Is Social Media Creating a Demand in Facial Procedures?

Nowadays, it seems that everyone is uploading all of their personal experiences to social media feeds, and because of this, people are becoming more aware of their facial appearance. It has caused us to focus on how our faces appear in photos, which has prompted a demand for facial procedures such as injectables, fillers, and other facial treatments. According to the American Society of Plastic Surgeons, new statistics reflect the changing face of plastic surgery. More people are opting for procedural options for “touching up” their facial appearance with minimally invasive or non-surgical procedures. The growth of facial aesthetic procedures continues to spike in popularity. Dr. Persky offers a variety of non-surgical, minimally invasive treatments specifically designed to target facial rejuvenation. Patients won’t have to go anywhere near a scalpel to achieve younger, smoother skin that glows radiance in snapshots.

No Longer Rely on a Camera Filter!

The more people start to post close-ups of their faces and/or selfies, the easier it is for them to examine their facial flaws. They often want to find ways to emulate the same appearance in real life that they can create by using image filters. Dr. Persky offers a variety of non-surgical treatments to help you look younger and more refreshed. Patients can restore superficial signs of aging with less downtime and minimal discomfort.

Before and After UltherapyTighten Skin and Remove Wrinkles

When someone wants to tighten their facial skin to diminish wrinkles and creases, they may consider facelift surgery. However, a facelift entails a long recovery, discomfort, and the risk of visible scarring. Ultherapy® offers the benefits of a facelift without the “nipping and tucking.” The treatment uses ultrasound technology to exert energy to the targeted tissue.  Ultherapy® is great for patients who cannot afford downtime. Dr. Persky’s newest minimally invasive technology, Profound, uses micro-needles that emit radiofrequency, which results in even more lifting and tightening of the face and neck. Profound comes the closest to the results of a surgical facelift without having actual surgery. Profound requires five to seven days of downtime due to swelling and bruising.

Target Fine Wrinkles and Add Volume to the Face

Facial fillers and injectables have been around for years and are designed to restore facial volume and fullness to diminish fine lines and wrinkles. They continue to grow in popularity due to the quick results and minimal downtime. Dr. Persky performs treatment with the following injectables to help you achieve the picture-perfect look you want to have in real life:

  • RADIESSE® and BELOTERO BALANCE®: These fillers restore volume loss that has caused the appearance of wrinkles and hollows around the mouth, cheeks, temples, jawline, and aged hands.
  • Restylane®, JUVÉDERM®, and JUVÉDERM VOLUMA® XC: These hyaluronic acid fillers works by stimulating the body to produce natural collagen to diminish the appearance of facial wrinkles, such as nasolabial folds, bags under the eyes, and fine lines around the mouth.
  • Sculptra® Aesthetic: This injectable is a collagen stimulating filler that adds natural volume to the face where needed.
  • BOTOX® Cosmetic, Dysport®, and XEOMIN®: These neuromodulators contain botulinum toxin type A, a purified substance derived from bacteria, that works by inhibiting the movements of muscles causing the appearance of wrinkles. Patients can temporarily diminish the appearance of crow’s feet, drooping eyebrows, vertical lip lines, and frown lines with these injectables.

Restore Damaged Skin and Get Rid of Age Spots

One of the hard-to-target indicators of aging is dark spots. Even with creams and at-home treatments, it is sometimes never enough to shed the years of aging skin. Fraxel® laser treatments are an ideal solution for restoring damaged skin and removing age spots. Dr. Persky offers a variety of Fraxel® options that utilize laser technology to treat a fraction of the skin without damaging the surrounding tissues. Depending on a patient’s needs and severity of correction, Dr. Persky offers Fraxel® re:store, Fraxel® DUAL, and Fraxel® re:pair. During a consultation, Dr. Persky can go over what each treatment entails and which one would be the best option for your skin.

If you want to feel confident smiling in front of a camera, you may be the right candidate for one or more of our facial procedures. Schedule your consultation with Dr. Persky today! He can evaluate your facial skin, discuss your goals, and help you determine the right treatment for you. Contact us by calling (818) 501-FACE or by filling out our online contact form.

