Q&A with Dr. Persky

Is it possible to have Emsculpt if I have a testosterone pellet?

RealSelf actual patient comment: I have tried everything to build muscle in my glutes, years and years of training with no success. I contemplated a BBL, but I’m really interested in building muscle. I’m on my 3rd T pellet in 18 months in combo with intense flute training. Can I have emsculpt while I still […]

Can I get Emsculpt on my stomach if I had my gallbladder taken out and internally closed with metal staples?

RealSelf actual patient comment: Can I use EMSculpt on my stomach if I had my gallbladder taken out and they used small metal staples to close off the duct/artery? They are located internally on my right side just under my rib cage…where my gall bladder used to be. What is the acceptable distance from a […]

Would Morpheus8, PDO threads, or Ulthera be better to tighten the skin?

RealSelf actual patient comment: I am 38 years old, had my masseters treated with Botox and now feel and see laxity in my skin around my jawline. Would Morpheus8 or ulthera be better to tighten the skin? Or, is there something else that could tighten the skin around the jawline with long term results? A.I […]

While waiting for Ultherapy results should there be other treatments done to the treated area?

RealSelf actual patient comment: I just received ultheraphy by someone other than the dr. i consulted with. I dont know if she is a nurse or esthetician? can anyonebe trained to use this device? Who is qualified to do Ultherapy?In between breaks she said that she loves this machine because theres no guess work. After […]

What’s the best approach for hereditary hooded eyes that make me looks sleepy/eyeless?

RealSelf actual patient comment: Hooded eyes, eyes always feel. Little heavy and sleepy. Would surgery help? I want my eyes to look open and refreshed. 33 y/o female. A.An upper eyelid blepharoplasty would help you achieve your aesthetic goals. It may be performed under local anesthesia in the office with about a one week downtime.As […]

Can my loose columellar skin be fixed?

RealSelf actual patient comment: I have a good bit of excess caudal septal cartilage at the base of my nose. This forces my philtrum to protrude and creates a very obtuse nasolabial angle. If this is corrected, how can the skin be addressed? Will it be sutured up and back into place? I’m afraid that […]

Jeuveau and other drug interactions- Is this dangerous? Can it ruin my filler or counter it?

RealSelf actual patient comment: I read that you weren’t supposed to mix jeuveau with other drugs. I had jeuveau done a couple days ago for my crows feet. I forgot that in June i had xeomin but in a different area when i got filler done. I had 1.5 cc of radiesse as well in […]

What can I do to achieve a more symmetrical face (lips/cheeks/double chin)?

RealSelf actual patient comment: There is nothing symmetrical about my face. It has never bother me until it got worse and way more noticeable as I have gotten older (I am 25). It could be due to pregnancy/weight loss, spending more time outside due to running, aging, dental work, clicking jaw that has gotten worse […]

Does rhinoplasty affect a smile crease?

RealSelf actual patient comment: I want to get a rhinoplasty but I am not sure whether this would have an effect of my smile crease (horizontal line above my lip). I really like this crease and i think it looks cute. I would appreciate an answer! 🙂 A.You have a beautiful smile, rhinoplasty should not […]

Can I get a Rhinoplasty if I have epilepsy?

RealSelf actual patient comment: I take keppra everyday 1 in a half in the morning and 1 in the night and the – milligrams Are 1,000 but I been wanting to get a nose job and I’m concerned if I’ll be able to get one A.Yes, patients with epilepsy may under rhinoplasty but only with […]

Will filler in cheekbones give me fuller checks then I already have?

RealSelf actual patient comment: I have a really round face with full cheeks. One side of my face has more volume then the other. I thought Botox in the jaw could slim down my face and correct the asymmetry, but my doctor said Botox would not work on me as the volume in my lower […]

Do I look like a candidate for a blepharoplasty/do I have ptosis?

RealSelf actual patient comment: I would love to have slightly bigger eyes and more space on my eyelid. Do I I look like I have ptosis ? Treatment for eyelids just starting to sag? A.I totally agree with the great Toby Mayer, MD, your eyes (and face) are beautiful. Do not let anyone touch your […]