Q&A with Dr. Persky

What is the most effective way to enhance projection of the nose in a cleft rhinoplasty procedure?

RealSelf actual patient comment: I am wondering if there is any technique that has been observed to have lasting effects. Does rib cartilage tend to warp more than cartilage taken from other parts of the nose? A. I hope that your family and you are well. The most effective way to enhance projection of a […]

What is wrong with my sagging upper eyelids and can they be corrected without surgery?

RealSelf actual patient comment: I’m only 42 and the skin on my upper eyelids are almost starting to cover my eyes. I do not want surgery. Are injectables and option here? A. I hope that your family and you are well. The best non-surgical treatments for you would be Botox treatment to open your eyes […]

Is it possible to inject the area under the apples like the lateral temporal cheeks? If so what filler should be used?

RealSelf actual patient comment: I have hollowness in the area under my apples and I am hoping this area can be injected with filler. I am also depressed about my left cheek being smaller than my right cheek especially in the lower region. A. Hope that your family and you are well.Yes the areas below […]

Should I consider rhinoplasty to straighten my crooked nose and are there other options available?

RealSelf actual patient comment: I am considering rhinoplasty to straighten my nose. I think it’d significantly improve my appearance. I tend to take photos from side angles out of self-consciousness. Does all rhinoplasty cost about the same, or could it cost less where the problem is relatively minor? How severe is my crookedness? A. I […]

My right eye is swelling, can you recommend a permanent solution?

RealSelf actual patient comment: My right eye has swelling underneath it, giving a marked look to my cheek. (Left cheek on selfies.) I’ve tried lots to get treat it: mid-face lift; lymphatic massage; filler in the “dip”; localalised vitamin injections; subcision with Nokor needles. Nothing seems to work. Do any amazing doctors have suggestions? I’m […]

How can I fix the deep under-eye wrinkles and possible bulging eye?

RealSelf actual patient comment: Hello, my wrinkles are not bad when I’m not smiling but when I do smile, my eyes are super horrible! They are wrinkly and forms a round line underneath. Help! Do I have bulging eye? Will fillers help? Or fat transfer? What is the bestOption? I also have horrible dark circles […]

Best Filler Injections for Facial Rejuvenation..Do you recommend filler, Botox and anything else in order to help improve my face?

RealSelf actual patient comment: I’m almost 30 and am interested in getting filler in order to make my face look more feminine and younger. I was thinking of getting it in my cheeks and especially lips, as well as Botox in my lower jaw. I was also wondering what else you would recommend to enhance […]

How safe is Emsculpt after a tummy tuck with muscle plication? If it is how, long should one wait after the surgery to get it?

RealSelf actual patient comment: I would like to to get Emsculpt but had a tummy tuck in March to fix a severe diastasis recti, i would like to get Emsculpt but I’m scared I will damage the sutures from the muscle plication. A: Emsculpt should be very safe 5 months after your abdominal muscle plication. […]

Do most doctors harvest cartilage from your own body to do your rhinoplasty? (photos)

RealSelf actual patient comment: I’m considering doing a rhinoplasty on my nose bridge but I want to use the cartilage that’s in my body not a silicone implant. Which one is better the silicone implant or the cartilage? A: There is no question that it is better to have your own cartilage implanted as a […]

What is the best type of filler to fill in hollow areas (more in description)?

RealSelf actual patient comment: Best Facial Filler Injections..What is the best type of filler to fill in hollow areas (more in description)? A: I use various fillers similar to how an artist uses different shades of color on the palette to create a beautiful painting. In the case of patients who have volume loss in […]

Best Rhinoplasty..Is rhinoplasty worth it? Images attached. I would like to have a more slope to my nose. (photos)

RealSelf actual patient comment: I have a straight, high bridge and am self conscious of my side profile. I cannot pinpoint what exactly I dislike because there is no visible bump but my profile looks imbalanced. It doesn’t look bad by any means but I would like to have a more slope to my nose […]

Do I have thin or thick skin for Rhinoplasty?

RealSelf actual patient comment: Is it thin or thick and how much? A: From the one photo it is difficult to evaluate your skin thickness though it appears that your skin is somewhere between thick and thin. If you are considering rhinoplasty, your skin does not appear to be an issue. You can achieve your […]