November 11th, 2008 Robert Wald M.D.
Loose wrinkled abdominal skin and excess fat in the lower abdomen is a common problem. This may occur following pregnancy or weight loss or for genetic reasons. Occasionally liposuction may be the only treatment needed for a protruding abdomen, if the skin tone is good. But if the patient has loose skin and lack of tone in the abdominal area, then an abdominoplasty, commonly called a tummy tuck, may be required.
Abdominoplasty has become one of the most popular procedures I perform. Today the modern woman wants to regain her figure after child bearing, wearing fitted clothing and look natural in her overall contour, both sitting and standing. The best results are achieved with careful incision placement, skin and fat reoval and recreating a natural umbilicus (belly button). The key to a natural umbilicus is placing the scar deep within the contour of the belly button. The stomach muscles are also tightened to flatten the abdomen. Women who have dieted and exercised and unable to correct these problems are excellent candidates for this surgery.
My patients return there abdomen to a beautiful shape that looks great in pants and swimwear. A two week period of time is required for recovery. With modified abdominoplasties, the patient will return to work within ten days. The scar length varies with the women’s contouring and is easily covered by her swimwear and underwear. This is one of the most satisfying operations that I perform.
DR. WALD
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November 11th, 2008 Robert Wald M.D.
The nose is a very prominent part of our face. A nose that is long, short, narrow or wide can be considered attractive. The most important aspect in judging the aesthetics of a nose is whether it fits one’s face in a complimentary way. A nose that is in harmony with other facial features blends in.
Nose reshaping (rhinoplasty) can be done for cosmetic or reconstructive (breathing issues or trauma) purposes. Insurance will cover breathing impairment or a traumatic nasal deformity. Not uncommonly, patients request a combination of cosmetic and reconstructive surgery.
The patient must be extremely be extremely diligent in finding a nose surgeon. The skill of the plastic surgeon is the key factor in achieving the type of result that each patient desires. I many instances, the best results are those that are subtle. A surgeon who has performed several hundred rhinoplasties is best suited to perform this surgery. Even with extensive experience, revisional nasal surgery may be needed. The number of re-operations tend to be markedly higher in the untrained hands.
Dr. Wald
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November 7th, 2008 Robert Wald M.D.
Most people today would like to look younger without undergoing any surgery and having minimal, if any, down time. We are all busy in our daily lives and with the present economic conditions; we would like benefits of youth with out much expense and bruising.
Botox and fillers (Hylaform, Restylane, Juvederm, and Radiesse) are quick remedies for the aging face. Botox paralyzes for three months the muscles over our nose, forehead and around the eyes. This prevents an angry appearance or scrowling typically seen by hyperactive glabella muscles. Forehead wrinkles and lines around the eyes are also softened when paralyzed by Botox. After performing over two thousand injections Botox, I have never seen a problem. The Botox must be injected by a competent person, preferably a doctor. I see everyday patients who say they were injected at a med spa and say they have seen minimal results. I explained to them that a lot of places charge small feel but also dilute the Botox several times more than the recommended amount. This marked dilution lessons the effects of Botox, usually resulting in an unhappy patient.
Facial fillers plump up lines or wrinkles or depressions that we develop as we age. By injecting these fillers into these areas, the wrinkles are lessoned. These substances last approximately six months and Radiesse can last up to one year.
When using both fillers and Botox in combination, a youthful combination can occur without any down time and minimal cost.
Dr. Wald
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November 7th, 2008 Robert Wald M.D.
Breast reduction surgery is generally recommended for woman experiencing health problems associated with very large heavy breasts. Several medical conditions have been associated with large breasts including back and neck pain, skin rashes, breathing problems, shoulder indentations from tight bra straps and poor posture. It is also associated with a decrease sense of attractiveness and self confidence.
Breast reduction is usually performed to relieve physical symptoms and may be covered by insurance. Insurance companies usually require photographs and a letter from the plastic surgeon prior to any surgical intervention. If it can be shown the medical necessity is indicated, then the surgical procedure would be covered.
