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

Orange County | Fullerton, CA


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.

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


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.           


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.

How to Properly Recover After Surgery for Men

Posted on: April 23rd, 2018

Injured young man recovering at homeQuite commonly, men will undergo a variety of cosmetic surgeries to help improve their image and self-esteem. As they begin to age, fat can accumulate in different areas of the male body, typically around the abdomen, flanks (love handles), and chest. Whether having undergone a small or massive body surgery, taking time off is never ideal for a man with a busy schedule. However, ensuring you are properly rested and taking care of your health during any recovery process is essential for all men.   

Do’s and Don’ts for Proper Recovery

Tackling too much too soon is never a good idea after surgery, as it could impact your results and safety. It is important to make sure you consult with your surgeon about the proper precautions when recovering before you resume any physical activity.

  • DO: Shower three days after surgery. Make sure you are gentle with the incisions on your body and gently pat them dry once you are done showering.
  • DON’T: Bathe, even in treated pools. Submerging your incisions under water may increase the risk of infection. Engaging in any water sports like aqua jogging, synchronized swimming, underwater ice hockey, or extreme water balloon fighting should also be avoided (not just after the surgery but in general).
  • DO: Shave a couple days after your procedure once you have cleared it with your surgeon.   
  • DON’T: Shave right after surgery, as certain areas of your body that have endured an intense procedure need time to heal.
  • DO: Engage in effortless activities such as light walking, easy housework, or anything that does not involve strong movement. It is important to moderate your heart rate and blood pressure during recovery to avoid bleeding around the incisions.
  • DON’T: Engage in activities like golfing or fishing, since those types of activities require large shoulder and chest movements.  

How Long Is Recovery Time?

Depending on the type of surgical procedure, recovery time may vary. It is likely you will need to take one to two weeks off from work. Less extensive body contouring procedures (such as liposuction) may only last three to five days of recovery, and you should be fine to go back to work after. More extensive surgery (such as abdominoplasty) may require a longer recovery period of up to four weeks.

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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