Q&A with Dr. Persky

Will Hyaluronidase injection to dissolve Juvederm affect natural volume in my lips?

RealSelf actual patient comment: Got lip fillers 2.5 weeks ago, all swelling and bruising is gone and I’d like to get them dissolved just a little bit to make them less full. Also my skin above the upper lip looks lumpy – can this be corrected with Hyaluronidase? I was told that once injected it […]

If I get fillers for my face, can I still do laser or microneedling treatments in the future? Will it dissolve/melt my fillers?

A. Yes, after facial fillers you may have laser and microneedling. It is somewhat dependent on which fillers are used and the depth of their placement. For patients who are contemplating both treatments we prefer to perform the skin tightening procedures (lasers, microneedling) before fillers as it is more effective to fill the face against […]

Is it possible to lift this this kind of nose?

RealSelf actual patient comment: I want to save the shape and un, but have the nose a little bit shorter. A.Yes, an expert rhinoplasty surgeon can lift your nose to help you achieve your nasal aesthetic goals. Consult with multiple surgeons and then choose based on their skill, experience, knowledge, care,and natural artistic vision. A […]

How long after needle mesotherapy for face I can have Ulthera on jowls and jawline?

RealSelf actual patient comment: Dear Doctors I will appreciate your advice. I will have needle mesotherapy on 24Sep2019 and then I plan to have Ulthera but do not know when and where, now I need to plan this. Can you advise how long I should wait for Ulthera? A.You may have Ultherapy anytime after having […]

Fillers or laser to fix uneven smile line from alarplasty?

RealSelf actual patient comment: After my rhinoplasty in 2013, my plastic surgeon decided to do an in-office alarplasty to reduce nostril flare. Since the procedure, I’ve noticed that the scarring/tethering has made my smile line look very uneven and unnatural. The left side of my nostril now has a gap from the smile line and […]

What is the best option to get rid of eye bags and nasolabial folds?

RealSelf actual patient comment: I am 38 but feel like I look a lot older than my age. I look too old and tired. When I see other people my age and even older than me they don’t have eye bags and nasolabial folds like me. The eye bags really wrinkle up when smiling. I […]

Is Juvederm Ultra Plus better for mild nasolabial folds or Radiesse?

RealSelf actual patient comment: When these two different kinds of dermal fillers get absorbed by the body, does it really get absorbed 100% or does it still leave some residue under the skin which will look like bumps?Which kind lasts longer? A. Both fillers can correct nasolabial folds, both stimulate a little of your own […]

Is it possible to make skin thinner as I’ve been recommended to see a dermatologist?

RealSelf actual patient comment: Hello, I just had my first consultation with a doctor. I asked him if an alar base reduction was possible, with some tip refinement. He felt my nose and informed me that my skin around the tip is extremely thick, so making it any smaller will not work. He recommended I […]

Am I able to have my nose with a rhinoplasty surgery be very close to what the right profile looks like in the photo?

RealSelf actual patient comment: (patient submitted photos with question) With my photo attached below that I altered before being my natural nose on the left and the altered on the right. Is it possible for my nose to be very closely changed to how the photo on the right looks? Bring nose much closer to […]

Can I get Juvéderm Voluma on top of Radiesse?

RealSelf actual patient comment: I got 1 syringe of Radiesse on each side of my face and I definitely see a nice difference but I wish my cheeks could be a littler fuller and more structured. Is Juvéderm voluma on top of Radiesse a good idea or will I look crazy? A.Facial fillers are an […]

Looking for long-lasting lips, what are my options?

RealSelf actual patient comment: I have a very small upper lip and not sure what procedure would work that will have ever lasting results? I’ve heard of using my own fat would work? I would like to know what that is called? Or, any other options? Wondering the prices as well.. A.Fortunately I have found […]

What is the best non surgical/laser type intervention to gain mild lifting on a 33-34 year old?

RealSelf actual patient comment: There are somany diff technologies out there and its a bit overwhelming (fractora, refirme)? I have East Indian skin tone and use RetinA 3x a week. I noticed my cheeks are in a slightly lower position. Id like to start on a preventative/corrective treatment plan. I want to avoid filler but […]