Q&A with Dr. Persky

Best Rhinoplasty..Seeking rhinoplasty with tip refinement. What needs to be done?

RealSelf actual patient comment: I would like a surgical rhinoplasty. Please tell me what can be done. For one, i know I would like a tip refinement. A: The most important aspect of your rhinoplasty is making sure that you choose an expert rhinoplasty surgeon based on their skill, training, experience, knowledge, and natural artistic […]

I need advice on the best course of action to complete my treatment and correct my cheek hollows?

RealSelf actual patient comment: I have had 3 vials of sculptra, 1 vial 4 months ago and 2 vials 2 months ago. I am extremely pleased with the added pan facial volume achieved, however, I have one area that is still of great concern to me, my cheek hollows. I am not referring to the […]

My eyes are too small. What can I do to make them appear larger (preferably non-invasive)?

RealSelf actual patient comment: My eyes are very small and I hate them. I want the whites of my eyes to show more. What procedure can I get to make them appear larger? I would prefer non-invasive if possible. A: There are no known treatments to increase the “whites” of your eyes. I have found […]

Is 28 too young for temple filler? Is this very safe, or are there alternatives?

RealSelf actual patient comment: I feel like I look like a peanut and that I am losing facial volume in a few spots. I want to avoid the dangerous side effects like blindness, etc. Feel free to suggest other fillers that might be helpful. A: I would treat you simply with 1/2 vial of Sculptra […]

I had a rhinoplasty consultation today and was told that I have thick skin. Is rhinoplasty impossible on thick skin like mine?

RealSelf Actual Patient Comment: Hi I had a rhinoplasty consultation today and was told that I have thick skin. Should I have a second consultation? Is rhinoplasty impossible on thick skin like mine? A: Rhinoplasty can be performed in thick skinned patients. We always recommend that patients get a few consultations before deciding on their […]

Cheek implants removed leaving major sagging/stiffness/puffiness, any suggestions?

RealSelf Actual Patient Comment: 32 year old Asian female had multiple cheek implant surgeries and i deeply regret them. I finally took them out 2019 end of the year. now my cheeks are saggy, also stiff and puffy looking. which I suspect is caused by scar tissue. friends and family say my smile is weird, stiff/frozen and […]

Can I make my nostrils more horizontal?

RealSelf Actual Patient Comment: I have vertical uneven nostrils like the first picture, because of a previous rhinoplasty, is it possible to make it more horizontal like Angelina in the second picture ? And is there a way to make the nosetrils opening wider to fit my race? A: You can achieve your rhinoplasty goals. I […]

What is the most effective procedure to get rid of my deep nasolabial folds / laugh lines?

RealSelf Actual Patient Comment: I’ve had these deep nasolabial folds ever since I can remember, but they do seem to get more pronounced as I get older (I’m 43). What procedure do you recommend to soften these lines and lift my cheeks? There’s also my double-chin which I want to address. Would a neck lift, […]

Treatments for wrinkly/loose skin (stretch marks) on breasts?

RealSelf Actual Patient Comment: 40yo Female with DD breasts — I’ve had stretch marks since I was 11 and suddenly went from no bra to D in a year. Never bothered me because they were pale and not noticeable, but in the last couple years, the skin has suddenly gotten wrinkly and loose with deep […]

Best Rhinoplasty…Should I do rhinoplasty?

RealSelf Actual Patient Comment: Usually, I never get complaints about my nose. However my close friend decided to gift me a rhinoplasty for my birthday. I know my tip goes down when I smile, my nostrils are big.. but it was never a major issue… Now I am having second thoughts What do you think? […]

Best Rhinoplasty..Will I be able to achieve something like this with rhinoplasty?

RealSelf Actual Patient Comment: I’m 24 yrs old & I never been happy with the way my nose looks, especially my side profile. I’m ok with the front of my nose because my bridge is pretty slim as well as my tip ? But I just hate the bump on the side of my nose, […]

Would getting rhinoplasty done while being a bit overweight be a bad idea?

RealSelf Actual Patient Comment: I want to get my nose done but my face has gained some weight, I’m worried that if I get one now and lose the weight later that my new nose wouldn’t match my face. Is this a valid concern or am I just over thinking it? A: You should consult […]