Start the New Year With a Fresh Face

Beautiful woman celebrating the new year holding a sign with 2017The new year is here, and many of you have been making resolutions for a “better you” in 2017. With a new wave of non-surgical treatments, many people can meet their goals this year without ever going near an operating table. Dr. Persky offers a variety of facial procedures that are less invasive so you can glide through your year with a fresh face forward with little or no downtime. Surgery can be scary, and with so many plastic surgery horror stories out there, more people are opting for non-invasive or minimally invasive treatments. Without incisions, general anesthesia, IVs, and long recoveries, patients can achieve smooth, youthful, and natural results with less downtime and pain than surgery.

Turn Back the Hands of Time With Ultherapy®!

When wanting to pull back and tighten the facial skin, many people think about facelift surgery. However, having to deal with general anesthesia and incisions can be daunting. Thanks to the latest advancements in non-invasive technologies, patients can revert to their “younger years” without extensive surgery and surgical pain. Ultherapy® uses micro-focused ultrasound technology to tighten the facial muscles and skin while also smoothing wrinkles and fine lines. Dr. Persky performs Ultherapy® in-office with or without local anesthesia depending on patient preference. It takes about 75 minutes, usually no downtime, and lasts for years.

Ultherapy® Can Correct:

  • Aging Neck
  • Aging Face
  • Fine lines and wrinkles
  • Drooping eyebrows
  • Loose skin under the chin
  • Sagging jowl lines
  • Creases and wrinkles of the décolletage

Restore Damaged Skin and Brown Spots With Fraxel®

Laser therapy has come a long way, and patients can achieve clearer, more youthful facial skin with minimal downtime and discomfort. Fraxel® uses laser-light energy to rejuvenate the skin. Fraxel® is a very tolerable laser treatment that uses cool air to make the skin comfortable. Most patients say it feels like warm little pins running over the skin.

Dr. Persky offers different Fraxel® treatments designed based on the severity of correction required and the area of the face needing to be addressed:

Fraxel® re:store

This non-ablative laser (the “original” Fraxel®) uses microscopic columns of heat to treat a fraction of the skin without damaging the surrounding tissues. Fraxel® re:store can target fine lines, uneven skin tone, scars, and age spots. Typically, Fraxel® re:store requires a series of treatments with each treatment spaced two to three weeks apart to achieve maximum results.

Fraxel® DUAL

Known as the “brown spot laser,” this non-ablative thulium laser reduces treatment time by 25 percent and allows the skin to be chilled directly as it is treated, offering a comfortable experience for patients. Fraxel® DUAL can treat brown spots, hyperpigmentation, actinic keratosis, fine lines, and wrinkles. Fraxel® DUAL can achieve excellent results with a single treatment.

Fraxel® re:pair

The top ablative fractionated carbon dioxide laser resurfaces the skin while lifting and tightening. It can be used on any part of the body and can be used to treat all but the darkest of skin types. Fraxel® re:pair helps to diminish fine lines, wrinkles, loose skin, crepey skin, and scars (surgical, acne, and burns). Excellent results are obtainable with a single Fraxel® re:pair treatment.

Remove Fine Lines and Wrinkles With Injectables

Among the most notable signs of aging are fine lines and wrinkles. Even with a healthy skin care regimen and a healthy diet, the aging process will eventually take hold. Signs of aging develop, and many people try at-home treatments to no avail. Injectables are a quick, safe, effective, and easy solution to fighting these aging indicators. Dr. Persky offers several different options to meet every individual’s goals and facial anatomy. Patients can undergo one or a combination of the following injectable treatments based on their needs and Dr. Persky’s artistic vision:


Made of botulinum toxin type A, a purified substance derived from bacteria, BOTOX® Cosmetic, Dysport®, and XEOMIN® work by temporarily blocking muscular nerve signals and preventing the weakened muscles from contracting. Neuromodulators can target:

  • Crow’s feet
  • Drooping eyebrows
  • Forehead “angry” lines
  • Horizontal forehead lines
  • Jawline jowling
  • Neck bands
  • “Bunny” lines at the top of the nose


