Robert M. Wald, Jr., MD - The Aesthetic Institute
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Orange County | Fullerton, CA

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Fillers vs. Facelift

Posted on: January 29th, 2018

Dr. Wald_ Facelift_Necklift_patient

Patient underwent facelift and neck lift surgery with Dr. Wald.

Nobody wants to admit they are aging, but our faces can slowly betray us and tell a different story. Facial aging affects everyone, and if you live a harsh lifestyle that may involve excessive alcohol consumption and significant amounts of sun exposure, visible aging might affect you sooner. Luckily, we can slow and improve facial aging through at-home creams, non-surgical treatments, and surgery. But the wrong treatment can leave you with lackluster results that do not create the youthful appearance you desire.

At-Home Creams

At-home products are ideal for keeping your skin hydrated, preventing acne, and occasionally treating discoloration. However, you shouldn’t be fooled by products that claim they will reverse wrinkles through a cream or serum. Collagen loss deep in the facial tissues is what cause wrinkles and laxity. At-home products cannot penetrate deeply enough to provide you the correction you desire.

Fillers to Erase Wrinkles

Wrinkles from volume loss are typically the result of collagen loss, which occurs as a natural part of the aging process. You can begin to develop wrinkles as early as your late 20s. If you’ve begun to show signs of wrinkles, but your skin has still retained its youthful firmness, then fillers are the ideal treatment for you. Dermal fillers, or other injectables like BOTOX® Cosmetic, are ideal for treating the following:

  • Nasolabial folds
  • Crow’s feet
  • Under eye wrinkles
  • Smile lines
  • Volume loss at the cheeks

Facelift to Improve Sagging

The primary goal of a facelift is to reverse sagging that has caused a drooping appearance. A facelift address aging of the lower-third of the face including the cheeks, jawline, jowls, and neck. During facelift surgery, we remove excess hanging skin and lift the weak facial tissues. This deep correction is the key to achieving natural and long-lasting results.

Facial Enhancement Alternatives

If you are experiencing aging in the upper face that is caused by sagging skin, you may consider a combination procedure that includes one or more of the following:

To discuss your facial needs with a board-certified plastic surgeon, schedule a consultation by calling 714-312-3549.


Reverse Signs of Sun Damage

Posted on: December 18th, 2017

beautiful blonde young woman in glasses and holding hat and winking on the beach with sunsetHave you noticed that your skin is looking dull and lifeless following the summer season? With the onset of winter, do you feel that your complexion is poor and uneven? Even with good skin care habits, you can still experience the negative effects of sun exposure. Reversing signs of sun damage will leave you with a brighter, smoother complexion.

Common Signs of Sun Damage

  • Wrinkles
  • Brown spots
  • Red spots
  • Dry skin

Treating Your Skin at Home

While we all have the best of intentions of protecting our skin during the summer, you may have failed to do so 100 percent of the time. You can begin to treat sun damaged skin at home. These are simple tips you can add to your at-home skincare routine.

  • Wear a light SPF every day: You may be thinking that because summer is over you can forget about wearing sunscreen. However, you can still get the negative effects of sun exposure even in winter and especially if you live in Southern California where winter can feel like summer sometimes.
  • Moisturize: The combination of the summer heat and winter chill can rob you of the hydrating moisture that your skin needs. It is important that you introduce a moisturizer into your skin care routine to restore that lost hydration.

Lasers to Treat Sun Damage

While at-home routines can prevent your skin from getting worse, they may not fully reverse the signs of your sun damage. Pigmentation issues and wrinkles start below the skin, and surface treatments aren’t powerful enough to provide the correction you need. Laser skin resurfacing is the ideal post-summer skin procedure because it works deeper in the skin to reverse sun damage.

How Lasers Help Your Skin

Lasers introduce heat and energy into the tissues of the skin. This process damages pigmentation cells, causing them to be absorbed by the body. It also stimulates collagen production in the skin, which can reduce wrinkles and smooth your appearance. Laser treatments are quick, in-office procedures, that only have about three days of downtime.


