Q&A with Dr. Persky

Advice on how to make complications from Profound RF microneedling better? (Photos)

Actual Real Self Patient Comment:I am stressed about the changes I see after this treatment. Especially my right cheek seems dimpled and is cracking down my cheek like it added 10 years rather than tightening. I am hoping for advice on how to help make it better. The Derm I saw sold the business and […]

Is widening face & numbness in jaw/jowl area normal after Profound RF?

Actual Real Self Patient Comment: Hi, i had profound done almost three months ago and im noticing my face widening. It looks wider. I’m also still experiencing numbness feel along the jaw, jowl area. Is this normal?. I’m not liking the wide look. Looks very full. I thought i would get more of of the chiseled […]

Is it okay to get Sculptra (my 2nd appt) before starting a chemo or Immunotherapy?

Actual Real Self Patient Comment: I was jut diagnosed with metastatic cancer and I was starting my Sculptra treatments. I had one done in June and my second is next week. I’m not sure what the treatment will be for me if any, but I already needed Sculptra and I know Chemo will age me even […]

Would Profound laser or Renuvion help grooves in neck after neck lift? (Photo)

Actual Real Self Patient Comment: Igot a lower facelift and necklift 7 months ago after being insecure about my turkey neck after a 60 lb weight loss. It was one of my biggest insecurities. Now I have this groove in the middle with hanging skin on the sides of it that looks awful. I hate […]

Is there any new intelligence on mitigating Sculptra disasters? (Photo)

Actual Real Self Patient Comment: 11 months ago I had one vial of Sculptra to temple jaw and cheeks. I developed malar mounds – not sure if its the collegen building in the wrong place or edema. I also have a pad on my brow bone I think the product migrated. I hate it. Is there […]

Profound and CO2 at the same time?

Actual Real Self Patient Comment: Hi I would like to rejunevate my skin and get it tighter with younger looking texture. I have considered fractional co2 laser as well as profound. I have heard that they can be performed together. When this is the case, is the laser co2 used with the same intensity than it […]

Single-nostril alarplasty for small asymmetry? (Photos)

Actual RealSelf Patient Comment: Over time I developed an asymmetry in my nostrils. One is slightly wider, more open and looks wider than the other side when I smile. How effective/risky is doing an alarplasty to fix such a small asymmetry? Could it make the asymmetry worse? What about improving the symmetry when smiling? One surgeon […]

Crooked & round tip – what would you recommend to fix my nose? (Photos)

Actual RealSelf Patient Comment: Hi! I’m bothered that my nose is crooked (tilts to one side) and the tip looks very round. I don’t like how the tip goes way further down than the sides of my nose. When I smile, it looks even droopier. I don’t mind my side profile too much but I do […]

Is it safe to have Sculptra & Kybella side-by-side for uneven skin contours during the same treatment session?

Actual RealSelf Patient Comment: I had botched Lipo on my butt and thighs in 2006 in Costa Rica and am finally spending the $ for revision after years of research. I am tired of being disfigured . I have 3 seasons 6 weeks apart planned for filling the indentations with sculptra and dissolving the bulges/ uneven […]

How to get more definition of the face – fillers, fat removal, alternatives?

Actual RealSelf Patient Comment: I feel like I have a very flat face with no definition. I am considering getting chin filler if I am a candidate. As for my very weak jawline, I’m unsure what to do as I’m scared it will look nice from the side but wider from the front me I feel […]

Does hyalase damage your natural lips permanently?

Actual RealSelf Patient Comment: Hi; Does hyalase damage / dissolve the natural lips permanently? Will my natural lip shape come back? Dr. Persky’s Reply: Hyaluronidase breaks down hyaluronic acid fillers as well as natural hyaluronic acid. It is best to be conservative with it when it is used to treat excess lip filler. Normally, in conservative doses […]

Swollen jaw lymph nodes 7 months after fillers. What should I do?

Actual RealSelf PatienComment: Hi, I got 2ml hylauranic filler in my jawline in February to help with my side profile. Had really bad swelling on right side but it went down after two weeks after expected. However, since getting the fillers, the right side of my face which I suspect has the most filler swells every […]