Q&A with Dr. Persky

I always look so tired because of my under eye bags, what can I do to get rid of them? (Photo)

Actual Real Self Patient Comment: Hello, I have really bad under eye bags and was interested in getting under eye fillers. I was wondering if this is a procedure that would work for me. I am 43 years old. I hate the fact of always looking so tired. Also, is there and approx. of how many cc’s […]

The skin next to my nose is sunken in and so it seems like my mouth protrudes. What can I do? (Photos)

Actual Real Self Patient Comment: I have had these strange lines that almost look like a mustache, that I hate and feel make me look haggard, since I was really young. A: I would treat you with Sculptra to fill the area and naturally smooth the “hills and valleys” that are causing the shadows which […]

Would alarplasty and ear cartilage reshaping the nasal tip help to narrow my nose? Approx cost in CA?

Actual Real Self Patient Comment: I really dislike how my nose look and I’m looking forward to get the procedures done. Thank you very much for taking your time and read my post. Your answer is really appreciated 🙂 A: Yes, alarplasty (rhinoplasty) would help you achieve your nasal aesthetic goals. The most important aspect […]

Am I good candidate for Sculptra or should I just get fillers? (Photo)

Actual RealSelf Patient Comment: Hello! I’m very self conscious about how hallow my face looks. I just turned 30, I don’t smoke, drink or do drugs and I want a more full face and i’m debating if Sculptra is right for me or fillers is best? What are the complications from Sculptra and how common […]

Should I get a nose job for a smaller nose? (Photos)

Actual RealSelf Patient Comment: I feel like my nose is wide and flat, especially when I smile, I’d really like to know if it’s too ugly to be left as is, please let me know what I should do to fix it and any other parts of my face that are off. Thank you. A: […]

What can be done for my nose? (photos)

Actual RealSelf Patient Comment: Hi – I have always really disliked my nose from a side angle and at the age of 30 I am finally in a position to fix it. Straight on it is fine albeit a little off centre. My issue is the size of my nostrils, they are long and thin […]

Asymmetrical eyes. Can I do anything about it? (Photo)

Actual RealSelf Patient Comment: Hello, I was wondering if anything could be done to achieve more balance and align my eyes, as they are quite asymmetrical. I understand that whilst some degree of asymmetry is normal, I would like to see if I could do anything about it. Thank you! A: Hi Fabulous in Beverly […]

What to do about drooping eyes? (photos)

Actual RealSelf Patient Comment: My eyes appear sad and slightly drooped. What would open up my eye area more and/or provide a slightly upward slant (for a more alert, refreshed look) A: Hi Lil’ Flapper, A great non-surgical, non-invasive solution to your concerns would be either botox, Ultherapy of your forehead/eyebrows, or best option of […]

Will facial fat transfer cause looser skin long term?

Actual RealSelf Patient Comment: I am in my early 30s but have a significant amount of volume loss around my eyes. I am considering a fat transfer to the area, but will the fat shift as I age? Especially under the brow? Does the fat put increased weight on the skin? A: Hi That One […]

Non-surgical face skin tightening, would you suggest Morphous8 or Ultherapy? (Photos)

Actual RealSelf Patient Comment: For a start I would like to get Morphous8 for lower face skin tightening. After that would you recommend another Morphous8 treatment or Ultherapy? (Please see attached photos) Thank you A: HI Caleee, I would recommend Ultherapy of your lower face after your first Morphous treatment. Profound RF with PRP and […]

Seeking input on treatment for sunspots on the face, any suggestions? (Photos)

Actual RealSelf Patient Comment: From years in the sun, i now have sunspots on my face. Visits to dermatologists resulted in a variety of treatments (triluma + a mild peel, just triluma, other 4% hydroquninone creams, tretinoin cream (.05%). none did anything. no lasers yet. i’ve been told there r risks b/c of my skin […]

Best ‘Biostimulator’ or ‘Skinbooster’ How do I choose Sunekos,Ellanse, Profhilo, Redensity1, Volite, or Skinboosters?

Actual RealSelf Patient Comment: 30/F – I DO NOT WANT SCULPTRA OR BELLAFIL Noticed my forehead has lost volume and firmness, it’s thinner and less elastic. Alot of these ‘Biostimulators’ cannot be injected into the forehead (something to do with the blood in the forehead?) What is the best one for this area (I’ve read […]