The Truth About Fitness and Your Appearance

Posted on: November 29th, 2017

Before we begin, let us say that a healthy lifestyle is an important part of looking and feeling amazing. Even if you are considering plastic surgery, we always recommend that our patients use diet and exercise to be fit and fabulous. That said, exercise can help you lose fat and build muscle, but it does have limitations to how significantly it can transform your body. This is the truth about fitness and your appearance.

Wald Body Contouring Surgery Tummy TuckWorking Out Won’t Prevent Sagging Skin

Patients who have achieved dramatic weight loss will often develop excess, sagging skin. This is a natural occurrence that results when you lose fat quickly or in large amounts. No amount of toning exercises can restore firmness to this skin. This drooping skin can rob you of a toned and sleek body. It often hides the hard work that you put into creating your new body.

Treating Sagging

Even though diet and exercise won’t improve your sagging skin, there are treatment options available to help you achieve the body you desire. A tummy tuck can be used to enhance the contours of your abdomen, or you can choose bariatric contouring to address the abdomen, hips, and thighs.

You Can’t Spot Reduce Fat

When you lose weight, you can tone and improve a specific area, but you cannot control from where you lose fat. Genetics can predispose you to accumulating fat in a localized area of your body, and that localized fat can be nearly impossible to eliminate. These stubborn areas of fat can prevent you from having the slimmer and sleeker body you’ve been trying to achieve at the gym.

Treating Fat

Liposuction can be considered if you need to eliminate unwanted areas of fat. Not only can you achieve a more customized contour with liposuction, but we can also enhance the definition in a treatment area. You may consider liposuction to treat one or more of the following:

  • Abdomen
  • Hips
  • Thighs
  • Arms
  • Back
  • Chest
  • Neck
  • Knees
  • Ankles

 


Are “Selfies” Making Us Face Our Facial Flaws?

Posted on: October 9th, 2017

Smiling business woman making selfie photo on smartphoneSocial media has taken over our daily lives. Some of us feel that we must know what is going on every minute of every day. It is has spiked the influx of people taking photos and always snapshotting their daily activities. Among the photo trends that has become popular is the “selfie,” where an individual holds their arm out and takes a picture of themselves. The downside of taking close-ups like selfies is that they can reveal your facial flaws, such as fine lines, wrinkles, and blemishes. Thankfully, social media platforms often have image filters to help cover up those facial flaws. However, many people want to improve their facial skin and signs of aging in real life and to avoid needing filters. Fortunately, there are many non-surgical options for improving your skin.

Your Non-surgical Treatment Options

Even someone who follows a regular skin care regimen and a healthy diet may still have problems with fine lines, wrinkles, age spots, and uneven skin pigmentation. Non-surgical cosmetic options allow someone to reverse their facial issues without surgical knives, anesthesia, and long recoveries. Here are some of the procedures offered by Dr. Wald:

  • BOTOX Cosmetic®: BOTOX Cosmetic® is an injectable composed of a protein derived from botulinum toxin type A. It works by inhibiting the movement of the facial muscles that cause the appearances of dynamic wrinkles, such as:
    • Crow’s feet (fine lines at the outer the corners of the eyes)
    • Frown lines (creases between the brows)
    • Lines and wrinkles along the forehead
  • JUVÉDERM®: JUVÉDERM® is an injectable filler made of hyaluronic acid, a naturally occurring molecule in the body that hydrates and adds volume. It can help smooth and plump the skin to treat issues such as:
    • Wrinkles under the eyes
    • Loss of fat in the cheeks
    • Thin lips
    • An undefined jawline
    • Smile lines
  • RADIESSE®: RADIESSE® can effectively treat fine lines and wrinkles caused by a lack of volume. It is an injectable gel filler made of calcium hydroxylapatite microspheres that stimulate collagen production. It can target:
    • Smile lines
    • Marionette lines
    • Loss of volume in the cheeks
    • Depressions on the nose
  • Restylane®: Restylane® is comprised of hyaluronic acid that adds fullness to the face to target facial wrinkles and creases, such as:
    • Nasolabial folds
    • Creases around the mouth
    • Loss of fullness in the cheeks
  • Laser therapy to peri ocular and peri oral areas by Dr. WaldLaser skin resurfacing: This treatment involves using a surgical laser to remove unwanted, damaged tissue. It can help to effectively treat imperfections on the skin, such as:
    • Sun damage
    • Acne
    • Acne scarring
    • Fine lines
    • Wrinkles
  • Sciton® laser: The Sciton® laser uses infrared energy to heat the dermal layer deeply using sapphire contact cooling. The heat from the laser treats the collagen layer to promote the natural healing process of the skin. This treatment can target:
    • Wrinkles
    • Fine lines
    • Blemishes
    • Age spots
    • Acne scars

