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

Orange County | Fullerton, CA


Do’s and Don’ts for Proper Skin Care

Posted on: December 3rd, 2018

Having luxurious skin is considered the essence of youthfulness for many people. However, the natural effects of aging or improper skin care can cause us to develop facial imperfections such as wrinkles, acne, and irritation. It takes a lot of extensive care to maintain a healthy and smooth appearance, though this care is necessary to achieve your desired skin aesthetic.

Maintaining a daily skin care routine can help minimize these issues, and it is the first step to providing your skin with the proper treatment it needs. Here are some helpful tips to help you keep your skin looking healthy and rejuvenated.

Woman Putting on Face Cream

Do: Clean and Moisturize Your Face

Sweating and wearing makeup can cause oil, dirt, and toxins to collect under your skin throughout the day. This can also clog your pores and make your skin break out. It is important that you clean your face properly to remove any makeup you have applied and moisturize your skin to rid yourself of harmful bacteria and prevent future unpleasant facial issues. Make sure you also clean and moisturize your neck and chest. Talk with your specialist to help you determine the best type of moisturizer based on the following concerns:

  • Oily skin
  • Dry skin
  • Flaky skin
  • Moderate to severe acne  

Don’t: Over-Exfoliate

Exfoliating your skin can be beneficial and help minimize facial impurities. However, you should be careful when it comes to overly cleansing your face. Over-exfoliation can cause the following issues:

  • Peeling or flaky skin
  • Breakouts
  • Puffiness
  • Dryness
  • Skin sensitivity and irritation

Just like your muscles need to recover after an extensive workout, your facial skin needs time to rest in between your skin care routines. It is recommended that you exfoliate your skin at least one to two times per week. Also, make sure you drink plenty of water to keep your skin hydrated.     

Do: Use Plenty of Sunscreen

If you plan on being outside most of the day, then you better pack the sunscreen. While many of us desire that brown, golden tan, overexposure to the sun can come with consequences and cause your face to age quickly. Applying sunscreen to your face not only prevents you from getting a bad sunburn, but it offers protection from the sun’s harmful UV rays that can cause wrinkles, sun spots, and other facial imperfections from developing.  

Don’t: Neglect Sleep

While many of us find it easy to pull an all-nighter or stay up late watching one more episode of our favorite TV show, not getting the proper amount of sleep harms both our physical health and our facial appearance. Not giving your body seven to eight hours of rest can cause your face to develop under-eye bags, inflammation, breakouts, wrinkles, and more.  

To learn more about proper skin care, please contact our office by calling (714) 312-3549.

How SculpSure® Can Benefit You

Posted on: November 27th, 2018

Many patients wish to rid themselves of stubborn body fat, but they cannot or do not want to undergo plastic surgery due to health reasons. While some patients have tried methods like diet and exercise, others have found that even the most disciplined and healthy of lifestyles can leave them with unwanted fat deposits. Fortunately, Dr. Wald offers a non-invasive solution that will leave patients happy and satisfied with their new, slim appearance. SculpSure® is a safe, FDA-approved procedure that can target small areas of unwanted fat and provides similar results to that of conventional surgery without discomfort or downtime.

Female body with lines before loose weight-img-blog

Benefits of SculpSure®

When a person loses weight, they are not losing fat cells. The fat cells merely become smaller, giving the appearance of having lost fat when in reality the cells have only lost volume. SculpSure® can help you achieve substantial fat loss by reducing the number of cells in areas such as the abdomen, hips, love handles, flanks, and thighs. It can also be used on the knees, upper arms, and other areas that have developed stubborn fat.  

SculpSure® can destroy at least 24 percent of the fat cells in the targeted area, permanently eliminating stubborn and unwanted fat once and for all. However, your new body contours can best be maintained with a healthy diet and regular physical activity. SculpSure® is not only the perfect solution for patients who want to avoid extensive surgery, but it can also:

  • Tighten the skin
  • Provide a slimmer waistline
  • Leave no scarring
  • Boost your self-esteem  

How Does It Differ From Other Procedures?

Non-surgical procedures like SculpSure® can reduce fat using controlled heating, while similar treatments like CoolSculpting® use controlled cooling to eliminate unwanted fat. One difference is that SculpSure® only requires few sessions and takes less than half the time of a CoolSculpting® treatment.

While SculpSure® can eliminate mild to moderate amounts fat in several areas of the body, some patients may require a more extensive body contouring procedure because of redundant folds of skin that have developed. When this happens, patients should opt for tummy tuck surgery to help them achieve the results they desire.

Your SculpSure® Treatment

Your SculpSure® treatment begins with directing laser energy to the target area. The heat from the laser will disrupt the fat cells and break them down. Over time, your body’s lymphatic system will begin to flush out the fat cells. SculpSure® will also improve collagen production and tighten your skin for a firm and more toned appearance.

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

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 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


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.


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 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.


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.

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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