Q&A with Dr. Persky

What are the best techniques to change the symmetry of my face?

RealSelf actual patient comment: I’m 37 years old and my facial features are rough and over the years tried to change my hair color or contour with makeup but i came to a conclusion that i want to make changes like on my bone structure i want to look more feminine i love Angelina’s Jolies […]

Can I have TMS treatments for depression at the same time as Emsculpt?

RealSelf actual patient comment: Both TMS and Emsculpt use electro-magnetic pulsing. While TMS is highly localized, is there any problem with receiving too much electro-magnetic stimulation? A.There is not any problem with receiving both Emsculpt and TMS electromagnetic therapies concurrently as long as you have no contraindications to either treatment. I hope that you are […]

Is it possible to significantly reduce a large/bulbous nose tip with thick skin?

RealSelf actual patient comment: I’ve always been self conscious about the shape and size of the tip of my nose. I’ve been considering a rhinoplasty but have been told by friends and family that it would be difficult/impossible to significantly reduce/change the size and shape of my nose due to the fact that the skin […]

Is it possible to correct this area above my lip with a rhinoplasty?

RealSelf actual patient comment: There’s a slant above my upper lip and below my nose. I have searched for before and after photos for someone that has the same thing as I do and I have not found one single piece of evidence that shows me it can be done. My jaw surgeon recommends a […]

My nose is wide and very flat. Can a a Rhinoplasty give me more definition in my face?

RealSelf actual patient comment: I feel like I have a very Flat face and flat nose. When I turn to the side you can see how my cheeks goes past my nose. I want to get work dont but I haven’t seen much work on a nose like mine. A.You should consult with an expert […]

What procedure will fix the sagging skin on my chin?

RealSelf actual patient comment: I am a 36 years healthy women. Lately noticed the sagging skin around my chin, what procedure would help attenuate the look a bit? I don’t think I am ready yet for a mid face lift , i am also not too keen to fillers as they are temporary. Would fat […]

How fast does bruising show up after Voluma in the cheeks? Can you see bruising as quickly as an hour or two after?

RealSelf actual patient comment: How fast does bruising show up after Voluma in the cheeks? Can you see bruising as quickly as an hour or two after? Also, is there any tell tale sign that a discolored area is not a bruise but a necrosis in the early stages? Thanks. A.Most of the time we […]

I want to know if it is possible to shear the top bone of the nose without breaking the nose?

RealSelf actual patient comment: I’d like someone who is a real artist. I don’t want my nose broken if that is possible. A.You are correct in seeking a true artist to perform your rhinoplasty. It is possible to take down the top of your nasal bone without breaking the nasal bones as long as the […]

Am I a good candidate for rhinoplasty? I want more narrow nostrils

RealSelf actual patient comment: Hello! I want to make some adjustments to enhance my face. I love my nose but I’m unhappy with the flare of my nostrils. Do I need an entire rhinoplasty or is it possible to just slim my nostrils? A.Great question. Being a good candidate for a rhinoplasty is less about […]

When getting Voluma, how can you immediately tell the difference between a bad reaction (blindness) and a vasovagal response?

RealSelf actual patient comment: I have an abnormally strong vasovagal response (get pins and needles in my eyes and can black out for eyedrops, dilation, and even when I got my lips injected). I want Voluma in my cheeks but am nervous because I heard their is an increased risk w/the blindness complication and while […]

Could I have a closed rhino or will a nose filler look good with my nose?

RealSelf actual patient comment: I’m sick and tired of the bone I feel like it is growing and getting bigger I wish it was smaller I want either filler or a closed rhino.I like the bottom of my nose and I do not like how my nose is so skinny I honestly am confused on […]

What are my options regarding rhinoplasty? Would my nose be a good applicant for this surgery?

RealSelf actual patient comment: I have a long, bulbous, wide nose. It has a very unique shape. Is it possible to get an elegant (not cutesy) nose from my current one? A narrower bridge and smaller tip, as well as the sides next to my nostrils. When looking through before and after pictures, I have […]