By Dr. Robert Wald | March 26, 2012
Advantages Of Botox At An Early Age
Most of my patients think about using Botox in their mid to late 40′s or 50′s. This is the time facial wrinkles are quite prominent. Even though Botox minimizes fine lines in the forehead, 
in the upper nose and crows feet, these lines are now permanent. I have found that by injecting these facial wrinkles earlier in their aging process (early to mid 30′s) this will delay and possibly prevent the deep wrinkles we develop later in life. By paralyzing those muscles early, our skin will continue to stay youthful. NeuroToxins (Botox, Dysport) temporarily paralyze facial muscles. Some of my patients have very strong muscles which accentuate the aging process. This can cause a scowling or angry appearance between the eyebrows and deep forehead wrinkles. When I see a patient in their 30′s who have these types of muscles, I strongly suggest Botox for the reasons mentioned. This treatment plan may also delay fillers for the prominent lines that develop. Please contact my practice with any questions or to schedule a complimentary consultation.
Dr. Robert M. Wald, Jr., MD
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By Dr. Robert Wald | March 16, 2012
Fat Transfer To The Face
After performing facial rejuvenation procedures for over 20 years, I have now found fat injections to be a wonderful adjunct to improve my results. Not only does fat improve volume, but it appears to have a regenerating effect on tissue adjacent to where the fat is injected. Fat contains “adult stem cells” that are believed to elaborate growth factors and other as yet not clearly defined cellular mediators. Numerous anecdotal and a growing number of scientific reports now support this idea. It is my clinical opinion that fat improves skin quality and further enhances my results.
It is important that the patient realizes that more bruising will occur with fat injections versus fillers such as Juvederm or Restylane. This procedure can be done under local or general anesthesia. The length of time that fat lasts is also not exactly known but it can last for years.
Because fat is taken from the abdomen, thighs, flanks, or buttocks, a nice improvement in those areas is also obtained.
For additional information or to schedule a complimentary consultation, please contact our office, 714-738-4282
Dr. Robert Wald
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By Dr. Robert Wald | March 8, 2012
Innovations in Breast Reconstruction Surgery Enhance Results
Breast Reconstruction Surgery Images
Plastic surgeons for the last few years have human tissue (Acellular Dermis) available that enhances our breast reconstruction results. This material (Alloderm), made by Life Cell, gives extra coverage and support in selected patients. By placing this material under the breast skin and subcutaneous tissue we are able to help prevent rippling of an underlying breast implant. This also is true for a very thin cosmetic patient. Recent articles suggest that ACD may also help prevent capsular contracture. Even though the results with ACD are still early, it appears that this material will continue to enhance our results.
Breast Revision procedures for post-breast reconstruction and post-breast augmentation are also enhanced by ACD. Problems such as bottoming out, inframammary fold malposition and breast asymmetries can be corrected using this material. There appears to be very few problems associated with ACD and it has been found to be extremely safe. I have found ACD to be very helpful in problem cases.
Dr. Robert Wald
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Most of my patients think about using Botox in their mid to late 40′s or 50′s. This is the time facial wrinkles are quite prominent. Even though Botox minimizes fine lines in the forehead, 
