Q&A with Dr. Persky

29, male. Excess/sagging skin on the face and neck. Could Ultherapy give me my jawline back? Would I need a surgery?

RealSelf actual patient comment: I would like to tighten skin on face, and have a defined jawline. My skin has been sagging progressively over the last couple months. I am unsure if I want fillers as the sagging/loose skin has already made my face look wider/bigger than it use to be, and i feel fillers […]

Safe to get more Voluma injections after a couple weeks by a different doctor?

RealSelf actual patient comment: Is it safe to get more Voluma injections after a couple weeks by a different doctor? If I don’t want to go to the same doctor, is it typically not a big deal to go to another doctor to receive more Voluma injections? I had 2cc but want 1 or 2 […]

Can my jowls be fixed with filler?

RealSelf actual patient comment: My jowl is sagging only on one side. I’ve had very short lived improvement with filler but would like to have this area fully corrected. Can this be treated? A.Yes, properly placed fillers can help you achieve your aesthetic goal. You are young, pretty, and your “jowl” is in a very […]

Can anyone suggest how to get a Botox brow lift done so that I can tell providers?

RealSelf actual patient comment: I can’t find anyone who can do a proper medial and outer brow lift in San Diego. I tried three providers. Before moving Ihad a nice brow lift. Can anyone suggest how to get it done so that Ican tell providers? The last one only put 5 units per side in […]

How do I get rid of granulomas from Volbella filler?

RealSelf actual patient comment: I had tear trough and lip filler with volbella in July. In October I developed multiple hard lumps/masses at all injection sites in October. No redness. Just hardened filler. They have tried dissolving with hyaluronidase three times with no success. My sinuses have since been a non stop issue. The tear […]

I have thick ropiness underneath the skin after blepharoplasty, what can I do?

RealSelf actual patient comment: I had upper and lower blepharoplasty 18 days ago. Underneath the upper eyelid scars is a very thick rope. It is not above the skin. It is causing a visual ridge. It is continuing to get thicker despite massaging. In one large area it is easily a quarter of an inch […]

Smile lines: which filler do you recommend? If so, how many syringes do you estimate will be needed?

RealSelf actual patient comment: I am 33 and have really become self conscious about my smile lines. Every day, it seems like they get deeper and more prominent in pictures and in person. I wanted to know what product is recommended. I’ve read Juvederm and Restylane could work how ever there are so many different […]

Fillers vs. lasers for eye troughs? 30, female, non-smoker

RealSelf actual patient comment: I’ve always had eye troughs. Recently, I went for two consultations. The first doctor told me that I needed 1-3 Fraxel sessions. At the second consultation (which was with a Patient Coordinator and not an actual doctor), I was told that I needed 8 sessions with a Forma/RF laser. I had […]

How many syringes of Juvederm or Voluma will I need to fill out my cheekbones?

RealSelf actual patient comment: I have very small cheekbones and my face looks round. I want to have especially high cheekbones just like the guy in the picture. How many syringes of Voluma will I need to achieve this result? A.You will get your best estimate of how many syringes of Voluma will be needed […]

Can I prevent further collagen from forming from Sculptra 1 month ago?

RealSelf actual patient comment: I had sculptra injected and he put it in the opposite side of my face that needed it (one side was good on its own & another side needed a little extra filling) but he ended up overfilling the side that was already full and then placed sculptra in my jawline […]

Is it safe to undergo Ultherapy 4 months after FaceTite?

RealSelf actual patient comment: I had a FaceTite procedure four months ago, and while there was definite improvement, I was hoping for a little more tightening along the jawline. Is it safe to follow up with an Ultherapy treatment at this point? A.Yes, it is safe to have Ultherapy one month after Face Tite, in […]

Rhinoplasty disaster, how do I know what my surgeon did to my nose?

RealSelf actual patient comment: Rhinoplasty 3 weeks ago: I know swelling takes months, but I wanted drastic changes. I asked for width to be narrowed significantly, giving mynose a new shape along with nostrils brought in and the tip brought up. I asked for the nose of different ethnicity -when I stretch skin bones haven’t […]