Q&A with Dr. Persky

Is Ultherapy permanent?

A. Patients often ask, “How long does Ultherapy last?” The best answer is that when performed properly, a patient who has received Ultherapy will look better than they would have for the rest of their life had they not had the treatment. I have personally performed Ultherapy for the past 6 years, and can only […]

Can Sculptra Be Injected Into the Lips?

A. Sculptra is an excellent facial volumizer. It works by stimulating your body to make new natural collagen where it has been injected. There are areas where Sculptra should never be injected and the lips are one of those areas. Sculptra is injected deep to muscle and over bone in most facial areas. When injected […]

How do I choose my rhinoplasty surgeon?

A. The absolute most important aspect of your rhinoplasty is your choice of rhinoplasty surgeon. Rhinoplasty is considered the most difficult of all facial plastic surgeries combining art and science. You should consult with at least 3 or more rhinoplasty surgeons prior to making your decision. Your decision should be based on the surgeon’s experience, […]

Can you suddenly develop an allergy to Juvederm? What are the chances that the same thing will happen again?

RealSelf actual patient comment: “I had a horrific and traumatizing experience with Juvederm Summer 2015, which has lead me to fear any type of lip fillers or fillers in general. I got a hematoma, which lead to an infection, which lead to a huge bump on my lip, which had to be drained at the […]

“Injectable laser” for tightening? Profound? Has anyone used it on legs yet?

RealSelf actual patient comment: “I recently read about a new laser that is supposed to be “injectable” for tightening?? I think that it is called Profound? I think they have been using it on the face but going to be getting a new way to use it on the legs for loose skin? Has anyone […]

Skin Tightening Procedures? Any doctors have experience with “Profound RF” Skin treatment?

RealSelf actual patient comment: “The Profound procedure looks very promising. Is any doctor doing it? What can one expect as far as down time? What is the typical pricing?” A. Profound uses paired micro-needles that emit radio frequency energy in a precise temperature controlled manner that maximizes the production of new elastin, collagen, and hyaluronic […]

If I decide on a tip rhinoplasty and then want a full rhinoplasty, is that bad?

RealSelf actual patient comment: “What is your advice? I’m just a little too worried about actually having them hammer and break the nasal bone. I’m also terrified about anesthesia going wrong and being awake during.” A. Rhinoplasty is an artistic procedure. Everyone’s nose is different. Some noses may lend themselves to just having the tip […]

Bulbous nose reshaping – can it be done without redoing whole nose?

RealSelf actual patient comment: “Can it be done without redoing whole nose? Not looking to have full reshape, but just the tip.” A. Your question is a common one and is best answered in person after examination and evaluation by an expert rhinoplasty surgeon. Shaping a nose is like sculpting, once one part is changed […]

I had Ulthera on my neck November 2016…

RealSelf actual patient comment: “5 months later I look just awful, what should I do to fix it?” A. The excess skin on you neck can be reduced by either surgery or minimally invasive non-surgical procedure called Profound. Profound uses radio frequency energy emitted through micro-needles below the skin to tighten lax skin of the […]

I had 1 cc of Juvederm injected into my lips yesterday and absolutely hate how they look….

RealSelf actual patient comment: “Where should I ask for the dissolver to be placed so that I can have a more natural shape but still keep filler in my lips? Can I just partially dissolve it? How long should I wait? I’m very upset because I had put the money aside for it and cannot […]

Have you ever seen swelling this bad 8 days post-op?

RealSelf actual patient comment: “I had septorhinoplasty (closed) with work done to my tip. I’ve never seen a photo like this…. all of the cast removal day photos of noses look so nice and mine just looks completely deformed. I had surgery exactly one week ago. I am so depressed.” A. Sorry to hear about […]

Should I be more direct to the doctor when being treated with Botox?

RealSelf actual patient comment: “I am 59. I’ve had Dysport and Botox and experienced the droop. I believe only the central glabella area should be treated not above my eyebrows. Last time I asked the doc not to do above my brows but she went ahead and did a couple injections just above the tail […]