Q&A with Dr. Persky

Are there any surgeries that could address my under-eye creasing? (Photo)

Actual RealSelf Patient Comment:  I am 26 years old and already suffering really bad sagging of the upper eyelid and creasing on the lower lid. I was planning on getting an upper lid blepharoplasty and endoscopic brow lift but I was wondering if there are any surgeries (not fillers) that could address my under eye area. […]

Profound RF… RF and x current – safe for melasma, botox, filler?

Actual RealSelf Patient Comment:  I am interested in adding either Radiofrequency or microcurrent treatments, but I have melasma, and I do get Botox, and I get filler in my cheeks. Considering melasma, botox, and filler, are these treatments a good option for me? I am 48. I get regular microneedling and light peels to treat […]

SkinVive…. 12 days post-op Juvederm Volite, face is now clumpy. Is this normal? (photos)

Actual RealSelf Patient Comment:   I had 1 ml Juvederm Volite injected in my face. Its now been 12 days, and my skin look MUCH worse than before the treatment. I used to have very smooth skin, now its really clumpy and not at all what was expected. Has something gone wrong. I am posting photos […]

SkinVive, Dr. Persky’s Answer to Guidance on Improving Your Skin

Actual RealSelf Patient Comment:  I am 27 years old, interested to see how to improve my skincare routein and any cosmetic treatments (lasers, microneedling, peels, etc) or prescription topicals that would improve the appearance of my skin. I have been using prescription strength tretinon on my face for 3 months. In addition, I use Cereve […]

What procedures do I need for my face to be more like the second pic (smooth under eye and smile lines)? (Photo)

Actual RealSelf Patient Comment:  I have these weird hollow under eye dark circles that make tear troughs very obvious even with makeup as you see and these weird smile lines which I don’t know how to get rid of giving me a mustache look. Would I need to use filler or a face lift? Please let […]

Facial balancing advice needed (Photo)

Actual RealSelf Patient Comment:   I am unhappy with my lower face area. I previously had prejowl and chin filler placed, dissolved the prejowl filler and I’m left with weird shadowing and peaks and valleys near the corners of my mouth. What are the best treatments for this? Do I need shadow filler? Or does my […]

Juvederm Volift in lips & bumps right away after (Photo)

Actual RealSelf Patient Comment:  On August 7th, Ihad a hyaluronic injection with Juvederm Volift filler. The same day after the procedure, the lips looked strange, white bumps appeared and on the third day, large white bumps and pits appeared under the surface, a large amount migrated to the inside of the mouth. I will upload the […]

What to do about deep nasolabial folds and low cheeks? (Photos)

Actual RealSelf Patient Comment:  I am 22 and have deep nasolabial folds. I feel they ge me tremendously and really change my face. I wonder if the reason they are so deep has anything to do with the fact that my cheeks don’t extend to my outer face? I feel like they start quite low, it […]

Do I have the Tyndall effect? (Photo)

Actual RealSelf Patient Comment:   I’ve been getting filler for years but the pigmentation under my eyes seems to have spread down Does this look like the Tyndall effect? How can I reverse it Dr. Persky’s Reply:  It is difficult to determine from the photo whether your pigmentation is from under eye filler. If it is filler […]

Sculptra Expert….Does Sculptra give you bad popcorn skin underneath if I want future face lift?

Actual RealSelf Patient Comment:  turning 40 next year,I’m ready for next steps for preventive maintenance care to keep away wrinkles sagging skin.I currently have done Botox and PRF with a bit of under eye filler to help my dark circles-hollowing. Instead of going right into more filler do sculptra and skinvive. I don’t want to […]

EZ Gel Expert…Martial Arts after PRF EZ-Gel?

Actual RealSelf Patient Comment:  Soon getting EZ gel to undereyes and cheeks just where the cheekbone meets the nose bone Primarily doing this for healing and growth factors with longer term results (rather than volume, per se). Marketing says “it’s all you” “it’s natural”, but i don’t buy those simplifications. Wondering about migration, balling, scarring, overfilling, […]

28F, small chin, excess fat in lower face – how to get a defined jawline? (Photos)

Actual RealSelf Patient Comment:   Im 28, F. Always felt that may jawline is non defined- I believe this is due to 2 things: having a small chin and carrying excess fat in my lower face. I like my nose shape but feel that it looks overpronounced due tothis, my jaw line also appears square from […]