Q&A with Dr. Persky

Fat transfer vs injectable for lower face?

Actual RealSelf Patient Comment: I am 62, and getting ready to do a lower facelift. One of the surgeons I consulted with recommended doing fat transfer at the same time, the other recommended doing fillers at a later date. I could definitely use something to fill in lost volume in my cheeks and under eye […]

Is there any way I can reduce the size of my nose and if so how? (Photo)

Actual RealSelf Patient Comment: I’m very insecure about it and I don’t know what I should do A: You look like you have a nice nose, sorry to hear that you feel insecure about it. Rhinoplasty can change the appearance of your nose. Great rhinoplasty is an art and exact science. I recommend that you […]

What procedures can treat my uneven face muscles in addition to normal loss of elasticity? (photo)

Actual RealSelf Patient Comment: The muscles on the right side of my face are much stronger than my left. My smile is uneven and the wrinkles on the right side of my face are much more prominent. Dysport has worked well for the last several years but I’d like to think about other options. I’m […]

I’m 29, and I have deep creases that have developed under my eyes. What is the best treatment for this? Is it fixable? (Photo)

Actual RealSelf Patient Comment: I’m considering Blepharoplasty, fillers, or even as much as a mid-face lift, but I don’t know enough to know if there is a good solution. In the last year I have also developed nasolabial fold lines that stay without smiling and a vertical frown lines on my forehead. It seems to […]

Would I be a good candidate for rhinoplasty? How would fixing the bump effect the nose overall? (Photo)

Actual RealSelf Patient Comment: I do snore quite a bit. How would rhinoplasty help that if at all? I believe this bump is a result of a broken nose that was not properly attended to after being hit in the face with a softball roughly 30 yrs ago. A: You are a very good candidate […]

Best Rhinoplasty Los Angeles…Is my skin too thin for a rhinoplasty to treat my flared nostrils?

Actual RealSelf Patient Comment: Couple of years ago I went for a rhinoplasty consultation but the surgeon told me that my skin is too thin and he would not be able to do my rhinoplasty due to my thin skin. My main concern is my flared large nostrils. I left very sad knowing that my nose […]

Best Treatment for Pores and Fine Lines…What would you suggest for pores and fine lines over 30? (photo)

Actual RealSelf Patient Comment: Hi! I was planning on aging gracefully until this picture lol. What would you suggest for the lines and pores? I have done Forma skin tightening which I didn’t think did anything and PRP injections which I think maybe sort of helped. Filler wears off right away on me and laser […]

Best Rhinoplasty…Can I get rhinoplasty if I have a lot of acne scars? (Photos)

Actual RealSelf Patient Comment: Hi! I’ve been wanting to get rhinoplasty for many years to fix my nose’s dorsal hump as well as slim down a bulbous tip. My issue is that I have chronically broken out in my nose and it’s done some severe acne scarring damage on my nose over the years. Would […]

Best Injectable Filler in Los Angeles..Can filler even actually help my face at this point? (Photo)

Actual RealSelf Patient Comment: Will filler even help fix my sagging face? Will I even see a difference? If so, would I need a lot? Very depressed about how badly my face has aged, no one in my age group looks like this. A: I am sorry to hear that you are depressed about your […]

What is the best method to eliminate fine lines and a scar on my forehead? (photo)

Actual RealSelf Patient Comment: Hi. I have always struggled with rough textured skin, with BIG pores and blackheads. But reaching 30 years of age, I started noticing fine lines on my forehead, which is my biggest concern now. I always thought I had time to achieve a smooth forehead, untill I saw the fine lines […]

Best Rhinoplasty…Would rhinoplasty fix my profile/hump? (Photos)

Actual RealSelf Patient Comment: Hi, I am 32F, I have never been unhappy with my nose, but I saw some pictures recently that made me feel it’s getting bigger with a bigger hump. I also never liked my side profile. Would rhinoplasty fix my profile? A: Yes, rhinoplasty would fix your profile and hump. I […]

What are my options after trying to dissolve under eye fillers 3 times?

Actual RealSelf patient Comment: Hi, I had my under eye fillers (hyaluronic acid) almost three years ago. I have been trying to dissolve it with another great doctor but it’s barely working it’s my third time and scheduling for fourth time and the filler is still there. Is that something typical? What are my options? Thank […]