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

Orange County | Fullerton, CA

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POST BYPASS SURGERY

Posted on: November 26th, 2008

Individuals who have undergone gastric bypass for weight loss are left with redundant skin located throughout their body. This excess skin can be located in their arms, face, chest, breast, abdomen and thighs. In order to correct this excess loose skin, the patient must undergo multiple surgeries to eliminate this loose skin. It is not uncommon that an individual who has lost over 150 pounds will undergo two to three surgical procedures to correct all of these problems. In my office, I have a long discussion with the patient about what concerns her most about her body. Depending on her desires, the excess skin can be removed from the abdominal, back, thigh upper, arms or breast areas. Insurance generally covers the marked loosenes of skin in the abdominal area if there is noted to be excess rashes located underneath the abdominal pannus. A patient must understand that there will be permanent scars, but these scars blend well over time. I have found that patients are extremely satisfied with these operations since no diet or excercise will help eliminate this marked looseness of skin.

Dr. Wald


Brachioplasty or Excess Upper Arm Skin

Posted on: December 11th, 2008

frequently I see Patients who complain of flabby or loose skin located in the upper arms. This can be due to excessive weight loss, either from dieting or gastric bypass surgery. It also occurs commonly with age. As we age, this loose skin becomes even more cosmetically displeasing and it is not uncommon for many patients to want this to be improved. Unfortunately, liposuction will not improve loose skin. The only way to eliminate this flabbiness is to remove this extra skin. This results in a long scar extending from the arm pit area to near the elbow. This scar is placed in the best possible position the the upper arm in order to minimize any visibility. In time, this scar fades nicely and easily blends with the surrounding skin. I have found in my practice that people are extremely pleased with the results of this surgery.

Robert Wald


Otoplasty or Ear Surgery

Posted on: December 11th, 2008

It is quite common for people to be born with congenital deformities of the ears. One of the most common birth deformities that we are born with are prominent ears. This gives the appearance of a Dumbo like appearance with marked protrusion of the ears from the side of the head. It is not uncommon for children to be teased because of these prominent ears. Women who continue to have these prominent ears cover their ears not commonly with their long hair and are very hesitant to wear their hair up. 

In order to correct this problem, surgery is required. In this procedure, incisions are made behind the ear and the excess cartilage is either removed or bent backwards. The scar is essentially invisible. The surgery is approximately 1 1/2 hours and the person needs to know that there will be bruising and swelling of the ears for 2-3 weeks. The patient must wear sterile protection of the ears for on week. It is generally recommended that the individual take one week off work.

Patients are extremely pleased with the results of this procedure. The woman is able to wear her hair up and the male individual is not self-conscious about these very prominent ears.


Plastic Surgeon Location- Does Location Matter???

Posted on: December 11th, 2008

Many people think that plastic surgery is best performed in highly affluent areas such as Beverly Hills, Newport Beach, and New York City. Perspective cosmetic patients have preconceived ideas that these cities are the hot beds for this type of surgery. What they don’t understand is that their local community plastic surgeons may perform cosmetic surgery as well, or better than surgeons located in these areas.

Patients should do the appropriate research for their cosmetic surgeons. There are many surgeons right in their communities that are extremely qualified to perform their cosmetic surgery. Board Certified Plastic Surgeons are all trained well and have the expertise to perform these surgeries.

Patients should do the homework prior to selecting their surgeon. Patients should evaluate their doctor’s credentials, their Board Certification and their experience. By visiting the surgeon, the patient must be comfortable with the surgeon. Prices will vary depending on location. An experienced competent surgeon will not be the cheapest in town.

Robert Wald


The Right Facial Rejuvenation Procedure

Posted on: December 11th, 2008

I see many patients that desire improvement in their faces. The most important aspect in my consultaion is listening to the patient. Some patients only request fillers, Botox or minor procedures to improve their wrinkles, deep lines or facial texture. Others prefer a more agressive approach that involves surgical correction. Every patient has certain goals. Depending on the amount of healing, “down time” and results, the surgeon should taper a facial plan that is appropriate for that person. The amount of improvement varies with each procedure. A competent surgeon will adjust their facial plan, according to the patient’s desires. The patients should be aware that plastic surgery is an art and over the years, different approaches are indicated.

Robert Wald


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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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