Composed of a clear natural gel formulation of hyaluronic acid, Restylane® works by adding volume and stimulating the body to produce natural collagen to erase moderate to severe facial wrinkles. Restylane® can target:

  • Nasolabial folds
  • Fine lines around the mouth
  • Hollows under the eyes
  • Vertical lip lines


Made up of calcium hydroxylapatite (CaHA) microspheres in an aqueous gel carrier, RADIESSE® works by adding volume as well as stimulating the body to produce its own collagen. RADIESSE® is ideal for restoring volume loss that causes wrinkles and hollows around the mouth and on the cheeks, temples, jawline, and aging hands. It is excellent for chin augmentation.


BELOTERO BALANCE® is a thin hyaluronic acid (HA) formula that completely integrates into the tissues, blending with the natural structure of your skin. BELOTERO BALANCE® is best for adding definition around the edges of the lips and improving fine superficial facial lines. It is an excellent “gateway” treatment for those who want a very conservative treatment that is not too long-lasting.

As with any facial aesthetic treatment, the most important aspect of your treatment and ultimate success is your injecting physician. Make sure to choose your treating aesthetic physician most carefully based upon his or her skill, knowledge, experience, and most importantly his or her natural artistic vision.

The increasing popularity of non-surgical facial rejuvenation continues to grow. More patients are seeking non-surgical options for creating a more youthful appearance. Dr. Persky can help you to start the new year with a fresh face by personally tailoring each procedure to your unique facial anatomy and goals. Schedule your consultation today! Contact us by calling (818) 501- FACE or by filling out our online contact form.

Five Advances in Facial Plastic 2017 @Persky Sunder Facial Plastic Surgery…What’s New ’round Here?



Happy and healthy New Year, we hope that your 2017 is off to a great start!

We are most excited to share what’s new at our practice since January 1.  We have added 3-dimensional photography, LED light therapy, and two minimally invasive, non-surgical state of the art, safe and effective treatments that lift and tighten your face.  Additionally, we have added “The Plan”, a comprehensive natural beauty long term customized plan to help you achieve and maintain your aesthetic goals.

If you ever have watched the HBO show “Westworld” and wondered about the technology behind creation of the robots faces, perhaps 3-D photography has something to do with it.  Our brand new VECTRA  3-Dimensional Camera system takes three facial photos that are automatically stitched into one 3D image with VECTRA software.  We can evaluate facial contours without color distraction (ever wonder what you would look like as a statue?), the gray mode reveals contours, presenting opportunities for corrective procedures. VECTRA allows quantification of subsurface skin conditions, giving you an immediate  sun damage “report card.”


Canfield’s proprietary RBX® technology separates the unique color signatures of red and brown skin components for unequaled visualization of skin conditions. Both prior to and after facial treatments that affect facial volume, we are capable of seeing an automatic volume difference measurement with one click. 

Automated measurements allow for quick and accurate computer imaging (rhinoplasty, fillers, chin implant, lasers, etc.) only possible with VECTRA 3D technology, helping our patients understand their current condition and what they may look like after their treatment.
We can visualize and discuss your aesthetic hopes and expectations, quickly arriving at a shared understanding of objectives. VECTRA allows demonstration of the difference between the likely outcome with only one or multiple procedures. With Face Sculptor we can explore the possibilities and help you decide on the best possible treatment plan.  When we’re finished, we can give you a printed plan including selectable VECTRA2D views of pre-op and/or simulation.

At Thanksgiving dinner an esthetician friend shared her experience with LED light therapy, the top of the line Celluma system.  I see her and her mother once a year and immediately noticed the improvement in her mother’s skin.  They shared that Celluma treatments alone were the reason for her improved skin tone, texture, color, and overall aging.  Celluma is a relaxing, comforting, 30 minute two to three times a week LED light therapy that helps with acne, wrinkles, and even treats soreness and pain anywhere on the body.  

