Actual RealSelf Patient Comment:
Hi! I was planning on aging gracefully until this picture lol. What would you suggest for the lines and pores? I have done Forma skin tightening which I didn’t think did anything and PRP injections which I think maybe sort of helped. Filler wears off right away on me and laser did not benefit me in any way. I also would like to avoid botox. Thanks!

before and after

A:You have a very common complaint that I frequently successfully treat in my patients. Pores are a difficult problem to solve, in fact prior to a recent treatment added to my practice I would tell patients “the only improvement for your pores will be in your next life.” Fortunately today we have a safe and effective treatment for pores. I would recommend my “Brazilian Skin Boost” treatment with an automated injection system call Medi-Inject. Medi-Inject allows me to inject minuscule consistent amounts of an individually formulated solution into your skin at the same level immediately below your skin and pores. In your case I would likely mix PRP, 30 units of Botox, 1 cc syringe of hyaluronic filler, and Vitamin C. The mixture is placed in a syringe and it is precisely injected with the Medi-Inject system through a tip that has 9 adjustable tiny needles that inject while the skin is pulled into them. The entire face and neck can be treated in a short period of time. The treatment involves a day or two of redness and the results are visible within a few days. Once you are treated I would place you on a regimen of Retinol. Oxygen infusion facials are also helpful. Fraxel restore laser is also excellent for fine lines and pores. Please feel free to call my office to schedule your consultation. I look forward to meeting with you. Stay well.
Michael Persky, MD
Encino, CA