Q&A with Dr. Persky

Fillers for hollow temples at 19 and would there be any real change? (Photo)

Actual RealSelf Patient Comment: Hi, I’m only 19 and have hollow temples. I was wondering if it’s too early to get fillers and if there would even be a real change with the fillers? I included a photo as well. Thank you in advance. Dr. Persky’s Reply:I would recommend treating your temples with a series of […]

Is it safe to do Ultherapy if I have a family history of melanoma?

Actual RealSelf Patient Comment: Is it safe to do ultherapy or LED red light therapy or even a chemical peel to my face if i have a history of a primary member who died of melanoma ? would the heat or the burn of any of these treatments lead to melanoma ? Dr. Persky’s Reply: Ultherapy is […]

Help for nasolabial folds and jowls (Photo)

Actual RealSelf Patient Comment: I’ve tried ulthera (when I was 23, probably helped the most), radiesse in my nasolabial fold (only into part closest to nostril not in the whole fold), kybella in buccal fat/jowl area, jaw filler, filler in nasolabial fold (whole fold, did not like so dissolved), RF micro needle lifting, botox in masseter […]

Tear trough or cheek filler?

Actual RealSelf Patient Comment: I’m trying to decide what to do first. Are there more risks or chance of error involved with either one? Dr. Persky’s Reply: I recommend treating your cheeks first as this also helps with your tear trough. After treating your cheeks, you may not need treatment of your tear troughs. Tear trough […]

Cheek volume loss at 23 years old? (Photos)

Actual RealSelf Patient Comment: Hello, I am only 23 but I seem to have some significant volume loss in my cheeks. My nasolabial folds have been prominent since I was a teenager, but are worse now. My cheeks have a saggy, jowly appearance. Underneath my cheekbone my cheeks have a hollow, and this hollow becomes very […]

What is this line? How can I get rid of it? (Photo)

Actual RealSelf Patient Comment: I’m a mom of 2 young kids. I noticed back in 2018 right after having my second child this deep darker line in my right eye. Sometimes it is puffy too but if I massage it the puffiness goes away. I have tried ice, massages, creams … I am developing a huge […]

Can I treat my nasolabial fold shadow with fillers or a plasma pen? (Photo)

Actual Real Self Patient Comment: Hi I am 26 years old and I don’t actually have the fold it seems like I can’t feel it but recently I have noticed the lines it’s more of a shadow and it’s pretty dark sometimes I feel like it makes me look sick or like a smoker I don’t […]

Can I have Emsella after a hysterectomy and vaginal repair?

Actual RealSelf Patient Comment: Can you have Emsella after a hysterectomy and vaginal repair to help strengthen pelvic floor and prevent prolapse reoccurring? Dr. Persky Reply: I hope that you have healed well from your surgery. As long as you do not have any metal implants or metal staples in the area you may have Emsella to […]

Asymmetrical smile – Botox, surgery, or orthodontics? (Photo)

Actual RealSelf Patient Comment: The right (picture left) corner of my mouth pulls very far when I talk or smile and it creates a weird overly exposed mouth corner. What are my options for fixing this? Botox? Orthodontic work? A gummy smile surgery only on that one spot? Dr. Persky’s Reply: I would treat you with a […]

Is it possible to reverse forehead wrinkle at 28? (Photos)

Actual RealSelf Patient Comment: Hello, I’ve started to notice a wrinkle on my forehead while I rest my face. It’s has a noticeable crease. I’m 28 years old. Is it possible to reverse the wrinkle? Dr. Persky’s Reply: Yes, a little bit of Botox properly placed will take care of your forehead line. Choose your treating physician […]

Which area has less blood vessels and is less likely to lead to some of the bad complications of fillers (e.g. blocking blood vessel, etc.) – filler in face or sculptra filler for hip dips?

Dr. Persky’s Reply: Fortunately the face has lots of blood vessels which helps it heal well. It is very important to choose your injecting physician most carefully to avoid complications with filler injections. The Hips have a lower risk of injection into a blood vessel, once again as long as your injecting physician is properly trained […]

Durability of Profound RF vs facelift?

Actual RealSelf Patient Comment: In terms of longevity and durability of the results, does profound have the same as a facelift? Or does it just provide a temporary fix where as a facelift is more permanent? I know both of them do not stop aging. Dr. Persky’s Reply: When my family goes on vacation in Mexico, our […]