Q&A with Dr. Persky

Emsella and Emsculpt in Patients with Titanium Screws (or Other Metallic Implants)

Actual RealSelf Patient Comment: I am interested in getting emsella done but I have titanium screws in my jaw is it still ok to do the procedure even with my screws? What are the possible side effects/interference that can happen with emsella and titanium screws? Dr. Persky’s Response: In your case, because your titanium screws are so […]

How big in inches (diameter) is the treatment area on the applicator for abs?

Actual RealSelf Patient Comment: I understand the Emsculpt applicator paddle is meant to be positioned with the center over the belly button. I was wondering how large in inches of diameter is the effective treatment “circle” area of one Emsculpt paddle applicator for the abdominal region? Dr. Persky’s Reply: The Emsculpt paddle is about one foot in […]

Why does the collagen formation from Sculptra last less than collagen formation from lasers or subcision for acne scars?

Actual RealSelf Patient Comment: I was wondering why does the collagen formation from Sculptra lasts less than the collagen your skin makes through lasers or subcision? Dr. Persky’s Reply: Sculptra is an excellent injectable collagen stimulating filling. I have used it since 2009 on hundreds of patients with excellent results. It is extremely safe and effective when […]

Is it important for doctors to mix Sculptra two days before treatment to prevent lumps?

Actual RealSelf Patient Comment: I’ve read that it’s important to mix sculptra at least two days before treatment to prevent lumps. I’ve also learned some ‘world renowned’ docs who don’t mix early. I’ve heard it needs to be kept warm. What’s the truth here on mixing sculptra and preventing lumps? Also, how would one mix sculptra […]

Want to diminish dimples and creases on butt after weight loss – will 24 syringes of Sculptra make a dent in my dents? (photos)

Actual RealSelf Patient Comment: I am scheduled to get 12 syringes in each buttock cheek this coming Tuesday. My main goal is to diminish the dimples and creases after recent, modest weight loss. I do not want a tiktok butt. Will 24 syringes make a dent in my dents? Dr. Persky’s Reply: Sorry that I just got […]

Why is asthma a contraindication to Emsculpt?

Actual RealSelf Patient Comment: I want to get emsculpt but every site I read asthma is a contraindication. I don’t understand why. Dr. Persky’s Reply: Asthma is not a contraindication to have EMSCULPT treatments. A patient is ineligible for EMSCULPT treatment if the following conditions are present: cardiac pacemakers, implanted defibrillators. implanted neurostimulators, electronic implants, pulmonary […]

Botox for masseter and temporalis muscle asymmetry?

Actual RealSelf Patient Comment: Hello! Im 19 years old and plan to get some procedures to fix my facial asymmetry. (one side is simply wider than the other). I already hat botox for masseter muscle on one side which was a great succes. (10 months ago and muscle is still way smaller than before) So i […]

Is it safe to have Profound RF after having Aquamid filler in 2007?

Actual RealSelf Patient Comment: Can I have profound RF if I have had Aquamid filler in 2007. The areas treated with aquamed was nasal labial folds a small scar near my corner of my mouth ( that I think I can see the filler maybe not sure ) and between my eyebrows. I only had two […]

Very rough texture on cheeks after Morpheus8 need advice! (Photos)

Actual RealSelf Patient Comment: Hi everyone I had one Morpheus8 session in November full face and neck and after I developed a rough texture on my cheeks. Idk if u can tell from the pic but there are areas that are raised and now some indented. It was set on 2mm but there was a terrible […]

Young Female, Heavy Upper Eyelids…Am I a candidate for upper eyelid surgery? (photos)

Actual RealSelf Patient Comment: I think they hang, one side more than the other. I’m 35, but they’ve been hanging for a long time. Dr. Persky’s Reply: Yes, a skin only upper eyelid blepharoplasty will correct what is bothering you. I perform this surgery in our office under local anesthesia, it takes less than an hour to […]

Best treatment for under eye inner lines? (photos)

Actual RealSelf Patient Comment: I have dealt with lines under my eyes specially the inner part of my eye the line is very visible is their a possible way to get rid of them by fillers or any other treatment? Dr. Persky’s Reply: Fractionated CO2 laser (Fraxel repair) is the best treatment for these lines that […]

Can filler or PRP help fill fat atrophy from steroid injection?

Actual RealSelf Patient Comment: I had a pain management doctor inject me above my eyebrows with steroids. I thought he was doing a normal lidocaine injection as that is what all other doctors have done. i would never have had steroid injected in my face as i know it causes atrophy. i had a head ache/ […]