Q&A with Dr. Persky

How do I lift corners of my eyes and my hooded eyelids? (photos)

Actual RealSelf Patient Comment: I have inherited downturned hooded eyes and I’m becoming more and more insecure about it. My hood crease goes past the corner of my eye, so I can’t even apply the eyeliner the way I want it. There are two things I would like to address: droopy eyelids and downturned appearance […]

What’s up with my face, I feel like it’s heavy and very tired, any suggestions? (Photos)

Actual RealSelf Patient Comment: Hi, 28(f). I came across the posts from verified doctors here and wanted to ask for expert opinions. My face looks very tired and heavy. Is it about my jaw shape or smile lines or recessed chin…? I always look, how to say, too mature with a wise man face compared […]

Best Natural Facial Rejuvenation for Early Signs of Aging in Mid-40’s..What to do about my face? (Photo)

Actual RealSelf Patient Comment: Hello I am in my mid 40’s and I do a great job taking care of my skin with products and have not gotten any injections. However this year my face is looking bumpy around my mouth and a lot of sagging. I think if I hit fillers it would make […]

Best Rhinoplasty in Los Angeles..Can you reduce the width of a nose with a closed rhinoplasty?

Actual RealSelf Patient Comment: Best Rhinoplasty in Los Angeles..Can you reduce the width of a nose with a closed rhinoplasty? Dr. P Answer: I would recommend consulting with Ari Hyman, MD regarding your rhinoplasty wishes. I have been extremely impressed with Dr. Hyman’s rhinoplasty results as well as his patients happiness with their natural results. […]

How can I improve my face and/or make it more symmetrical? (photo)

Actual RealSelf Patient Comment: Hello! I am looking to improve the symmetry of my face as well as make some improvements overall. I am likely going to get a forehead reduction with a brow lift, which should help the most. I have already had ptosis surgery since this photo was taken and that corresponding brow […]

Non-Surgical Facial Shaping and Rejuvenation…What can I do about my droopy/lumpy lower face? (Photos)

Actual RealSelf Patient Comment: I’m 30 y.o., but have had fatty perioral mounds/a droopy mouth area since I was a teenager. I’m thin, so losing weight won’t fix it – it’s something I’ve inherited from my mother. (I also know that it will get worse with age.) I’m open to liposuction, but am afraid of […]

Skin Boosting with Medi-Inject and Exosomes…What procedure would be best for tightening the area under my eyes? (Photos)

Actual RealSelf Patient Comment: I had a fractional laser tx about 4 months ago, including filler under my eyes. I am regularly treated with botox. As someone who is pretty fair I still have a significant amount of redness and continue to treat it with Alastin Skin Nectar. While there has been some improvements to […]

Advice for minimal scarring alarplasty/alar/nostril reduction on thick scar prone ethnic/African American skin? (photos)

Actual RealSelf Patient Comment: 1. Where would you make the incision to achieve the results for minimal scarring? 2. I’m looking for a nostril reduction that will fit between the corner of my eyes is that possible? 3. Have you done it on AA patients or Asian patients, do you have front facing and side […]

I was wondering if achieving a nose like this would be possible? (photos)

Actual RealSelf Patient Comment: I’m not expecting to receive the exact same results, but would like to achieve something similar. pictures of my nose are shown. Dr. Persky’s Answer: I recommend that you reach out to Ari Hyman, MD, an expert rhinoplasty surgeon who is extremely well trained, experienced, skilled, knowledgeable, and an artist. I have […]

What facial procedures (preferably permanent) would help my seemingly saggy/droopy face? (Photos)

Actual RealSelf Patient Comment: I have an asymmetrical face. I am 25 years old. I have come to realize over years of reflection that my biggest insecurity comes from very droopy/sagging cheeks and eyelids. It seems to be more extreme on my left side of my face. My cheeks are very thin cheeks and often […]

Do fillers damage or dissolve facial bone?

Actual RealSelf Patient Comment: Do chin fillers dissolve bone or damage it? Also, is there fat in the chin where filler can be injected and where is that fat because Botox needles hit the muscle and those needles are very small. Dr. Persky’s reply: Fillers do not damage or dissolve facial bone. Facial bone begins to […]

Can you put fillers in the area above marionette lines? (Photos)

Actual RealSelf Patient Comment: I have a weirdly shaped upper mouth. Is it possible to put filler in the area beside my philtrum to even it out more? I want to make the area more smooth. Could it also be possible to do some tiny liposuction to my philtrum to even it out more that […]