Robert M. Wald, Jr., MD - The Aesthetic Institute
Contact Us : (714) 312-3549

Orange County | Fullerton, CA

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Why You Should Undergo Bariatric Surgery

Posted on: October 22nd, 2018

Obesity is a medical condition that involves a patient having an excessive amount of body fat, which can put them at risk for serious health problems. Many patients who struggle with excessive weight feel insecure and have tried many different ways to lose weight with no luck. And even after successfully ridding themselves of those extra pounds, some patients may still feel self-conscious about their appearance due to loose skin and other issues that may have developed. At The Aesthetic Institute, our post-weight loss procedures can tone and shape your body to give you a smoother, more contoured figure.

body before and after weight loss-img-blog

What Is Bariatric Surgery?

Bariatric surgery can enhance weight loss for people who are struggling with obesity and have not achieved long-term success with other strategies. During your surgery, your surgeon will reduce the stomach’s storage capacity, limiting food intake and making you feel full faster.

Whether you have chosen to undergo bariatric surgery to lose weight or have lost it using other methods, weight loss comes with a host of benefits, such as:

  • Improved cardiovascular health
  • Relief from depression and joint pain
  • Improved self-esteem
  • Elimination of sleep apnea
  • Reduced risk of heart disease and other medical conditions  

Ideal Candidates

Obesity can cause your skin and tissue to lose elasticity. Following your bariatric surgery, your skin may begin to sag in multiple areas of the body. This is extremely common, and the extent of your weight loss can play a significant role in how your skin will look. Post-bariatric surgery procedures can tighten, sculpt, and trim the following areas to help you reach the final step of your transformation:

  • Breasts  
  • Abdomen
  • Buttocks
  • Thighs

Post-Bariatric Procedures

Tummy Tuck Surgery

Abdominoplasty, or tummy tuck surgery, addresses laxity around the belly area. It treats a protruding abdomen by removing the excess abdominal skin and tightening weak abdominal muscles that may cause a stomach pooch. Tummy tuck surgery can also produce a smoother, firmer abdominal surface and an improved silhouette following your weight loss.

Breast Lift

Breast lift surgery is designed for patients who have breasts that are sagging or that look flat and deflated after losing a significant amount of weight. This surgical procedure can restore the breasts to a more youthful position as it addresses sagging of the breasts (ptosis) by lifting and removing excess skin. Breast lift surgery can also be combined with breast augmentation for patients who have experienced volume loss.

Liposuction

Liposuction removes stubborn fat deposits you may not be able to get rid of through diet and exercise to sculpt and define your body contour. It can give you a more toned, slimmer appearance in trouble spots such as the arms, back, abdomen, stomach, thighs, and buttocks. Liposuction can also be combined with tummy tuck surgery to provide you with maximum body contouring results.

To learn more about our post-weight loss procedures, contact our office by calling (714) 312-3549.


Benefits of Otoplasty

Posted on: September 27th, 2018

Your facial features are usually the first things people notice when you introduce yourself to them. While some people may be insecure about visible signs of aging and try to hide them with makeup or cosmetic treatments, many individuals feel embarrassed about the appearance of their ears. Sometimes, the ears can appear poorly shaped or have bothersome structural defects due to congenital conditions. Ear deformities can also result from damage or injury. Whether you struggle with large, protruding, or misshapen ears, otoplasty (ear surgery) can help. This procedure addresses any ear abnormalities to provide you with symmetrical, attractively shaped ears that complement your facial structure.

img-blog-thoughtful woman looking at herself in the mirror and squeeze her ears

Ear Surgery Can Create…

Smaller, Flatter Ears

Patients may undergo otoplasty for several reasons. One of the most common reasons is to minimize the size or protrusion of their large ears. Oversized ears often cause embarrassment and ridicule, especially for young children. Otoplasty can address overly large and protruding ears by making them smaller and positioning them closer to the head.

Improved Facial Symmetry

Disproportionate facial features such as the ears can become a focal point and cause the face to appear unbalanced. Otoplasty can improve facial harmony by manipulating the ear cartilage so that your ears look natural and attractive. Your results will enhance your overall facial aesthetic and attract more attention to your eyes, smile, and face as a whole.