For the past twenty years “thread lifts” with permanent sutures have come and gone.  Dr. Persky never did these permanent thread lifts because of the risk of permanent problems, asymmetry, short term results, and frequently unnatural appearance.  Fortunately for you, there is a new kid on the block of thread lifting.  Silhouette Instalift is a non-surgical minimal invasive new technology that allows us to use our natural artistic vision to immediately lift the face, jowls, and neck, as well lift to the cheeks .  Silhouette Instalift threads (or sutures) are made of an absorbable lactic acid material (similar what the bio-stimulatory injectable filler Sculptra is made of) that adds needed volume to the face.  There are not any permanent problems with permanent sutures.  Our patients have been thrilled with their immediate results, ease and comfort of the treatment, minimal downtime, and their natural more youthful appearance.

For decades our practice has been at the forefront of providing state of the art non-surgical minimally invasive facial rejuvenation treatments.  After three years of due diligence we have added the best lifting, tightening, rejuvenating device,
, to our practice.  Now you can truly “Choose” to age gracefully with natural facial, neck, and body rejuvenation.  Profound uses the incredible advanced technology of pairs of micro-needles which penetrate the skin 1 to 2 mm heating the tissue to 67 degrees C for 3 seconds with radio frequency energy controlled by temperature sensors at the tip of each micro-needle, insuring safety and maximum stimulation of new collagen and elastin in the skin.  Profound  

is performed by our surgeons after the face is anesthesized first with topical anesthesia then with local anesthetic nerve blocks.  Once the face is numbed, the treatment is very comfortable taking about an hour to complete.  Nearly 100% of patients see a notable difference within 2 to 3 months with continued improvement for 6 to 9 months.  Profound is the closest thing that you will get to a facelift with a non-surgical procedure. It is positioned in our practice between Ultherapy (for those patients who want lifting without downtime) and surgical face/neck lifting.  The only downside to Profound is that there is a 5 to 7 day period of swelling and bruising downtime.

Lastly, we believe that our patients deserve to look their natural best for the rest of their lives.  We now have “Your Natural Beauty Plan” or just “The Plan” for short.  Each patient is given an individualized short and long term beauty plan to achieve and maintain their rejuvenation and natural beauty for many years to come.

As you can see there is much that is new ’round here at Persky Sunder Facial Plastic Surgery in 2017.  We are very excited to share with you our newest and best treatments, procedures, and non-surgical minimally invasive techniques in addition to the “tried and true” facial plastic surgical and aesthetic options that we have used that allows us to use our natural artistic vision for the benefit of your natural beauty.  

Once again, Happy and Healthy 2017, be well!

Mom Genes, Why What to Expect Matters

“All women become like their mothers. That is their tragedy. No man does, and that is his.”  Oscar Wilde

Oscar wilde quote

We love when mothers and daughters come to our office together in consultation.  One of the most common complaints that we hear from our younger patients is “When I look in the mirror, I am starting to look like my mother!”  Many studies have shown that we can look at our parents to see the signs of aging that await us in years to come.  Younger patients are seeking facial rejuvenate and preventive aging treatments.

Galderma Laboratories, the company that supplies aesthetic physicians with facial cosmetic products such as fillers Restylane and Sculptra, and the neuromodulator Dysport sponsored The Mother-Daughter Facial Aging Study among 1,002 U.S. women: 502 women ages 50+ with daughters ages 25-40 and 500 women ages 25-40 using an online survey.  The study found that “Mom Genes” matter.  The mothers and daughters answered questions about their genetic disposition for beauty and facial aging.

90% of moms and 88% of their daughters agreed that “There’s more pressure to look younger, longer nowadays.”  67% of moms and 67% of daughters worry frequently that their face is showing signs of aging.  That goes up to 77% for daughters if they feel that they are aging just like their mom.  In fact, 73% of daughters think they are more likely to age like mom.

The pressures and joys of life that age daughters most are finances (27%), kids (25%), and work (18%).  The best advice that daughters felt their mothers gave them regarding skincare was hydration (24%), sunblock (19%), and sleep (11%).  Yet 62% of moms and daughters say that they talk about facial aging once or less a year.

35% of moms would consider having an injectable treatment for facial lines and wrinkles while 47% of their daughters would.  More daughters (74%) than moms (66%) would tell a friend or acquaintance that they had an office procedure.  Less mothers (66%) than daughters (77%) are interested in treatments with natural results.

