Thankfulness

 

“Dream as if you’ll live forever.  Live as if you’ll die today.”  ~James Dean

Recently a lovely woman visited my office in consultation along with her mother who was visiting from the midwest.  When I asked, “What brings you in today?”, she responded, “Well when I initially scheduled this consultation it was to discuss how I could look my best for my upcoming wedding, but my fiance was recently killed, since I had the appointment anyway, now we can talk about looking better for his funeral.”  

Two days earlier while on a weekend competitive sanctioned bike ride together, her fiancee was struck by a speeding hit and run driver, alcohol may have been involved. 

Every moment of every day, lives are changed in fractions of seconds.  A young women’s mammogram reveals a tumor, a new abdomen pain is diagnosed as ovarian cancer, a parent loses a child, a truly great person is taken from us before their time.   At moments like these we realize how much we had taken for granted.   

Be thankful for what you have.  And if what you are thankful for is a living being, let them know about it while they are still alive.   It will give them a little more to be thankful for during our relatively short time together.  May my patient’s fiance’s soul be bound to eternal life.  Much love.

“Sorrow makes us all children again–destroys all differences of intellect.  The wisest know nothing.”  Ralph Waldo Emerson

Dr Michael Persky is located in Encino, California but services all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Santa Monica, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills and more

Rejuvenating Hands Encino, Los Angeles, Ca

As stated by Dr. Persky, MD, Persky Sunder Facial Plastic Surgery, Encino:

Points from the Video:

00:32- The most popular filler for adding volume to the hands is radiesse;

00:50- Radiesse is very malleable, and so when we inject it, we just massage it into place;

01:05- We will often combine laser resurfacing at the hands which takes away the brown spots and helps with some other fine lines and wrinkles;

01:18- Radiesse in the hands lasts about a year or two;

In facial plastic surgery, we spend most of our time rejuvenating the face. We hear often from patients that my face looks great, but when I bring my hands up to talk or drink or eat, it’s a dead giveaway of a patient’s age when the hands don’t match with the face or neck. So we do treat hands quite often and in rejuvenating the hands, what we do most of the time is use fillers. The most popular filler for adding volume to the hands is radiesse. It is performed in a quick in-office procedure that’s relatively comfortable; a syringe of radiesse is injected into both hands; radiesse is very malleable, and so when we inject it, we just massage it into place, and what it does is it helps to add volume to the face, it diminishes the appearance of the veins of the hand. If patients want to go beyond that, we will often combine laser resurfacing at the hands which takes away the brown spots and helps with some other fine lines and wrinkles. Radiesse in the hands lasts about a year or two; there is some new collagen stimulation when you place it there. So even when it goes away, the hands look a little bit better. It’s a nice relatively inexpensive way of matching the appearance of the hands to the face.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

Preparing your skin for Fraxel Los Angeles, CA

As stated by Jennifer Herring, L.E, Persky Sunder Facial Plastic Surgery:

Points from the Video:

00: 05- A great way to pre-treat your skin prior to the Fraxel is to have some type of exfoliation done;

A great way to pre-treat your skin prior to the Fraxel is to have some type of exfoliation done; whether it is through chemical exfoliation like a light peel, or manual exfoliation such as microdermabrasion, and this is done ideally depending on what fraxel treatment you are having anywhere from two weeks to four weeks prior.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

Overdoing Plastic Surgery Encino, Los Angeles, Ca

As stated by Dr Michael Persky, MD, Persky Sunder Facial Plastic Surgery, Encino:

Points from the Video:

00:14- There is a very-very small percentage of patients who really get endorphin type release and happiness with a procedure;

00:50- We have to evaluate whether it is something that is beneficial to the patient;

01:10- If I cant improve upon it, then I let the patient know that;

