Category: Breast Enhancement

Breast Asymmetry Surgeon

Actual patient with corrected breast asymmetry.

According to the statistics in Plastic Surgery, 88% of all women have different size breasts, also known as breast asymmetry. This includes breasts that are different shapes and sizes, nipples and inframammary creases at different levels, and variability in cleavages. When I see a woman in consultation, it is very important that I relate these anatomical features to her. Because it is impossible to correct all these differences, a surgical plan is developoed according to the woman’s priorities. I have found a careful and well thought out surgical plan enables my patients to have excellent results and an improvement in their preoperative asymmetries.  Please contact our office with any questions or concerns, or to schedule a complimentary consultation.

Please contact our office with any questions or concerns, or to schedule a complimentary consultation.

Dr. Robert Wald

This entry was posted on Sunday, April 22nd, 2012 at 2:47 am and is filed under Breast Enhancement.

Even though breast enlargement is a more common procedure, breast reduction is a life changing surgery. Large, pendulous breasts can be the curse of numerous health conditions including back, neck, and shoulder pain. Skin rashes can occur beneath the breasts and grooves can occur in the shoulder from bra straps. Postural problems can occur which may impair physical activity.

By removing breast tissue, weight is removed from the chest relieving most of the woman’s discomfort. This surgery will allow the woman to stand upright, exercise normally and be without constant pain. This surgery creates one of the most immediate and dramatic changes in body image. The breasts become smaller, lighter, firmer, and in better proportion to the rest of the body. Clothing choices are expanded. In most cases, normal nipple sensation and the ability to breast feed will be maintianed.

In my experience, I have found this to be one of my most satisfying surgeries.

This entry was posted on Monday, November 15th, 2010 at 11:23 am and is filed under Breast Enhancement.

How much scarring will I have with my breast lift?

Women who have had children commonly develop some sagginess to their breasts. This can also occur genetically and with age. The most common concern in these women is to reestablish upper breast fullness by performing the breast lift procedure.

To uplift and give fullness to a woman’s breast, an implant is required as well as repositioning her breast tissue. The skin is then tightened around her new breast shape. There are 3 types of incisions to uplift (mastopexy) a woman’s breast. These include the periareolar, vertical or horizontal T (at inframammary crease) incisions. Depending on the patients desires, her anatomy, and the amount of lift and shaping that is necessary, one or 2 types of incisions will be made.

It is important to realize that these breast lift scars fade well over a years time. I have found women to be extremely pleased with their elevated breasts and reconstructed upper breast fullness. These women believe minimal scarring involved to achieve their goals is quite acceptable.

Please contact our office with any questions or concerns, or to schedule a complimentary consultation, 714-738-4282.

Robert M. Wald, Jr., MD
The Aesthetic Institute

This entry was posted on Saturday, December 8th, 2012 at 4:09 pm and is filed under Breast Enhancement.

Am I a good candidate for Breast Lift Surgery?

Patients today regularly see me for a breast lift.  Over the years, a woman’s breasts change losing their youthful shape and firmness.  The skin looses elasticity from pregnancy, breast feeding, weight fluctuations, aging and heredity.  Sometimes the areola also becomes enlarged.  Mastopexy is the technical term for a breast lift.  It is important to realize that breast lift surgery does not significantly change the size of the breasts or round out the upper part of the breast.  In order to add fullness to the upper breast, a breast implant must also be placed at the time of a Mastopexy. 

Best candidates for a breast lift:

• Women who are physical healthy and maintain a stable weight. 
• Women who have realistic expectations.
• Women who have lost shape and volume in their breasts.
• Women who have flat and elongated breasts.
• Women with breast asymmetry (one breast lower than the other).
• Women with nipples and areolas pointing downward.