Only 44% of moms believe that they look the age that they feel.  82% hope that facial aging is easier for their daughters than it was for them.  81% of moms are supportive of their daughter getting a facial treatment from a specialist, and 75% of moms would like to look 10 or more years younger.  That is 10 years younger than their current appearance, not as Oscar Wilde suggested in one of my favorite novels, “A Portrait of Dorian Grey“, ” can only be happy if they look ten years younger than their daughter.”  Thanks to Galderma Laboratories not only for this excellent study, but most of all for the excellent products that they have developed to allow aesthetic physicians to create naturally beautiful results.  Be well!

Smiling is the Best Form of Plastic Surgery!



When You Look Marvelous… Millennials, Botox, and Natural Beauty

Billy Crystal’s Saturday Night Live character Fernando said things like, “When you look marvelous, you feel marvelous” and “Remember, it’s better to look good than feel good!” Well he may not have been too far off.

billy crystall mahvalousRecent studies have studied the effect of the neuromodulators Botox®, Dysport®, and Xeomin® on depression. The studies have shown that Botox® may be as effective for the treatment of depression as anti-depressants. The reason for this is thought to be the synaptic axon connections between facial muscles and part of the brain that senses expressions on the face caused by these muscles. Our brains can sense the expression on our face. When we look sad, tense, or angry, the facial muscles are contracted, the brain senses this and we feel sad, tense, or angry. There is a feedback loop that reinforces mood. The brain can also sense when the face looks relaxed, calm, and happy. Botox® relaxes the muscles that create angry, stressed faces, therefore the patient cannot make the angry unhappy face, quite the opposite results, a rested, calm, happy face. The majority of Botox® patients report “feeling really good” a few days after their Botox® injections. Many facial plastic surgeons believe that we may be treating depression with Botox® within the next 5 years.

There has been a large increase in the number of millennials who are requesting facial aesthetic treatments. The rapid rise of “Selfies” and the effect of the Kardashians have led to a rise in patients 30 years old and younger seeking facial aesthetic treatment. The most popular millennial requests are for lips, cheek and facial volume enhancement, fine line treatment and prevention, and skin care.

INJECTABLE COMBOThe treatment of young patients demands a most conservative and natural approach. Patients wish to look like themselves only better. All patients should be extremely careful in choosing their aesthetic physician based on their skill, experience, care, and most importantly natural artistic vision!

Minimal amounts of Restylane Silk® and Juvéderm Ultra Plus® are used to create soft, full, natural, sexy lips in younger patients. A little more can always be added if needed, but lips that are too large, out of proportion, or shaped like a Lip Augduck’s bill are to be avoided at all cost.

Faces begin to lose bone volume from age 25 on resulting in early facial sagging. Hollows under the eyes, diagonal cheek valleys, nasolabial folds all immediately improve with properly placed Juvederm Voluma® and/or Sculptra®.
Dr. Michael Persky is on the advisory board and a clinical injector trainer for Sculptra®, and has injected more Voluma® than any other practice in The Valley.

Botox® used in miniscule doses on younger faces gives a more rested look, tightening the forehead, and diminishing lines around the eyes. Some believe that early Botox® treatment minimizes facial rhytids (lines) later in life.

Millennials love Clear + Brilliant™ to brighten their skin. Our licensed esthetician, Samantha Potter, customizes each patient skin care regimen recommending the most effective scientifically proven skin care products selected and tested by our physicians. We offer oxygen infusion facials, peels, micro-needling with or without platelet rich plasma, micro-dermabrasion as well as advice on healthy living.

Dr. Persky and Dr. Sunder love to answer questions about all aspects of facial plastic surgery. Please feel free to contact us at your convenience. As Fernando says, “Remember, when you look marvelous you feel marvelous.” Be well.

Call the office at 818-501-FACE to schedule your complimentary facial analysis.

The Four Most Popular Men’s Facial Aesthetic Treatments

Men deserve to look good too!

We are often asked, “Doc, what percent of your patients are men?”  Historically, about 10-15% of our facial aesthetic patients have been men.  With recent non-invasive, non-surgical treatments that are quick, easy, safe, effective, and require no downtime or much follow up, more men are seeking facial cosmetic treatments.

