Q&A with Dr. Persky

Fillers or fat grafting after deep plane facelift?

Actual RealSelf Patient Comment: I had deep plane facelift 6months ago and noted my face started sagging soon after the procedure. My surgeon says I have ”lazy smas” and refuses to revise. I do not wish another invasive procedure either so was thinking about just fillers or fat grafting. The sagging is significant on mid face […]

Would a lower eyelid surgery be my only option to fix this problem from tear trough fillers? (Photo)

Actual RealSelf Patient Comment: I had Juvederm (I can’t remember the exact one, whichever one that can last up to 2 years) almost 3 years ago in my tear troughs by a doctor that was very pushy saying I needed it bc I look very tired, when he was inserting the needle in my right eye, […]

Age 22, what are these lines & excess skin on my jaw & how can I better them? (Photos)

Actual RealSelf Patient Comment:Hello I am 22 years old I have those lines and excess skin when I smile what are those please ? And how can I better the appareance , it really bothers me. Dr. Persky’s Reply: It appears that you would benifit from a little more volume in your face. Depending on your […]

Can closed rhinoplasty correct a bump on the nose (hit by vehicle as a child)? (Photos)

Actual Real Self Patient Comment: I was hit by a vehicle as a child and have suffered from facial asymmetry as I’ve gotten older. I notice one side of my nose has a bump and the other side is flat. I’m not sure if this is some type of scar tissue or cartilage issue. Can it […]

Indention and tip rotation -what would cause this? Is this poor healing? (photos)

Actual RealSelf Patient Comment: I had a rhinoplasty and Septoplasty in November of 2020, about a year ago I started noticed an Indention on the left top of my nose near the tip. I have also noticed the tip seems to rotate to the right now. What would cause this? Is this poor healing? Or the […]

Age 60, malar groove correction – most efficacious options little/no downtime? (Photo)

Actual RealSelf Patient Comment: Age 60 4mo. s/p upper and lower bleph with residual malar depressions refractory to morpheous 8 , tca peel, at home laser. Concerned about risks with HA fillers. What treatment options are most efficacious with little or no downtime? Dr. Persky’s Reply: If you do not wish to have hyaluronic acid fillers I […]

Would cheek filler help target my full and round face? Already had buccal fat removal done. (photos)

Actual RealSelf Patient Comment: I’ve already had buccal fat removal, yet my face is full very round and full despite being on the low end of average weight. Especially the apples of my cheeks are very full and create very deep nasolabial folds when smiling. Would cheek filler help me or would it just make my […]

Is Sculptra an option if you have a mild autoimmune disease?

Actual RealSelf Patient Comment: ‘d like to have 1-2 vials of Sculptra injected, but have a mild autoimmune disease (alopecia areata). It usually only causes 1 small coin-sized patch of hair loss when it flares up. I am otherwise healthy, but am concerned because Sculptra is contraindicated in patients with autoimmune disease. Is Sculptra contraindicated in […]

How many sessions for Sculptra does a 60 year old need and when should the so called “new Sculptra be mixed prior?

Actual RealSelf Patient Comment: Hello, I had my 1st session with Sculptra and I am very concerned because everything I have read states that Sculptra should be mixed 72 hours prior to injection. The Doctor mixed it right then and there! Will this effect the outcome? and should I seek someone else as this doctor has […]

What exactly causes deepening of the mental crease? (photos)

Actual Real Self Patient Comment: I’ve had some major changes to my face over the past months after a facial injury. The main differences, even though hard to see in photos, is slight sagging. My face went from a top heavy oval shape to a more boxy oval. I have watched as the tissues have dropped. […]

HIFU (Ultherapy) for facelifting, could this affect the depth of my surgical face dimples?

Actual RealSelf Patient Comment: Does the HIFU affect the depth of my face dimples? btw it’s surgical dimples. Dr. Persky’s Reply: HIFU (High Intensity Focused Ultrasound) or Ultherapy should not affect the depth of your surgical face dimples. Ultherapy is a very effective and safe non-invasive procedure that lifts the skin and muscles of the face and […]

Gonial area improvement during facelift?

Actual RealSelf Patient Comment: I am interested to know what technique is used to improve the gonial area during facelift. In other words how is posteriol mandibular area improved? Dr. Persky’s Reply: The gonial area is the area at the posterior jawline, the angle of the jaw. During a facelift, the skin and muscular tissue is lifted […]