With all the amazing things that we can do in facial plastic surgery, fortunately, most of out patients are extremely happy with the results. Unfortunately, there is a very-very small percentage of patients who really get endorphin type release and happiness with a procedure and that can lead to almost an addiction to facial plastic surgery procedures. It is important for the individual physician to recognize this in patients. Personally, when a patient comes to me and requests either multiple procedures or procedures after having had other procedures, we have to evaluate whether it is something that is beneficial to the patient. I look to see if a patient complains of something, if there is actually something there that I can improve upon; If I cant improve upon it, then I let the patient know that. Unfortunately, there are many cases where patients will drive a physician or a treatment to beyond where it is indicated and I think we have examples of that in celebrities like late Michael Jackson probably had far too many facial procedures, particularly on his nose and skin color. Heidi Montag is on film documenting feels that she had too many procedures at one time; and so, it is really important for you to see a physician who is able to be realistic with you and frank with you in telling you that you are looking for a little bit of too much; and here at Persky Sunder, both Dr Sunder and I both believe in being truthful to our patients and often times will turn down requests for procedures if we don’t think they are indicating.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

You’re Beautiful Just the Way You Are Los Angeles, CA

As stated by Dr. Michael Persky, MD, Persky Sunder Facial Plastic Surgery, Encino:

Points from the Video:

00: 05- Our patients come to us for evaluation, recommendation of their facial beauty;

01:20- I think, one of the biggest crimes we can do against our patients is creating that overly done look with big lips and big cheeks in a young woman;

01:40- And you get that homogenization of the look and there is nothing worse than someone taking who is young and beautiful and making them look plastic;

Our patients come to us for evaluation, recommendation of their facial beauty; we must use our artistic vision to give them a realistic analysis of what we think is going on their face. One of the things I enjoy the most about coming to work is being able to evaluate people, and in doing that, there are some patients who come and request fillers to treatments that they really don’t need, and I have said before that in our console room, we have lyrics to Bruno Mars ‘You’re beautiful just the way you are’ and often times, in those types of patients who are young and may not need something but feel that they do, I just pull out those lyrics and hand it to them, and say come back in a few years. And I warn them that if they go to other practices or other physicians, they are going to find somebody, who for some money, will do something to them, and unfortunately, I think, one of the biggest crimes we can do against our patients is creating that overly done look with big lips and big cheeks in a young woman, who now looks like she is a 40 or 50 year old woman who has had those procedures done and is trying to look younger. And you get that homogenization of the look and there is nothing worse than someone taking who is young and beautiful and making them look plastic; and certainly we don’t do that to any of our patients but unfortunately, there are those out there that are creating some very unnatural looking appearances.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

Social Media and Plastic Surgery, Los Angeles, CA

As stated by Dr Michael Persky, MD, Persky Sunder Facial Plastic Surgery, Encino:

Points from the Video:

00:12- With the increased use of selfies and the facebook, and other social media applications where our faces are there online, patients see themselves a lot more often;

00:53- We are seeing a lot more patients who are wanting to look better for their social media appearances;

There have been many articles recently about social media and its effect on facial plastic surgery. With the increased use of selfies and the facebook, and other social media applications where our faces are there online, patients see themselves a lot more often and they see themselves in positions that they don’t usually see themselves in during a usual kind of photography. So when you are taking a selfie and you are down here like this, your neck shows or your eyes are looking a little bit funny and distorted; some patients want to have procedures done; so yes, we are seeing a lot more patients who are wanting to look better for their social media appearances.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

How to Prevent or Tighten Loose Skin from Weight Loss Los Angeles, CA

As stated by Dr Michael Persky, MD, Persky Sunder Facial Plastic Surgery, Encino:

Points from the Video:

00:09- ‘What do you think beauty is’, and she said that comes from the inside, that comes from the heart,

00:26- No matter what we do to improve one’s beauty, maintenance is so important.

