Q&A with Dr. Persky

Should I get Morpheus8 or Ultherapy first for jawline sagging, fine lines & acne scars? (Photo)

Actual Real Self Patient Comment: My concerns are sagging skin around the jaw line, fine lines in my forehead and crows feet, and a few acne scars/redness. I want to get both the Morpheus8 and Ultherapy done in the near future. Which procedure would you recommend I get done first? Dr. Persky’s Reply: Your neck anatomy is […]

6 vials of hyaluronidase after vascular occlusion – will I ever look the same? (Photo)

Actual RealSelf Patient Comment: I had 6 vials of hyaluronidase when I had a vascular occlusion now my face feels strange and looks very different- will I ever look the same? Or am I permanently damaged from that much hyaluronidase?? Dr. Persky’s Reply: Sorry for your bad experience. The swelling from the hyaluronidase will come down and […]

Best Deep Plane Facelift…Is it safe to have a deep plane facelift with an Acoustic Neuroma?

Actual RealSelf Patient Comment: I am exploring having a Deep Plane Face & Neck Lift & Upper Blepharoplasty. I was recently diagnosed with a very small acoustic neuroma. Is it even something that needs to be brought up or discussed Dr. Persky’ Reply: Yes, it is safe to have deep plane facelift, neck lift, and blepharoplasty in […]

Would Botox help fix asymmetry and texture in the cheek area? Should I consider surgery? (photos)

Actual RealSelf Patient Comment: Is it possible to amend the jaw asymmetry i have with Botox and fillers vs surgery (35 years old)? I prefer my left side with the green check but am open to surgery if it’s most effective and a better financial option (also interested in cheek implants for lifting the mid face). […]

Cheek ripples? Help! (Photo)

Actual RealSelf Patient Comment: How can I get rid of these ripples in my cheeks. They are getting worse! I do have dimples which I’ve always had. But now it ripples all the way to the top of my cheeks! How can I get rid of this? Filler? Face lift? Any advice please? (I’ve never had […]

Will smoking my vape affect getting lip flip Botox for a gummy smile, directly impact my results?

Actual Real Self Patient Comment: see above Dr. Persky’s Reply: You may vape all you wish and your lip flip and control of your gummy smile will continue to not be affected. Just read an article stating that having the CV boosters is causing their botox to not last as long.

Best Physician Filler Injector..My cheek filler seems to have lumped up in one location, normal? (Photos)

Actual Real Self Patient Comment: Will this spread out over the year? Dr. Persky’s Reply: Not normal for filler to lump, too much was placed in the area. It will not spread over time, though it should come down some over time depending on the filler that was used, hopefully not a permanent filler. Non-permanent fillers […]

What can I take to alleviate the pain during & after Botox injections for migraines?

Actual Real Self Patient Comment: I’ve suffered from chronic migraines for twenty years. In the past, I was treated with Botox injections to treat my migraines. It helped BUT I stopped due to the pain of the procedure. I must be usual… it is NOT a mild stinging pain. Those 30 plus injections HURT. Especially those […]

I lost 55lbs and my skin is sagging. What are my options?

Actual RealSelf Patient Comment: Hi I gained 68lbs after covid and was 215 from 153. I was also not working out taking vitamins and not taking care of my health. I always use to be at the gym, are healthy, and worked out prior. Now my face looks different and lower and saggy. I lost 55 […]

Cheek implant vs filler? Is it possible to have filler that doesn’t move when animating the face?

Actual RealSelf Patient Comment: I had a product similar to bellafill about 15 years ago, and the volume is fine, but when I smile it looks very unnatural because the product was injected right under the skin. I’m in the process of having it removed, but want to have a replacement of volume that doesn’t […]

Developing these lines when I smile. What causes these lines? What can be done to make them go away? (photos)

Actual RealSelf Patient Comment: I started developing these lines when I smile. It makes me self conscious because they’re very dramatic. What can be done to make them go away? When I pull back on the skin while smiling they disappear. Dr. Persky’s Reply: You are not alone, this is a common complaint. It occurs because of […]

Which procedure options would help address lower face volume loss and laxity issues? (photos)

Actual RealSelf Patient Comment: Looking for suggestions on how to treat lower face laxity and hollowness on right side of face. The same thing is happening on the left side but seems a few years behind. I started developing this issue in my early 30’s and just turned 40. I have had a few consults along […]