The American Society for Aesthetic Plastic Surgery revealed that “men are turning to aesthetic cosmetic procedures, with dramatic increases seen in both surgical and nonsurgical options over the past 5 years, 43 percent increase overall.”  Many men are still hesitant to be treated.  This prompted us to wonder, “How is it that men are still shy about facial aesthetic treatments? It couldn’t be just about being embarrassed for wanting a smooth forehead, lifted eyelids, excellent skin tone, or a chiseled face? Could it? Well yes, not only they are embarrassed but they also don’t necessarily have the support they need to get what they want. Many men do not know what treatments are available to them! There are so many misconceptions out there.  The comments that we hear most from hesitant men are “Cosmetic procedures are for women”, “I want to look like myself”, and “I don’t want my face to be feminized.”  This is where the expertise of Michael Persky, MD and Sarmela Sunder, MD comes to the rescue. It takes knowledge, experience, talent, technical skill, and most importantly a natural artistic vision sense to achieve natural beauty enhancement in both men and women. There are differences in the male/female aesthetic. While most women strive to look younger, most men wish to look rich and powerful. Drs. Persky and Sunder appreciate the subtle different aesthetics in the treatment of men versus women.

Women LOVE a man who takes care of himself, beyond the shower and occasional cologne. A man who takes pride in his appearance is not vain, rather the man who takes pride in his appearance displays a certain respect for himself, looking his natural best. We listen to our patients aesthetic requests and help them achieve their goals in a natural, “non-plastic surgery done look” way. Our patients tell us over and over again, “I am very pleased with my treatment, I look like myself, only better!”

The four most popular procedures that give men the “ biggest bang for their buck”are Botox®, Voluma, Ultherapy (non-invasive lifting of the face, neck and brows), and blepharoplasty (eyelid lift). Those particular procedures can give any man the boost of self-confidence and facial rejuvenation without compromising their masculinity or manhood.   You can trust you face to these two board certified facial plastic surgeons. Feel free to contact us with any questions that you may have regarding facial aesthetics. Be well.




The Natural Beauty of Renaissance Angels Available Today

rena Crowning of Mary Pinacoteca Vaticana, Raffael, Angel

Simplicity is the ultimate sophistication.
– Leonardo da Vinci

Artists of the Renaissance were well aware of the natural beauty of the face.  We see this beauty in their works of art.  In my current practice of facial aesthetics, study of the natural beauty of Renaissance angel faces painted 500 years ago serves as a guideline for creating beautiful faces in my clinic today.  Leonardo da Vinci defined the “Devine Ratio” of beauty in the 1400’s.  Leonardo appreciated naturally occuring proportions of the face, describing the Devine Ratio of 1 to 1.618, or the Phi Ratio as it is called today.  The ratio of the width of the nose to the length of the nose is, guess, 1:1.618, as is the ratio of the upper lip to the lower lip and many other facial features.  da Vinci used these universal proportions in creating his art, as in the face from John the Baptist below.Rena John the Bapist angel Leonardo

Those of us practicing facial aesthetics today are blessed to have a wide array of safe and effective products and treatments to re-create natural beauty on the aging face.  The best compliment that I receive is, “I look like myself, just a better version of myself!”  By using the golden ratios of natural beauty I am able to artfully create the natural curves, fullness, hollows, light, and shadows of youth.

rena ogee curve

Above, note the S-shaped curve on 3/4 view of the right cheek (corner of eye to chin).  This is called the Ogee Curve of youth and can be re-created with facial fillers such as Voluma and Sculptra.  Note also how there are no harsh shadows and that the facial subunits blend together with each other in smooth transition.

rena Head of an Angel Leonardo da Vinci

In da Vinci’s “Head of an Angel” (above), note the full cheeks, the Ogee Curve, the fullness of the lips and the upward orientation of the corners of the lips.  The jawline is smooth and well defined, the nasolabial fold is present but does not cast harsh shadows.  There is fullness of the peri-orbital (around the eyes) region and smoothness of the forehead (think Botox, Dysport.)

