Q&A with Dr. Persky

Which is better: filler or Sculptra in the temple?

Actual RealSelf Patient Comment: I have been researching both, but I am wondering which is the smartest treatment to fill the temples in in 2022? Thank you. Dr. Persky’s Reply: I prefer using Sculptra in the temples of my patients as I find that the results are long lasting and the treatments are extremely safe. The filling […]

Had Sculptra 10 years ago, lumps underneath my cheekbone. How can I break them up?

Actual RealSelf Patient Comment: Had sculptra 10 years ago. Amazing stuff then after that was only filled with hyaluronic acid. Couldn’t understand why it never lasted. Fast forward to now my doctor recommended I have sculptra for sunken cheeks as the product had changed and no problems with the new solution. I now know that must […]

Hard lumps and painful swelling after receiving temple filler over a year ago, is surgery the only option to remove them?

Actual RealSelf Patient Comment: I had temple filler over a year ago- it’s something I’ve had before and had no problems! For the last 6-7 months I have had continued swelling in both temples which is persistent- I get maybe a week without swelling then it flares up again! It’s incredibly painful & I’m also unable […]

Will Profound RF dissolve fat cells in addition to tightening skin?

Actual RealSelf Patient Comment: 1 year old male I had chin lipo a year and a half ago. I still feel that I have a thin layer of fat remaining (in addition to some thicker skin) underneath my chin. Does profound rf also destroy fat cells to better contour the neck, or is it solely used […]

What’s the difference between Profound RF and other micro-needling RF treatments?

Actual RealSelf Patient Comment: why is the profound so much more expensive than something like Morpheus or Secret? what is the difference? are the results better? Less pain? I went for a consultation and the doctor recommended this and I was seriously considering this procedure but am concerned about the high cost in light of the […]

What are my options in getting a sharp well defined jaw line? (Photos)

Actual Real Self Patient Comment: Please have a look at my photos provided and let me know what are my options in getting a sharp well defined jaw line ? My surgeon said there isn’t much fat underneath that skin so he did not do liposuction , instead he did some thermal skin treatment and I […]

What are my options for fixing my lower eyelids? (Photo)

Actual RealSelf Patient Comment:I’d like to know the options for fixing my lower eyelids. I hate how much skin i have there and at 37, it’s become crepe like. I’d prefer noninvasive, but I’m wondering if a lower blepharoplasty is my only option. Dr. Persky’s Reply: The best non-surgical treatment for the crepe skin under your […]

Can AquaGold be used on the back of the hands?

Actual RealSelf Patient Comment: ‘d like my hands to be a bit younger looking. I’m not ready for a load of filler yet but I hoped it could be preventative and help the skin look youthful? Dr. Persky’s Reply: Yes, Aquagold may be used on the back of the hand. Aquagold is a very nice skin boosting […]

Would I be able to achieve a slimmer face shape with masseter Botox? (Photo)

Actual RealSelf Patient Comment: I hate how wide / rectangular my face is. Would this be improved if I stopped chewing gum? Would masseter Botox be able to resolve the issue? Or would I require a v jaw surgery? Dr. Persky’s Reply: Yes, injecting Botox into the masseter muscles results in narrowing of the lower third of […]

How soon is it safe to get Botox after giving birth?

Actual RealSelf Patient Comment: I gave birth in February and am interested in getting botox. I am prone to various allergies and am wondering if it may be too soon to get botox in the event it could cause an allergy given the fluctuation of hormones postpartum. While I have never had an allergic reaction to […]

Would a CO2 laser be suitable for someone who is 27? (Photos)

Actual RealSelf Patient Comment: General question here, would a co2 laser be okay for someone who is 27? Would it make me age faster lets say when im 45 due to the layers of skin being removed? I hate how my face is already starting to droop and lost volume. I want to do an aggresive […]

21 years old, would CO2 laser be effective to treat enlarged pores and sun damage?

Actual RealSelf Patient Comment: I am a 21 year old male considering the CO2 laser treatment. I have genetically small pores but have enlarged them myself through squeezing and sun damage. Would this treatment be effective? And how long would the results last for? Thank you Dr. Persky’s Reply: CO2 lasers can improve large pores and […]