If you want to make your filtered selfie a reality and are interested in one of our non-surgical treatments, schedule your consultation with Dr. Wald today! Contact us by calling (714) 312-3549 or by filling out our online contact form.


4 Factors That Will Affect Your Healing After Plastic Surgery

Posted on: September 25th, 2017

Young beautiful woman with an elastic bandage on her headWhen all other avenues for weight loss or anti-aging treatments have failed, many people consider plastic surgery to achieve their goals. However, with so many celebrities putting plastic surgery in a negative light, some people tend to not look at plastic surgery favorably.

Plastic surgery is surgery; therefore, it is crucial that a patient who is considering the process takes it seriously. Besides the preparation for surgery, the recovery is an important aspect of the plastic surgery process. How someone cares for themselves following a procedure helps them to achieve the best results and dictates how their surgical wounds heal. Whether you are undergoing liposuction or breast augmentation, here are some of the top factors that will affect your healing following plastic surgery.

1. Your Age

The older a person gets, the harder it is for them to recover from a sickness or injury, especially after surgery. When someone in their 40s, 50s, or 60s decides they want to undergo a plastic surgery procedure, they should keep in mind that they might not recover as quickly as someone in their 20s or 30s. Depending on your age, your plastic surgeon will provide you with an idea about how your recovery process will go and the best surgical approach to help you heal safely and efficiently. They may also suggest less invasive options, such as injectables or fillers that provide anti-aging results but are less strenuous on the body than a surgical procedure.

2. Your Genetics

Genetics also play a significant role in the recovery process. Patients who have a family history of poor wound healing is something that cannot be changed; though, if you live a healthy lifestyle and listen to instructions before and after surgery, it can make for a positive healing experience. Depending on the patient, they may need to take more time away from physical activities or work. Any concerns regarding your genetics and family history should be discussed with your doctor before booking your procedure. Your plastic surgeon will consider any previous medical problems when designing your individualized surgery plan.

3. Caring for Your Surgical Wounds

Age and genetics are a factor some of us can’t change when undergoing a surgical procedure. However, how you care for yourself and your surgical wounds following your surgery should be taken seriously. Patients should keep their incisions clean and covered and should avoid touching them. They should keep track of any changes in the color or appearance of their surgical incisions. If any surgical wounds look pink or red or have any drainage, the patient should seek medical attention to make sure the incisions are not infected.

4. Your Health

A patient’s health before and after surgery will significantly impact how their surgical wounds heal. It is important that patients follow a healthy diet before and after surgery, and refrain from any unhealthy habits such as smoking or consuming alcohol. You can discuss with your doctor about what types of foods should be avoided during the recovery and ways that might improve your healing after surgery. You should also stay hydrated by drinking plenty of water and abstain from consuming drinks high in sugar such as soda and certain juices.

If you are interested in a plastic surgery procedure, Dr. Wald is a board-certified plastic surgeon who can provide you with the best advice on how to achieve the best healing experience after your surgery. Schedule your consultation today! Contact us by calling (714) 312-3549 or by filling out our online contact form.

 


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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

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