Candice Swanepoel, one of  the most beautiful Victoria’s Secret Angels, shares the classical natural beauty features described above.  I have not treated Candice, nor do I know whether or not she has had any facial aesthetic treatments, but her facial feature ratios measure out to, you guessed it, the Devine or Phi ratio of beauty, 1:1.618.  I have treated a few of today’s Angels and look forward to treating many more in the future, but I will always keep in mind the natural proportions defined by da Vinci and  the beauty of the Angels of the Renaissance.


The most important aspect of any aesthetic treatment, procedure, or surgery is making sure that you choose your treating physician extremely carefully based on their skill, experience, knowledge, and natural artistic vision.

Art is never finished, only abandoned.
– Leonardo da Vinci

Leonardo da Vinci never signed his works of art because he felt that they were never done.  Fortunately the same can be said about maintaining beautiful facial aesthetics.  Be well.

The Future of Aesthetic Medicine, It May All Be in Our Head

Beautiful young people are accidents of nature, but beautiful old people are works of art.

                                                                                                                           ― Eleanor Roosevelt

From the title, I bet that you are expecting to hear about the latest, greatest techniques, products, devices, and surgeries that will be at the forefront of aesthetic medicine in 2016 and the coming years ahead. Actually, one of the greatest advances in facial plastic surgery is our realization of how important our mind is in determining how attractive we are.

In spinning class yesterday our twenty-something instructor was sharing how happy the class looked and yelled out, “Look young!” What she really was inferring was “Feel young, and you will look young!” Looking young in of itself does not lead to happiness. There are many unhappy young looking people. Feeling attractive and young does lead to happiness. The difference between looking and feeling young is similar to the difference between beauty and attractiveness. Beauty does not necessarily lead to happiness (we all know many unhappy beautiful people), yet when one feels attractive, one is generally happy. No matter what your age, when you feel attractive, you also feel young; you are happier, more confident, and have greater self-esteem. The same can be said for beauty and attractiveness. When we feel attractive we have greater self-esteem, feel confident, and are generally happier, all of which leads us to feel more beautiful.

Spending most of my time helping my patients appear younger by using Botox, fillers, devices, and surgery, it struck me that we can “look young” both with and without these tricks of the trade.

My goal in aesthetics is to help people feel attractive. Attractive people are happy people. Our mood is affected by our facial expressions. Smile and you are immediately more attractive; frown and you are less attractive, less desirable. Our subconscious brain can sense the expression on our face at all times. Smile and the world smiles with you, frown and you not only look unattractive, but the people you interact with reflect that unhappiness back upon you.

Smiling sets off a positive cascade of reactions both from others and within us. Recent studies have proven that expressions on our face directly affect our feelings and mood. These studies show that botox is as effective at treating depressed mood as taking daily anti-depressants. Unhappy facial expressions are related to depression. Depression has been shown to improve by changing the expression of the face from a grimace or frown to a smile. Botox, fillers, surgery, make-up, and nutraceuticals have also been shown to improve mood. Positive facial expressions are correlated with a better quality of life and even with better marriages. By increasing self-esteem and confidence people feel happier.

As Billy Crystal said, “When you look marvelous, you feel marvelous.” What we now realize is that we can influence how good we look by how we feel inside, and vice versa. Our goal in facial plastic surgery is to help our patients feel good about themselves by being more attractive; improving their natural beauty is a by-product and icing on the cake!  Smile, be well!PERSKY BEARD

Best Way to Minimize Bruising From Facial Filler Injections…”Bruise ‘Em, You Lose ‘Em”

Facial filler and Botox injections have become the most popular facial aesthetic procedures.  One of the most common complications of facial injections is bruising.  We believe that expert injectors should do everything possible to minimize bruising patients.  We have been fortunate to treat hundreds of patients each month with a very tiny percentage having any significant bruising after their treatment.

Kim Kardashian's bruises after Botox injections

Kim Kardashian’s bruises after Botox injections

Minimizing bruising from facial injections begins at our initial consultation.  A patient with a history of any previous bleeding problems,  use of medications that “thin” the blood, or high blood pressure are treated only after those situations are controlled.  We ask our patients to stop any medications that increase the chance of bleeding (aspirin, Motrin, Alleve, Advil, etc.) for at least 10 to 14 days.  High blood pressure is controlled before treatment.