A Natural Appearance

Congenital deformities (such as lop ear or shell ear), as well as irregularities caused by blunt trauma, can be a source of embarrassment. Patients who wear heavy earrings or other ear accessories can also experience irreparable stretching of the earlobe tissue. Overstretching or damage to the ears can leave them looking unnatural, which can become a distraction from your other facial features or draw unwanted stares from people. Ear surgery can improve the appearance of misshapen ears by restoring them to a natural-looking state.

The Ear Surgery Procedure

During otoplasty, an incision is created in the back of the ears, and excess cartilage is removed. Once the ears have been repositioned, the incision is closed with removable sutures, and a surgical headdress is placed around the treated area. By improving the size, shape, and protrusion of the ears, you can feel more comfortable and confident about your new appearance.

Visit our otoplasty photo gallery to see before and after photos of some of Dr. Wald’s ear surgery patients.

To learn more about otoplasty, contact our office by calling (714) 312-3549.


Can Inverted Nipples Be Cured? If so, How?

Posted on: August 6th, 2018

While some patients have nipples that occasionally invert due to a change in temperature or stimulation, others may struggle with nipples that stay permanently inverted. Inverted nipples (nipples that indent more than they protrude) can be quite bothersome and negatively impact a man or woman’s self-esteem. Although inverted nipples will not affect your overall health or nipple sensitivity, men and women who struggle with this issue can feel embarrassed about what they may think is an “unnatural” appearance. It may also impact their dating and social life. Thankfully, there are safe treatments and surgical procedures that can address this issue.  

Female with small breasts covering her nipples with fingers

Causes

Inverted nipples can develop spontaneously but usually become more apparent during puberty. This occurs when the nipple is retracted into the breast tissue, causing it to appear flat. Inverted nipples can also be caused by the presence of shortened milk ducts and ligaments, which can serve as a restraint to the nipples when your chest is growing. Other, less common causes for this condition can include trauma or breast cancer. While some patients may struggle with only one inverted nipple, others may find themselves with both nipples inverted.

Treatments

In rare cases, the inversion of the nipple can be reversed simply by stimulating it yourself. However, manually stimulating the nipple may only provide temporary results. Patients wanting to correct their inverted nipples can seek out the treatment options listed below to attain a more natural appearance.

Surgery

Surgery is the solution most patients turn to in order to achieve natural-looking nipples. Inverted nipple surgery is performed as an outpatient procedure using local anesthesia. Dr. Wald will make an incision along the base of the nipple and shave down the nipple’s attachments to produce a protruding appearance. The incision will then be closed, and a medicated gauze will be placed over the treated area.

Suction Devices   

Suction devices can be placed over the nipple, or nipples, and worn underneath your clothing for a period of time to help them protrude. The nipple will be stretched out and attached to a small cup that causes stimulation in order to loosen the tissue. Make sure you talk with your doctor to see if this treatment is right for you.

Piercings

Piercing your nipples can also help draw them out and keep them extended. It is important to seek out a professional who has experience in piercing inverted nipples to perform this treatment. Your piercer will make sure your nipples are fully drawn out before any jewelry is inserted. Depending on how severe the condition is, most men will be pierced using a 14-gauge needle and most women will require a 16-gauge needle.   

To learn more about inverted nipples, you can call our office at (714) 312-3549 or schedule a consultation with us online today.


Is Male Facial Surgery Safe?

Posted on: July 30th, 2018

Aging can often lead to the development of jowls, wrinkles, and loose skin around the face, which can cause the jawline to disappear. Many men who wish to improve their facial appearance undergo facelift surgery as it can address signs of aging by removing excess skin and lifting the facial tissue to reveal a younger and more vibrant look. While this surgery is safe, facelift surgery for men requires a number of considerations that differ from a female facelift, making it essential for men to understand the benefits and risks that go into this procedure.

