Q&A with Dr. Persky

Please tell me how to get rid of the orange-peel chin and deep lines above my upper lip?

RealSelf actual patient comment: I moisturize daily but to no avail. Would filler help and if so, which filler would be best? 2. If filler is recommended, how much would I need? 3. Would the same filler (if that’s what you recommend) be used to remedy both chin and upper lip? 4. If an injectable […]

Tear troughs filled – I think it looks worse. Is it the wrong filler or placement? Advice?

RealSelf actual patient comment: Can someone advise on the problem here. I’ve gotten my tear trough filled for the first time on Saturday. 3 days ago. They don’t look any better and I think they could look worse. My dark circles seem darker. Could it be the wrong filler used or could it be an […]

Am I a candidate for non surgical nose job, or do I need surgery/rhinoplasty?

RealSelf actual patient comment: I would like to know if I am a candidate for a non surgical nose job as this would be my ideal choice or if I would need rhinoplasty? One doctor said with a non surgical nose job the tip could be raised and bump flattened. I am 36 years old […]

What kind of rhinoplasty would be best for me and what results can I expect?

RealSelf actual patient comment: Hi, I would like to know what type of rhinoplasty I would need. I would like to get rid of the bump. Also, I would like to make it smaller and make the bridge of my nose more narrow. I want to know what I can realistically change and what results […]

Which muscle stimulating device is best?

RealSelf actual patient comment: Between the 3 new devices, emsculpt, cooltone and trusculpt flex, which is best and most effective? They seem to work very similar, except I don’t think cooltone has the fat sparing option for buttocks. A.We have been using Emsculpt on our patients for the past year with excellent results. Emsculpt has […]

What procedure would I need to make my nose look like the picture on the bottom?

RealSelf actual patient comment: My nose feels uneven and like it lacks definition on the bridge. I don’t mind my profile at all as I havea slope.First picture is me, no makeup, straight ahead and the second I photoshopped to look how I want. What kind of procedure would give me the desired result? A.Nice […]

Rhinoplasty, chin surgery, or both? Would just fixing my chin also fix my nose issue?

Looking for some insight on what treatments would be ideal based on my face shape. I’ve been unhappy with my side profile for quite some time now. I would love to have more of a jawline & I feel like my nose looks prominent in comparison to the other structures on my face which is […]

How do I know if I have any fillers left in my face?

RealSelf actual patient comment: How do I know if I need more hyaluronidase to dissolve all fillers in my face, or if there are even any fillers left in my face to dissolve/? I do not know why I still have this dent like thing under my dam eyes I just don’t feel like living […]

Does taking PREP affect a Rhinoplasty?

RealSelf actual patient comment: Hi there, I am considering a Rhinoplasty soon (havent found a doctor – any recommendations would be great!). However, I read that some medications or supplements have to be avoided before surgery such as accutane or blood thinning medication. I am on PREP for the moment, should I be off PREP […]

Am I a better candidate for non-surgical nose Job or rhinoplasty?

RealSelf actual patient comment: I’m unhappy with the frontal view of my nose and I wish I had a more refined tip. A.You are definitely a better candidate for a rhinoplasty. Do not bother with injectable fillers in your nose. Best to consult with a few rhinoplasty experts and then choose your surgeon carefully when […]

Can my crooked nose actually be corrected? I’m not convinced.

RealSelf actual patient comment: No trauma to my nose, born with it. I justwant my nose straight, & a corrected septum so I can breathe better. Hoping insurance will cover most of it. I have yetto see any results I like. They all still look crooked to me. I’m convinced this is something that cannot […]

Is it is necessary to use rib cadaver grafts to project the tip in African American Rhinoplasty because the cartilage is weaker?

RealSelf actual patient comment: Additionally, will the inside of the nose look thicker because of the grafts? Especially if rib cadaver is used? What is the success rate of using your own nose cartilage and having it work? A. The cartilage used to project an African American nose depends on the individual nose, but in […]