Q&A with Dr. Persky

Swelling of lower lids 6 moths after Botox – what is a good treatment option? (photo)

Actual RealSelf Patient Comment: Hello. I had Botox injected directly into my lower lids last July. I developed swelling of the lower lids. The doctor who peformed the procedure indicated it would go away when the Botox effects wore off but the problem has persisted for 6 months though my crows feet are visible again. Does […]

Sculptra Expert Encino, Los Angeles, Beverly Hills, Calabasas, Malibu..Is Sculptra a good option for me?

Actual RealSelf Patient Comment: Hello, I am a 26F. A couple of years ago I hit 210 pounds then dropped down to 160 pounds over the course of one summer (3 months- 50 pounds). This resulted in flat cheeks and hollowness under my eyes that have since not gone away. I understand that Sculptra helps with […]

Daxxify Safety…How safe is it to combine Daxxify with other injectables?

Actual RealSelf Patient Comment:  Can combining Daxxify with other injectables like Juvederm lead to bad reactions or alters results? I use Juvederm regularly and would like to prevent this if possible. Dr. Persky’s Reply:  As with other neuromodulator injections, Daxxify is safe to use in combination with other injectable fillers. The only time that it […]

Can Daxxify be used as a Botox alternative for TMJ?

Actual RealSelf Patient Comment:  Considering the similarities between Botox and Daxxify, I am wondering if this would be a good alternative to target TMJ? Does one have an advantage over the other? Dr. Persky’s Reply:  I agree with expert Joel Cohen MD’s answer that Daxxify is currently FDA approved for used in the glabella forehead wrinkles. […]

Daxxify Expert Los Angeles…Preparing for Daxxify – Are there certain aftercare instructions I should follow?

Actual RealSelf Patient Comment:  Is there any type of aftercare that I should follow after Daxxify injectables like icing or massaging the area, avoiding certain activities or certain products? What should I expect the healing process to be like? Dr. Persky’s Answer:  Daxxify patient instructions are identical to the instructions given to our Botox, Dysport, Jeuveau, […]

Daxxify Expert…What is the risk with Daxxify migrating? Can something be done to ensure that this is prevented?

Actual RealSelf Patient Comment:  What is the risk of migration when using Daxxify and do I have any options to prevent this from happening? I understand that this product is not dissolvable and am curious about how this is prevented / handled. Dr. Persky’s Answer:  The risk of Daxxify migrating is no greater than the risk […]

Best Botox Injections…Botox injection in pain, is that normal? Was not relaxed!

Actual RealSelf Patient Comment:  Usually when getting Botox in the neck platysmal bands, the injectors tells me to smile, then relax. Then they inject. However today, they asked me to smile, never said relax, and they injected while I was smiling and platysmal bands were flexed. Is this a normal way to inject? Why does […]

Best Under Eye Filler Injections…Worse under eye area after filler. Will only hyaluronidase resolve this? (Photo)

Actual RealSelf Patient Comment:  I got under eye filler a week ago. Before I had some VERY minor circles at times and sometimes would look a bit drawn. Filler (one of the Restylane’s) has now made my under eye area MUCH worse, especially when I smile. The pics speak for themselves. First is a month prior […]

Age 26, what can I do to improve this shape face, I feel like it need more volume when neutral? (Photos)

Actual RealSelf Patient Comment: Im 26 and don’t like how my face looks in neutral or smiling position. I feel like I’m neutral it needs more volume but when I smile there’s too much volume? What can I do to make it look better in both positions? Im worried if I get filler or fat transfer […]

Had under eye filler twice, what is this line under my eye? (Photos)

Actual RealSelf Patient Comment:  I have gotten under eye filler twice. The second time my doctor pointed out a line under my eye that he said could made worse with filler. I last got filled 9 months ago. Lately the line has been much more noticeable and others have noticed it as well. My doctor said […]

Safest filler for cheeks?

Actual RealSelf Patient Comment: I react I hyaluronic acid fillers, systemic lettuce reactions and inflammation. I’m researching fat grafting but it looks like it’s very inconsistent and inflammatory. Sculptra and Radiesse lo look inflammatory. Is there my thing I can use? Dr. Persky’s Reply:  Not sure what you mean by systemic “lettuce” reactions. Do you mean […]

Is my nose ever going to look the same? (Photo)

Actual RealSelf Patient Comment:  On Aug. 30, I had a septoplasty with turbinate reduction. I am now 10 months post-op and very regretful. I loved my nose before and now I cry every single day because I hate it. It is so huge and has no shape compared to my old nose. The sides of […]