Close up Of Surgeon Hands Drawing Correction Lines On Man Face

Benefits

Men typically undergo facelift surgery because they feel unsatisfied with their facial appearance due to visible signs of aging. Other men may want to correct facial impurities, such as folds and sagging skin, that have occurred over time due to sun exposure, improper skin care, or stress. Whatever the reason, facelift surgery can rejuvenate the lower face and neck, eliminate wrinkles and folds, and restore a masculine jaw and chin.           

Risks

Although facelift surgery is safe, there are a few things all men should consider before undergoing this procedure, including the fact that male facial skin has a greater amount of blood supply than women’s skin. Because of this, more bleeding can occur during the surgery; additionally, a facelift may put some men at risk of developing a hematoma (a temporary pooling of blood that can form under the skin after surgery). Other risks involving facelift surgery may include:

  • Infection
  • Poor wound healing
  • Skin loss
  • Prolonged swelling
  • Facial nerve injury
  • Skin irregularities
  • Discoloration

Hair and Beard Growth

Hair growth and facial hair can also play a significant role for men during their facelift procedure. When it comes to a facelift, most men are looking to ultimately reduce the appearance of a saggy neck and jowls on their face, yet at the same time, they want to maintain their original hairline. This surgery requires that incisions be made either along the temple area or inside the ear or hairline to hide scarring; however, men with thinning or balding hair will not be able to conceal these scars easily. Additionally, as deep facial tissues are lifted and suspended and excess skin is removed, it is important to be mindful that your beard will also be repositioned during surgery.

To learn more about male facelift surgery and to determine if you are a good candidate, you can call our office at (714) 312-3549, or schedule a consultation with us online today.


How Young Is Too Young for Plastic Surgery?

Posted on: June 18th, 2018

Many patients look into getting plastic surgery to enhance their appearance or boost their self-esteem. While most surgical and non-surgical procedures are usually performed on older patients, younger people also wish to undergo plastic surgery due to ridicule or embarrassment in their appearance. But how young is too young for your child to undergo plastic or cosmetic surgery?

Skillful nice male doctor standing near his patients mother and taking notes

Common Procedures for Minors

It is important that your child has a fully developed targeted area before they undergo any plastic surgery procedure. Certain procedures like otoplasty (ear surgery) are commonly performed on younger children because their ears reach their full size around 6 years old. Younger teenage patients who wish to have rhinoplasty (nose surgery) can usually do so since your nose fully develops around 14 or 15 years of age. However, surgical procedures such as breast augmentation may not be suitable for young females unless their breasts have reached full development.

Non-invasive Procedures

Non-invasive procedures like chemical peels and laser skin resurfacing are common among young patients. These methods can eliminate the appearance of acne scars and skin discoloration for smoother, natural-looking skin. It is safe and can be performed on patients of any age.

Young patients who wish to enhance the appearance of their lips, cheeks, frown lines, or wrinkles may want to consider dermal fillers or BOTOX® Cosmetic. However, most professionals are against the use of these treatments for younger patients. Those who would like cosmetic surgery must usually be 18 years of age or older or showing noticeable signs of aging.

Surgical Procedures

Surgical procedures like gynecomastia, also known as male breast reduction surgery, can help young boys who have developed overly large breasts. In most cases, once a male’s body has fully developed, the breast tissue will begin to slim down. However, severe cases of gynecomastia may require surgical attention.

Young female patients whose breasts are overly developed after puberty can look into getting breast reduction surgery. This will remove excess breast tissue and fat while also relieving them from any chronic back or neck pain they may have been experiencing.

Knowing Your Child Is Ready

Once you and your child have decided if plastic surgery is the right choice, the next step is to schedule a consultation with a professional. Parents should accompany their child during their appointment to ensure all questions and concerns are addressed. An evaluation of your child’s body and goals will help determine whether they are candidates for their desired procedure or not. They should also be in good physical and mental health.

If you would like to schedule a consultation with your child, or if you would like more information about the availability of procedures for patients under the age of 18, contact our office at 714-312-3549.


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


Phone: 714-312-3549
Fax: 714-738-1862