Q&A with Dr. Persky

Should I wait between TCA Cross/Peel, Collagen Stimulator + Subcision & Fractional Erbium laser treatments? (Photo)

Actual RealSelf Patient Comment:1. Should I wait between these treatments? if yes for how long and what treatment(s) would come first? If no, what’d be the sequence within that 1 session ie. TCA Cross – collagen stimulator – subcision (if needed) – Erbium.Also, is it OK to poke frosted area of TCA Cross with needle […]

Will loose skin after septorhinoplasty go away by the 12 month mark & how to reverse it? (Photos)

Actual RealSelf Patient Comment:I had septorhinoplasty 4 and a half months ago. After surgery, my skin became too loose, which makes my face look like it is drooping, adding at least 10 years to my face(I am 33). See the pictures. Will the issue go away by the 12 mo mark. Is there anything that […]

Is fascia for rhinoplasty safe & more natural & what are the complications?

Actual RealSelf Patient Comment: Hi I am planning on getting a bulbous nose reduction with defatting. The doctor recommend me to put silicone since in korea, it is common to put silicone but I don’t want any implants since I want my nose to look natural. The doctor however said, my nose will look flat and […]

What is wrong with my eyes? Are these little blobs actually the filler? (Photos)

Actual RealSelf Patient Comment: Could it have migrated this close to my eyes? Recently had Juvederm placed in my lips, nasolabial folds and under my eyes. I’m 48. First time ever getting filler and I’m really regretting it. I’m so distraught. Want to have it dissolved but have heard horror stories about HA. Plus it’s so […]

Is it safe to do Fraxel laser at the same time as a brow and lip lift?

Actual Real Self Patient Comment: Is it possible to get fraxel laser done safely at the same time as a brow and lip lift? The laser wouldn’t be on my lip, more so on my cheeks and nose and forehead areas. Dr. Persky’s Reply: Yes, you may have Fraxel laser at the same time that you have […]

Restalyne Defyne injected in lips 9 months ago – has it migrated? Will it resolve on its own? (photos)

Actual RealSelf Patient Comment: I was last injected with Restalyne Defyne on 10/7/2021. I now have what looks like filler mitigation. I’ve attached photos. Is this in fact filler mitigation? If so, does this resolve on its own? Thank you so much Dr. Persky’s Reply: Restylane Defyne is a filler of expression, it is excellent for […]

Is this lip filler migration? (Photos)

Actual RealSelf Patient Comment: I’ve been getting lip fillers since May 2021, we started with a half syringe of versa, then 6 months later we did a full syringe of versa and it was PERFECT, they looked so even and natural! Another 6 months later we did less than half of versa in my lips. This […]

Grid marks and no improvement after Morpheus8 procedure. What are my next steps? (Photo)

Actual Real Self Patient Comment: Hello! Still have horrible grid marks post Morpheus 8 procedure. Grid marks remain red with no improvement. No pain. Looking for some insight and next steps. Dr. Persky’s Reply: Sorry that you are having this adverse event from Morpheus8. Hopefully by now (3 days later) things are improving. I would treat your […]

Do nostrils still shrink after closed rhinoplasty? (Photo)

Actual Real Self Patient Comment: Do nostrils still shrink after closed rhinoplasty? All the photos my surgeons showed were still on the operating table and everyones nostrils were super huge, prbably because of all the tools being inserted, but after how long will they shrink again? I want my nnstrills a lot shorter, mnot narower, […]

What procedures do I need to help with chubby cheeks and my flat Asian face? (Photo)

Actual Real Self Patient Comment:What can be done about fullness in lower face/saggy cheeks? Esp on the right near the corner of my mouth, theres a bulge that looks really bad from the side. Also, what would help with a “flat” face? I’ve had filler to my cheeks, nose & chin. Im hesitant to get […]

Breathing issues and pain post a few injuries = what can I do? (Photo)

Actual Real Self Patient Comment: Hello, 23 year old female I have had a few injuries to my nose starting at age 8 which was the worst damage wise (motorbike straight to the face/nose head on) A few yeas ago i had a minor incident with impact to the nose and since then ive had worst […]

Can I do Profound RF at 8 months post op facelift?

Actual RealSelf.com Patient Comment: I had a facelift with neck left 8 months ago and my neck is no where near as lift as I had hoped. Can I do Profound RF at 8 months post op and what would the cost be. I’m having. A hard time finding someone who does this procedure in Miami. […]