Many techniques are available for breast reduction. Traditionally and inverted “T” approach is used. This includes incisions around the areola down the center of the breast and in the infra mammary crease. Today much smaller incisions are available. Depending on the patients breast shape, size and amount of sagginess, a donut shaped vertical scar technique may be used. In my practice, almost all incisions have healed beautifully with minimal scarring.
Robert M Wald Jr. M.D.
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November 7th, 2008 Robert Wald M.D.
Breast Augmentation is performed to enhance the size and shape of the breasts. Today silicone has been approved for all woman. In my practice, it is very important to explain the differences between silicone and saline implants. Silicone is softer and more natural then saline implants. There is also less rippling with silicone implants. A woman must realize that if she chooses a silicone implant, that MRI’s must be performed periodically to look for a rupture. The rupture rate for implants is approximately 3% within the first ten years. All the studies have indicated that silicone is safe with no established systemic effects. Even though silicone implants are modestly more expensive, from my observations, women believe the extra price is worth the advantages.
Robert Wald M.D.
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November 7th, 2008 Robert Wald M.D.
Everyday I spend a lot of time discussing implant size with patients. Bra cup sizes vary according to the manufacture. Patients need to know that implant size that they see on the Internet or on another patient may not achieve the same result for them. There are many variables including preexisting breast volume, chest wall shape and tissue elasticity. I use a dimensional method to determine optimal implant size which considers the patients height, weight and body frame. I measure the diameter of the breasts, thickness of the tissue and the tissue mobility. By doing this properative analysis, I am able to achieve the most optimal results.
Robert M Wald Jr. MD
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November 6th, 2008 Robert Wald M.D.
Following breast augmentation or breast mastopexies (breast lift), revisional surgery may be necessary in a few cases. The patients tissue elasticity and the amount of stretching that can occur after these procedures is variable and may necessitate a minor revision. A period of six months is required for all the swelling and tissue stretching to occur. At this time, further adjustments to the breast can be performed. Sometimes the infra mammary crease may need to be elevated in order to correct a double bubble appearance. This occurs when the infra mammary crease is too low allowing the implant to fall and cause distortion of the breast. In mastopexies, the scars may need to be revised and the tissue envelope tightened. Even though these complications occur infrequently, the patient must realize that these problems can occur and may need to be corrected.
In my practice, I spend a lot of time with the patient showing photographs of patients with the types of scars following mastopexies. I also show surgical results following revisions. In almost all cases, revisional breast surgery is met with satisfaction and the scars and shape of the breasts are markedly improved.
Come in to my practice I would love to talk with you.
Dr. Robert M. Wald Jr.
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October 27th, 2008 Robert Wald M.D.
As a breast implant and breast reduction specialist in Fullerton, Dr. Wald is able to provide his patients with results that are natural-looking and flattering.
Not only specializing in breast augmentation procedures but also an experienced face lift and body contouring Orange County plastic surgeon who is board certified by the American Board of Plastic Surgery (ABPS), Dr. Wald is able to offer both men and women procedures to help them attain a more attractive shape with tummy tuck and liposuction procedures as well as facial plastic surgery options.
Please feel free to read our blog and learn about the many plastic surgery options we have available to you at The Aesthetic Institute.
Dr. Wald Serves the following Areas:
Aliso Viejo, Anaheim, Brea, Buena Park, Costa Mesa, Cypress, Dana Point, Fountain Valley, Fullerton,
Garden Grove, Huntington Beach, Irvine, La Habra, La Habra Heights, La Palma, Laguna Beach, Laguna Hills,
Laguna Niguel, Laguna Woods, Lake Forest, Los Alamitos, Mission Viejo, Newport Beach, Orange, Placentia,
Rancho Santa Margarita, San Clemente, San Juan Capistrano, Santa Ana, Seal Beach, Stanton, Tustin, Villa Park
Westminster, Yorba Linda, Orange County
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