Bruising can be minimized by using the smallest needles available.  An expert injecting physician knows facial anatomy and avoids traumatizing blood vessels.  If any bleeding is suspected after an injection, manual pressure on the area is maintained for a few minutes.  Ice may be used.  If we suspect that there is any chance of a bruise, we put a Arnica gel patch on the area.  Patients wear the patch for 6 hours and then place a new patch on before bedtime and sleep with it.  These Arnica gel patches have been incredible in minimizing bruising in our patients.

As my brilliant plastic surgeon colleagues Arthur Swift, MD (Montreal, Canada) and Kent Remington, MD (Calgary, Canada) say, “You bruise them, you lose them!”  We like to keep our patients and help them achieve and maintain their facial aesthetic goals for many years.  Be well!

Complimentary Expert Facial Analysis, Michael Persky, MD

The three comments that I often hear both in the office and socially are:

“Dr. Persky,can you tell when someone has had some plastic surgery done?”

 “Doc, why does everyone who has plastic surgery look the same?”  

“I want to look better, but I don’t want those big apple cheeks and hugh lips!”

Jennifer Lopez, People Magazine's 2011 Most Beautiful Woman in the World

Jennifer Lopez, People Magazine’s 2011 Most Beautiful Woman in the World

We all can tell when someone has had obvious plastic surgery.  If our treatments result in a obvious “done” result, then we have failed as plastic surgeons.  These obvious  cases of poorly performed aesthetic treatments without a sense of artistic vision may “all look the same.”  They have the same big lips, big cheeks, and paralyzed facial expressions.

j LoConversely, when plastic surgery or aesthetic treatments  are performed properly resulting in a natural appearance, then most of us, including myself and other expert plastic surgeons cannot tell that anything has been done.

The way to achieve your goal of looking better, a better more rested youthful version of yourself, is to make sure that your aesthetic physician is well trained, skilled, knowledgable, and most importantly posesses a natural sense of artistic vision.

ferrariBeauty is perceived and appreciated in a blink of the eye, in a millisecond.  Our brains are programmed to see natural proportions, symmetry, light, shadows, and highlights and immediately tell us if someone (Jennifer Lopez) or something (say a Ferrari) is beautiful and proportioned.  On the other hand, if a face is disproportionate, our subconscious primordial brain immediately tells us that the appearance is unhealthy, infertile, and someone with whom we should not exchange DNA with for the sake of our species ultimate survival; they look like freaky aliens.   All the while, our cognitive or verbal response is often, “She/he looks ‘funny’.  What did they have done?”

At your initial consultation as well as at each of your subsequent visits, Dr. Persky uses his expert sense of artistic vision to analyze your face.  This analysis allows Dr. Persky to give you your blueprint for natural rejuvenation.  The analysis includes your forehead, eyebrows, eyes,  nose, mouth, neck, as well as your skin tone, texture, and color.  Your overall facial shape and natural Ogee curves are considered as well.

da vincis proportions

The face can be divided into thirds horizontally (the forehead, the mid-face, and the mouth) and vertical fifths, each the width of the distance between the inner corners of the eyes (the only measurement on the face that does not change with aging).   Leonardo da Vinci described the “Devine Golden Ratio” or “Phi” over 500 years ago and it is as relevant today as it was when the Mona Lisa was painted (did you know that da Vinci never signed his works as he believed that a work of art was never complete!)  Dr. Persky uses a Phi caliper to measure the distance between your eyes, and uses that and his built-in artistic sense of proportions as a guide to restoring your face to it’s natural appearance before the aging process of volume loss of bone and fat began (unfortunately it begins in all of us from about age 25 on).

Mona_Lisa,_by_Leonardo_da_Vinci,_from_C2RMF_retouchedDr. Persky loves to discuss beauty and natural proportions with his patients.  Please call and schedule your complimentary facial analysis with Dr. Persky.  Be well!

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