Q&A with Dr. Persky

Had bad filler done under my eyes, dissolved for 7 times and filler didn’t go away, what can I do? (photos)

Actual RealSelf Patient Comment: I’ve had versa under my right eyes by unprofessional injectors on my tear trough, I don’t have eye bags before, but after her bad work I have eye bags right now. After 7 times treatment of dissolve filler, some of the filler gone, but rest of it still lasting under my eyes. […]

Lanluma V overfill – can anything be done to prevent the further production of collagen?

Actual RealSelf Patient Comment: At 63 I had 1.5 vials of lanluma 4 months ago and loved it. I had another 1.5 vials two days ago and am definitely over-filled. My lovely shaped face is round, chubby and I have chipmunk cheeks. I know this will be the end result as the swelling accurately showed the […]

Can you tell me please how Lanluma V differs from Sculptra?

Actual RealSelf Patient Comment: Hi, Many clinics here are offering this but I am wary as it is new. Thank you. Dr. Persky’s Reply: Lanluma V is Poly L-Lactic Acid (PLLA), as is Sculptra. Sculptra is the original product and has the longest track record of safety and efficiency. Lanluma V comes in vials of 210 mg […]

Sculptra for the face – will it slow the progress of my cheek wrinkles?

Actual RealSelf Patient Comment: I had CO2 laser surgery which worked well on one side of my face but not the other. I want to try Sculptra to even this problem out. My surgeon says it won’t give me the results I’m looking for, and is suggesting a mini facelift which I cannot afford. Will Sculptra […]

Profound vs facetite – which one would be best for my goal to get the most bang out of one session? (photos)

Actual RealSelf Patient Comment: I have skin laxity in the lower half of my face and neck. I am not willing to go under general anesthesia right now, so am weighing the best non-surgical options. Facetite is highly reviewed but mentions fat dissolving, as I am quite thin, I worry losing any fat would actually age […]

Where would dermal fillers best enhance my face? Considering under eyes, nasolabial, cheek, and chin (Photo)

Actual RealSelf Patient Comment: I have had good experiences with cosmetic procedures in the past (a rhinoplasty and dysport injections) and I’m now looking into dermal fillers. I feel like my face looks a bit flat, especially in photos, which is why I’m considering cheek and chin, although my undereye bags are intense for my age […]

25 years old- How do I fix dent on my forehead? (Photos)

Actual RealSelf Patient Comment: Hi I’m 25 Years old and I have what I call a dent head, it’s like a divit that’s insot very prominent when I am looking straight at myself but when I lay down or from the side I can see it on my forhead, I want to know how to […]

Is there a procedure that can improve my upper eyelid hollowing? (Photo)

Actual RealSelf Patient Comment: Is there a procedure that can improve my upper eyelid hollowing? Dr.Persky’s Reply: Injection of filler under the brow can correct the area that is bothering you. This is advanced injection technique so choose your injecting physician most carefully. Good luck and be well.

Medi-Inject..Best treatment for fine lines/damaged skin in someone with atopic dermatitis? (photos)

Actual RealSelf Patient Comment: I am 27, with atopic dermatitis that is mostly under control right now. The skin on my forehead seems really thin and deflated. Possible sun damage? I’ve added niacinamide, vitamin C, sunscreen, and peptides to my skincare routine, but am not seeing results so far. What are the best next steps to […]

I’m 26 with lower eyelid wrinkles – which procedures can I do to look younger? (photos)

Actual RealSelf Patient Comment: I have wrinkles on my lower eyelid, and a skin which isnt exactly tight. Dr. Persky’s Reply: I would say that “Nothing beats being young!” You are beautiful as you are. If you must do anything you may do a little bit of Botox at the corners of your eyes. For the […]

67 years old- Cheek crepiness & wrinkles, what can I do to improve this area? (Photos)

Actual RealSelf Patient Comment: 67 years of age & had a full face & neck lift with fat grafting to temples and cheeks & lower blepharoplasty. When I have a full smile or laugh I now have lines & crepiness on upper checks. The surgery was 5 months ago. What can I do to improve this […]

Is Sculptra the best way to get rid of cellulite?

Dr. Persky’s Reply: There are many “treatments” for cellulite which usually means that there is not a great treatment for it. Sculptra is good to use as a filler of the indentations of cellulite. We have had nice results with our patients. Good luck and be well.