surgery are females, men are also excellent candidates for facial and body rejuvenation.

[video]http://www.youtube.com/watch?v=r3Bvd5ibKXU[/video]

Men commonly develop bags of the lower eyelids and loose skin of the neck and are common candidates for Rhinoplasty. My male patients constantly complain of all the loose skin in their necks. This is corrected with a necklift. In some patients, a direct excision of neck skin is indicated.

Male patients have less bruising of their skin than women. Recovery is fast!!!! Most men are back to work at one week. After performing hundreds of these surgeries, and being considered an Orange County Male cosmetic surgery specialist; I have found my male patients to be extremely pleased with this surgery.

Dr. Wald

This entry was posted on Friday, March 13th, 2009 at 8:24 am and is filed under Face Lifts, male cosmetic surgery. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.