Breast reduction surgery is generally recommended for woman experiencing health problems associated with very large heavy breasts. Several medical conditions have been associated with large breasts including back and neck pain, skin rashes, breathing problems, shoulder indentations from tight bra straps and poor posture. It is also associated with a decrease sense of attractiveness and self confidence.

Breast reduction is usually performed to relieve physical symptoms and may be covered by insurance. Insurance companies usually require photographs and a letter from the plastic surgeon prior to any surgical intervention. If it can be shown the medical necessity is indicated, then the surgical procedure would be covered.

Many techniques are available for breast reduction. Traditionally and inverted “T” approach is used. This includes incisions around the areola down the center of the breast and in the infra mammary crease. Today much smaller incisions are available. Depending on the patients breast shape, size and amount of sagginess, a donut shaped vertical scar technique may be used. In my practice, almost all incisions have healed beautifully with minimal scarring.

 Robert M Wald Jr. M.D.

This entry was posted on Friday, November 7th, 2008 at 12:19 pm and is filed under Breast Enhancement.

Most people today would like to look younger without undergoing any surgery and having minimal, if any, down time. We are all busy in our daily lives and with the present economic conditions; we would like benefits of youth with out much expense and bruising.

Botox and fillers (Hylaform, Restylane, Juvederm, and Radiesse) are quick remedies for the aging face. Botox paralyzes for three months the muscles over our nose, forehead and around the eyes. This prevents an angry appearance or scrowling typically seen by hyperactive glabella muscles. Forehead wrinkles and lines around the eyes are also softened when paralyzed by Botox. After performing over two thousand injections Botox, I have never seen a problem. The Botox must be injected by a competent person, preferably a doctor. I see everyday patients who say they were injected at a med spa and say they have seen minimal results. I explained to them that a lot of places charge small feel but also dilute the Botox several times more than the recommended amount. This marked dilution lessons the effects of Botox, usually resulting in an unhappy patient.

Facial fillers plump up lines or wrinkles or depressions that we develop as we age. By injecting these fillers into these areas, the wrinkles are lessoned. These substances last approximately six months and Radiesse can last up to one year.

When using both fillers and Botox in combination, a youthful combination can occur without any down time and minimal cost.

Dr. Wald

This entry was posted on Friday, November 7th, 2008 at 2:16 pm and is filed under BOTOX® Cosmetic.

The nose is a very prominent part of our face. A nose that is long, short, narrow or wide can be considered attractive. The most important aspect in judging the aesthetics of a nose is whether it fits one’s face in a complimentary way. A nose that is in harmony with other facial features blends in.

Nose reshaping (rhinoplasty) can be done for cosmetic or reconstructive (breathing issues or trauma) purposes. Insurance will cover breathing impairment or a traumatic nasal deformity. Not uncommonly, patients request a combination of cosmetic and reconstructive surgery.

The patient must be extremely be extremely diligent in finding a nose surgeon. The skill of the plastic surgeon is the key factor in achieving the type of result that each patient desires. I many instances, the best results are those that are subtle. A surgeon who has performed several hundred rhinoplasties is best suited to perform this surgery. Even with extensive experience, revisional nasal surgery may be needed. The number of re-operations tend to be markedly higher in the untrained hands.

Dr. Wald

This entry was posted on Tuesday, November 11th, 2008 at 9:40 am and is filed under Rhinoplasty.

Loose wrinkled abdominal skin and excess fat in the lower abdomen is a common problem. This may occur following pregnancy or weight loss or for genetic reasons. Occasionally liposuction may be the only treatment needed for a protruding abdomen, if the skin tone is good. But if the patient has loose skin and lack of tone in the abdominal area, then an abdominoplasty, commonly called a tummy tuck, may be required.

Abdominoplasty has become one of the most popular procedures I perform. Today the modern woman wants to regain her figure after child bearing, wearing fitted clothing and look natural in her overall contour, both sitting and standing. The best results are achieved with careful incision placement, skin and fat reoval and recreating a natural umbilicus (belly button). The key to a natural umbilicus is placing the scar deep within the contour of the belly button. The stomach muscles are also tightened to flatten the abdomen. Women who have dieted and exercised and unable to correct these problems are excellent candidates for this surgery.

My patients return there abdomen to a beautiful shape that looks great in pants and swimwear. A two week period of time is required for recovery. With modified abdominoplasties, the patient will return to work within ten days. The scar length varies with the women’s contouring and is easily covered by her swimwear and underwear. This is one of the most satisfying operations that I perform.

DR. WALD

This entry was posted on Tuesday, November 11th, 2008 at 11:23 am and is filed under Tummy Tuck.

Many patients think that recovery from breast augmentation is 4-6 weeks. My patients, in most cases, can return to work in 3 to 5 days. The key to a fast recovery is the surgeons technique. By a meticulous, bloodless dissection, a pain pump postoperatively, and intraoperative marcaine in the breast pocket, patients have minimal pain and bruising. Ice packs over the breasts after surgery minimize the swelling and discomfort. Most patients are amazed by their fast recovery and minimal pain.

This entry was posted on Monday, February 9th, 2009 at 2:44 pm and is filed under Uncategorized.