Q&A with Dr. Persky

How often for maintenance Sculptra? Can’t go by looks since you see yourself everyday.

RealSelf actual patient comment: I know a good rule of thumb is one vial per decade, but that’s at first? I’m 35 and although I noticed fine lines and signs of aging, I didn’t realize it was volume loss. During a botox visit, I was offered a free Sculptra treatment to be a demo. They […]

The swelling is out of control after lip filler. Is this normal? (photo)

RealSelf actual patient comment: I had lip injections yesterday, they were really painful after but not so much any more. The attached photos show before and after then what they look like now. A.Sorry to hear about your adverse reaction to filler in your lip. You must return to your injecting physician for evaluation. Most […]

Could both Rhinoplasty and Septoplasty be done together? (Photo)

RealSelf actual patient comment: When i consulted an ENT SURGEON, he suggested me to undergo septoplasty, to rectify the curve in my nose since birth. I asked him whether Rhinoplasty be done together, although i want to change my nose shape because it doesn’t suites me. He answered me with a no. Can it be […]

Nose and neck nightmares! What procedures are available to correct these unflattering features? (Photo)

RealSelf actual patient comment: As I age what used to be the “tip” of my nose is turning into the ” ball” of my nose. When I first noticed it I thought no biggie however the ball is GROWING! And my neck no doubt the formation of a turkey neck has began this is NOT […]

I want to have my upper eyelids done and originally was going to go under anesthesia but now I don’t know?

RealSelf actual patient comment: The 1st quote i was givin was including anesthesia but then they gave me a different price all together which added 1000 $. How “awake” are you under local only and which do most people do? I have extreme anxiety so i dont know if i could sit still during the […]

Can years of under eye Botox create Malar Mounds? (Photo)

RealSelf actual patient comment: For the last two years I have been getting Botox under my eyes. I was starting to get deep creases under my eyes not cried feet. The last 2 times that I went for Botox it was with a new doctor. She injected 10 units and 6 of them were directly […]

Fillers or fat transfer when yet to have babies? 28 y/o suffering from upper cheek hollowness.

RealSelf actual patient comment: I’m yet to have babies. I’ve been contemplating to get either filler or fat transfer. In my case the doctor said i will need 2 cc of filler. I cant decide between fat transfer or filler. I am afraid that if i get fillers done then i will have to stop […]

What to do about a huge bump on the side of my nose that appeared 1 year post-op. It’s is still there a year later? (Photos)

RealSelf actual patient comment: Post surgery I noticed a huge bump on the side of my nose, which feels like hard bone so there is nothing to do to fix it. Its more vissable in certain lightings&makes the front of my nose look crooked. I know to fix it would require me to go under […]

Is Juvederm Voluma filler good for cheekbone enhancement?

RealSelf actual patient comment: I’m 27 and want to get cheekbone enhancement with Juvederm Voluma but I”m terrified. Although it pretty much says no real serious side effects because this product hasn’t been used for long I cant trust that it’s a good idea. I ‘m thinking it will cause changes in elasticity of my […]

Does Sculptra treat smile lines?

RealSelf actual patient comment: I am in my late 20s and I am interested in Sculpta. Does it treat nasolabial folds? Does the treatment hurt? Do I get a local anesthetic? Does sculptra come with lodocaine? A.Sculptra is a biostimulating injectable filler that helps with the nasolabial folds (smile lines). The treatment involves multiple injections, […]

Is Sculptra okay for smile, loss of volume, and lips? (Photos)

RealSelf actual patient comment: Can scultpra be used for all areas where I’ve lost volume or have fine lines? If not, what the risk of getting it in my smile line or lips? I’m concerned about using juvaderm in my cheeks again because I smile so much- it looked unnatural last time.Last of all, how […]

Would a Silhouette lift or Juvederm Voluma in the upper and mid cheeks be best?

RealSelf actual patient comment: I’m looking for a natural looking lift for my sunken lower face.My jawline is not smooth and the orbital bones are showing. I just don’t want to look inflated but I want the lower jowls to be lifted. Would 1 syringe of Juvederm voluma for each cheek be enough to lift […]