Breast Lift Before and After Photos

Breast Lift Procedure

A Mastopexy or breast lift can be performed in 3 different incision patterns and techniques. The appropriate technique depends on the patient’s breast size and shape, the size and position of the areolas, the degree of the breast sagging, and the elasticity amount of extra skin.  A patient undergoing this procedure is usually done under general anesthesia.  There are three common incision patterns.  The first is only around the areola (Periareolar Mastopexy), the second incision involves an incision around the areola and vertically down from the areola to the breast crease (Vertical Mastopexy), and the third is around the areola, vertically down to the breast crease, and horizontally along the breast crease. Dr. Wald will help in the type of incision pattern that best suits the patient’s desires and ultimate outcome.  Once the incisions are made, the breast tissue is lifted and reshaped to improve breast contour and firmness. The nipple and areola are repositioned to a natural and more youthful height.  All the sutures are placed under the skin to avoid suture marks and minimal scarring.  Every patient must realize that these scars are permanent, but fade beautifully over one year.  The results of the breast lift are immediate, but over time the breasts will relax giving a more natural appearance.

Breast Lift Recovery

A woman undergoing this procedure will be placed postoperatively in a support bra to minimize swelling and give support to the breasts as they heal.  I generally recommend a week off work and no heavy physical activity for 1 month.  The pain following this procedure is minimal.  However, if a breast implant is placed as well, this will increase the discomfort for a few extra days.  A pain pump is available to help with the discomfort.  The final results of a breast lift will appear over several months as breast shape and position continue to settle.  A breast lift is long lasting, but over time, the breasts will continue to change due to gravity and aging.  Pregnancy and weight gain will affect the results of a breast lift and should be considered before undergoing this procedure.

Breast Lift Cost

The average cost for a breast lift varies depending on what part of the United States the procedure is performed.  The costs will also depend on the surgeons experience and location.  The average cost for breast lift varies from $5000.00 to $12,000.00.  It is important to make sure these fees include anesthesia and operating room costs.  Most plastic surgeons offer patient financing plans, so be sure to ask.  In choosing your surgeon, select a surgeon who you are comfortable with and you can trust.

Dr. Robert Wald

Dr. Wald serves the surrounding communities including: Brea, Yorba Linda Anaheim Hills, Fullerton, Buena Park, La Mirada and La Habra.  Please contact our office to schedule a consultation, 888-401-2806.

This entry was posted on Wednesday, January 8th, 2014 at 6:26 am and is filed under Breast Enhancement, Breast Lift, Uncategorized.

Mommy Makeover Results

Women who have had their children notice the effects of pregnancy and age.  It’s quite concerning for a woman who has always looked good, but now has a tummy that has gained fat and loose skin and breasts that are smaller and more saggy.  Unfortunately, diet and exercise can not improve these problems.

To correct these problems, some sort of abdominal suturing or tightening is required.  Not uncommonly, a breast augmentation is performed at the same time.  These 2 operations are very common and usually called a Mommy Makeover.  My advice to my patients is to do this surgery earlier in life.  The younger this makeover is performed, the longer the woman can enjoy it.  This procedure is extremely satisfying to the patient.  She can now go back to the youthful appearance she had prior to her pregnancies and increasing age.

To determine exactly what needs to be done, a woman needs to see a plastic surgeon.  There are several options available to treat the abdomen. These include an Abdominoplasty (Tummy Tuck) or some modification of this procedure.  There are short scar Abdominoplasties combined with liposuction. Occasionally, liposuction can be done alone if the skin envelop is without a lot of loose skin and stretched muscles.

The breasts are also of concerns following pregnancy.  The breasts usually deflate and sagginess can occur.  There are 2 options to treat the breasts.  This can include placement of a breast implant alone or a Mastopexy or breast lift.  A breast lift can be done alone or in combination with a breast implant.

A woman who decides to do this procedure must take 2 weeks off work and her motherly duties.  At 2 weeks, a person can drive, shower normally and perform some household chores.  Heavy lifting and exercise cannot be done for 4 to 6 weeks.  The results of this surgery are seen instantly but final results are not experienced for 6 months.  Scars fade, breast soften and swelling gradually diminishes over several months.  For the first few days following surgery, activity is limited and there is some discomfort.  Contrary to what is commonly statedonline, the pain is not excessive.

My patients are extremely pleased with the result of these procedures.  It is one of the most satisfying surgeries I perform.  If one wants to rid the bodily consequences of age and pregnancy, these procedures can accomplish your goals.

This entry was posted on Monday, June 2nd, 2014 at 8:56 am and is filed under Body Procedures, Breast Enhancement, Mommy Makeover, Tummy Tuck.