Q&A with Dr. Persky

Visible ridges after tear trough filler – what should I do? (photos)

Actual RealSelf Patient Comment:  After having restylene injected in my tear troughs I noticed I had quite a lumpy texture which I massaged and let settle over the weeks. I also noticed that my under eyes had an over filled look and there were visible ridges from some angles, especially in my right eye. Injector sees […]

Sculptra Expert…26 years old and being given 4 vials of Sculptra

Actual RealSelf Patient Comment:  have some smile lines and early signs of aging so I became interested in sculptra. I bought four vials since there was a deal, expecting that I would only be injected with as much as needed and I could save the rest later for maintenance. However the injector is preparing two vials […]

Facial Fat Transfer – 10 years ago, Facial Swelling with Salty Foods

Actual RealSelf Patient Comment:  Female, 32, 5’6. 10 years ago I did a facial fat transfer with the groin as the donor site. Although ten years have passed, whenever I eat anything salty my face swells up and it takes a couple of days for the swelling to go down. Is there anything i can be […]

Botox or Filler for uneven cheek? (Photo)

Actual RealSelf Patient Comment:  I have a very slim face on the left side and a cheek that looks hollow. By contrast, the right side looks bigger and fuller. I’m wondering if it’s possibly caused by a larger masseter muscle on the right side and if this can be fixed with Botox? Or would it be […]

My face is asymmetrical and I want to know which areas to fix? (Photo)

Actual RealSelf Patient Comment:   I had cheek and chin filler two years ago and obviously it probably faded but one side of my face looks different from the other. Dr. Persky’s Answer:  I would treat your face with the biostimulatory injection treatment Sculptra. The right side of your face would take more than your left. The […]

Would lateral cheek fillers help lift some of the heaviness away from my lower cheeks?(Photos)

Actual RealSelf Patient Comment: I was recommended to get buccal fat removal to achieve a more v-shaped face. I’m opposed to getting something permanent done in case I regret it later as I age. Any other less invasive options? 5 photos Dr. Persky’s Reply:  I agree with not removing your buccal fat. I would likely treat […]

Male, 35, hyaluronidase diluted with kenalog messed my face, is this skin atrophy? (Photos)

Actual RealSelf Patient Comment:  Hi, 35 Male. I had fillers 3 years ago which caused intermittent swelling and post inflammatory reaction. Since antibiotics and oral steroids couldn’t fix it, doctor recommended to dissolve it with kenalog and 5fu 2 months ago. From that moment my face became textured, oily and red. I noticed new wrinkles and […]

Profound RF or Ulthera on 30 year old female? (photos)

Actual RealSelf Patient Comment:  I have done quite a bit of research on the differences between Profound RF and Ultherapy. I recently visited a board certified plastic surgeon’s office to inquire about a face lift. He noted that my premature jowls made me a good candidate for Ulthera (quoted at $4000). I know he does not […]

How many Botox units should I expect to recieve? 28 y/o female?

Actual RealSelf Patient Comment:  28 yo F. Recieved 50 units of botox 8 months ago. I felt rather frozen after treatment. I am wondering what other providers would sughes would be an optimal range to recieve. I have never used dysport, but would be open to considering. Thank you all for your input. 3 photos Dr. Persky’s […]

Do I need eyelid surgery? (Photo)

Actual RealSelf Patient Comment:  Hi, I’m a 32 year old female and my lids have started drooping. It’s not bad toward the middle of my eyes or the inner part, just on the outer edge as pictured. Can you please tell me what I can do to lift this up? Dr. Persky’s Answer: If your upper eyelids […]

Jaw lumps after jaw filler. Looking for suggestions on my next step (Photo)

Actual RealSelf Patient Comment: Hi received jaw filler to try and help my slight sagging under my chin. I have done Rf microneedling multiple times and it wasn’t helping so jaw filler and platysma botox were recommended. It’s been a few months and when I chew it’s super lumpy on one side. Also when I open […]

Can I get HA dermal filler before Morpheus8 or SylfirmX?

Actual RealSelf Patient Comment:  Hello, I am planning to start Morpheus or Sylfirm microneedling shortly for acne scars. I also wanted cheek filler but I have heard these procedures can cause the filler to dissolve or to migrate. Is this true? Should I wait until after the RF procedures to get filler or safe to do […]