11
December
2008
The first thing the patient notices in the aging process is the neck. Most commonly in older patients, loose skin is produced in the lower neck area. In younger patients, excess fat is usually located throughout the neck area.
In order to correct these problems, either liposuction or neck lift would be required. Younger patients will require only liposuction to reduce the fullness or fat located throughout the neck. Skin contraction following this procedure will produce a nice contour. Older patients will require a neck lift. This will require small incisions behind the ear and in the hair line. Excellent results are accomplished in both procedures. Minimal down time is required for both procedures. Most patients need 3-5 days before going back to work.
Robert Wald
Posted: Home
11
December
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
Posted: Face Lifts
11
December
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
Posted: Home
11
December
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.
Posted: Otoplasty
11
December
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
Posted: Body
