Q&A with Dr. Persky

Emsculpt Protocol 1 vs Protocol 2?

RealSelf actual patient comment: Is there really a difference between the settings/protocol used on the abs vs glutes? I know protocol 2 is supposed to conserve all the fat and only burn muscle but does it make a big difference? I think my doctor has been using protocol 1 on my glutes instead of protocol […]

What are the long term effects of EMSculpt on a fit individual who works out regularly and keeps clean diet?

RealSelf actual patient comment: For someone who exercises 4Xweek at moderate-high intensity & maintains clean diet 1. Since EMSculpt stimulates muscles at the intensity not naturally possible, does it reduce the effectiveness of regular workouts? 2. Would muscles in the treated area still respond to normal workout? 3. What is the impact if doesn’t do […]

Can a rhinoplasty cause nerve damage that permanently changes your smile?

RealSelf actual patient comment: I’ve been reading about this in the Q&A section on here and trying to do research before opting to have a tip rhinoplasty. I’m wondering how common nerve damage to the upper lip is + how long an impacted lip/smile lasts + if it is ever permanent, or just a temporary […]

Any providers who have administered both Ultherapy and Scarlet RF to tighten sagging skin on the face? Is one treatment better?

RealSelf actual patient comment: The skin on my face has started to sag now that I am older and have loss volume in my face. I’ve always thought I would get Ultherapy but a physician recommended Scarlet RF as the results have been greater than with Ultherapy. A.I have been performing Ultherapy and combining it […]

What kind of procedures or products get rid of deep pores and uneven skin?

RealSelf actual patient comment: Hello, I have recently within the last two years developed these noticeable deep pores on my forehead, in between my eyebrows, nose, and chin. What procedures can get rid of this to make a refined & smoother appearance? I also have tiny fine, tight lines on my skin. Almost like my […]

Would one vial of Sculptra be enough to look freshened up at 23?

RealSelf actual patient comment: Hey there, I’m a younger patient age 23 who just wants to look a little more freshened up and wants a very subtle difference. Would 1 vial of sculptra be enough for my cheeks and smile lines? I don’t want to get rid of my smile lines completely and I don’t […]

Is there a type of rhinoplasty to shorten the length of my nose and make my nostrils a little smaller?

RealSelf actual patient comment: I’m happy how my nose looks when I am face forward with my head tilted but I just hate the length and nostril size. A.Yes, rhinoplasty in the hands of an expert rhinoplasty surgeon will give you the nose that you desire. I recommend Ari Hyman, MD as his training, skill, […]

I want to get fillers for under eye bags. Some days my eyes are worse than others. Will this happen after fillers?

RealSelf actual patient comment: I have under eye bags ,and hollow line ,I’m wanting to get fillers, my issue or question Is ,some days they are worse then others so what happens after I get the filler and they do this ? Dose it look worse or what ? Its probably a strange question but […]

How common is it for lip filler to migrate into the philtrum? Does it reflect poor technique or bad luck?

RealSelf actual patient comment: I’m interested in getting Restalyne lip filler. But I’m concerned about the potential side effect of having the lip filler unintentionally shift into the philtrum. How common is it for lip filler to migrate into the philtrum? Does it reflect poor technique or bad luck? A.Not to worry, properly placed filler […]

Would dermal filler be appropriate for asymmetric volume in my cheekbones?

RealSelf actual patient comment: So the right side of my face doesn’t have enough volume than the left side. I considered surgery to augment the large cheekbone on my left side but I’d rather try fillers to see if having a fuller face would be something to look into. I’ve had people suggest dermal fillers […]

What treatment option is best for hollowness under my eyes?

RealSelf actual patient comment: Hi! I am a 26 year old male, I have always had sunken eyes (photos below) and I would like to know what option do you think is best to correct this flaw Many thanks A.Filler will help you with your under eye hollowness concerns. I would likely use a combination […]

Filler/implant suggestions for hollowed buccal pocket?

RealSelf actual patient comment: I underwent a buccal fat removal months ago and I’m terribly frustrated about the result. I’m currently looking for ways to reverse the result as much as possible. I guess my main question is, is there any kind of filler / implant that can be placed in the buccal area (underneath […]