Q&A with Dr. Persky

Is this a typical upper blepharoplasty incision? I am concerned with excessive length.

RealSelf actual patient comment: I am almost 2 wks postop upper bleph & concerned that my incisions are very long (extending 1/2 in. outside my eyelid which is hard to hide). I thought that incision would be isolated to eyelid & I’m very concerned with scarring/future appearance. For reference, this eye did not have significant […]

Is rasping after rhinoplasty typically performed just under local anesthesia?

RealSelf actual patient comment: I need rasping done to take down a callus that formed on the bridge of my nose after rhinoplasty. I’m very nervous about going through the procedure just using a relaxation pill due to the numbing process and hearing the rasping taking place. Is this something typically performed just under local […]

I’ve had several laser treatments and chemical peels and now I have orange peel skin. What can I do?

RealSelf actual patient comment: I have had several laser treatments. Chemical peels. It seems like every time something heals my pores come back worse. What can I do? I want my confidence back A.I would likely treat you with a combination of microneedling with PRP (platelet rich plasma) and injection of Sculptra below the affected […]

Is raised upper lip line inevitable or can it be avoided?

RealSelf actual patient comment: Hello docs I have had approx 2cc’s of Juvederm Ultra injected into my lips over approx 2 months. It had been over a month since my last injection. I am wondering if the upturn on my upper lip (raised lip line area, especially at Cupid’s bows) is avoidable. Wondering if this […]

What longterm treatment should I get for this texture on my face? Are these pores or scars?

RealSelf actual patient comment: Hello! I’m wondering what kind of treatment I should get for this texture on my skin. The photos are with makeup on, I’ve had microneedling in the past and IPL and chemical peels. I want long term results. Also would you describe these as pores or scars ? A.It appears that […]

What happens if you get a pimple on a filler treated area? Will it leave a hole or damage the filler?

RealSelf actual patient comment: Is it possible that pimples on (HA) filler treated areas leave holes or negatively impact my results? A.No need to worry. having had filler in the area will not affect how a pimple heals. Please make sure that the “pimple” is not an infection from the filler injection (more likely if […]

Can you advise on my treatment plan for Emsculpt on the buttocks?

RealSelf actual patient comment: 4 months ago, I received an initial treatment of 4 sessions in 2 weeks. I do strength training twice a week. If I were to buy another 4 sessions, would I see better results from spreading those sessions once every month or doing another series of 4 sessions within 2 weeks? […]

Can I use Emsculpt if I have a bladder sling?

A.As long as the bladder sling does not have any metal parts, Emsculpt treatment should be fine. To be on the safe side, please contact your bladder surgeon and ask if there is any metal, and ask if the intense abdominal muscle contractions will adversely affect your sling. Good luck and be well.

I have 6 titanium screws at my L5-S1 lumber region and wonder if they will heat up during an abdominal Emsculpt?

A.Though metal implants are a contra-indication to having Emsculpt, many physicians have treated patients with titanium implants as titanium does not heat from electromagnetic energy. Check with your lumbar surgeon to make sure that you have no metallic implants. If your surgeon allows you to have a MRI after your back surgery then you should […]

Will Botox and fillers help make my face more contoured or slim?

RealSelf actual patient comment: Naturally rounder face, wonder what will help me look more contoured? Also wondering if a non surgical nose job is something that would work for me. A.Botox and fillers used properly should result in a more contoured facial appearance. I would not recommend non surgical nose job unless from profile view […]

Could this be vascular following filler then vein ablation?

RealSelf actual patient comment: 4 months after filler. Several people said it’s vascular. Had some veins ablated 10 weeks ago. What is this? A.If it has appeared after your vein treatment then it is likely related to that. Hopefully over more time it will resolve. Good luck and be well.

What can I expect in the coming week after occlusion?

RealSelf actual patient comment: Juvederm injections three days ago. No pain but obvious occlusion.Immediately small dose of hyaluronidase. Was pink and swollen over weekend but not bad. Today this developed and I’m on steroids and nitro-bid as well as doing warm compresses. This is day 3. Am under care of plastic surgeon. A.Sorry to see […]