Maintenance is extremely important after any procedure. I gave a talk on what is beauty and I was interviewing people and I asked the waitress ‘What do you think beauty is’, and she said that comes from the inside, that comes from the heart, and then, her co-worker came up to me and said ‘it is maintenance’; and I thought that was a frank true answer. No matter what we do to improve one’s beauty, maintenance is so important. After a laser procedure, it is important to use good skin care products like sunblock to avoid sun exposure. After surgery, it is important to use those things as well. So, maintenance is essential to maintain the great results that we can give patients in facial plastic surgery.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

Beauty Treatments by Core Physicians Encino, Los Angeles, CA

As stated by Dr Michael Persky, MD, Persky Sunder Facial Plastic Surgery, Encino:

Points from the Video:

00:29- The important thing about seeing a core physician is that they have been specifically trained to treat the face;

01:04- Patients say we know why are you charging more than the neighbourhood Medspa across the street;

01:12- There is no price that can be put on safety and avoiding deforming somebody;

01:30- What they are paying for is the training and the knowledge and the skill and experience to get a great result in a safe, most efficient manner.

A facial aesthetic core physician is a physician who has been trained in one of the four core specialities that perform facial aesthetics, that being either plastic surgery, facial plastic surgery, occulo plastic surgery, or a dermatologist who is specializing in aesthetics. The important thing about seeing a core physician is that they have been specifically trained to treat the face, and they are well versed in what works and what doesn’t work, and most importantly, how to avoid dangerous areas to avoid complications, and God forbid, a complication occurs, they know how to take care of it immediately which is so important to patients; so patients say we know why are you charging more than the neighbourhood Medspa across the street and the reason for that is there is no price that can be put on safety and avoiding deforming somebody. So patients are in pain for the product per se that they get at the medspa versus they get from a core physician; what they are paying for is the training and the knowledge and the skill and experience to get a great result in a safe, most efficient manner.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

Getting the Right Filler for Your Age, Los Angeles, CA

As stated by Dr. Michael Persky, MD, Persky Sunder Facial Plastic Surgery, Encino,

Points from the Video:

00: 08- One of the nicest things about all the new facial fillers that we have is that you can pick and choose what’s right for each patient;

00:38- In medical terms, we talk about G-prime. G-prime is how much a product can actually lift;

00:45- We use some of our thicker products in our older patients, such as radiesse, voluma;

00:55- I like to use juvederm, restylane, bella terra, sculptra, and even voluma because it is injected so deep in younger patients;

The injecting physician should be like an artist, at least have an artist’s palette before them, and one of the nicest things about all the new facial fillers that we have is that you can pick and choose what’s right for each patient. With older patients, because there’s a lot of laxity and more need for volume in lifting, we need a product that has more robust lifting ability; it’s a little bit thicker. In medical terms, we talk about G-prime. G-prime is how much a product can actually lift. So we use some of our thicker products in our older patients, such as radiesse, voluma, whereas with younger patients, you don’t want something that is as heavy and that might show through. So I like to use juvederm, restylane, bella terra, sculptra, and even voluma because it is injected so deep in younger patients. If you have any questions about any of these fillers, feel free to call me or contact us.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

Elaine Testimonial Los Angeles, CA

As stated by Dr Sarmela Sunder’s Patient, Elaine:

Points from the Video:

00:30- The woman looked amazing and it was only 30 days;

00:40- Dr Sunder was very open and forthcoming with information;

01:00- She understood me and I loved the feeling around here;

01:25- I had big bags under my eyes and my neck, I just looked tired and aggravated even when I wasn’t.

01:55- Here they are always welcoming, everybody knows your name when you come in two years later;

02:08- My best friend came with me through the healing and in the stitches out, and in removing of the bandages, and loved how they handle things,

My sister is a hairdresser and I had been on a search for five years for somebody and I met with many people that just didn’t got me, or they weren’t forthcoming enough; and a woman walked into my sister’s hair salon who looked fabulous and she had had a facelift 30 days before, and my sister and my daughter called me immediately and they said you must come here and you must meet this woman and you must go to that doctor. That was exactly what I did; the woman looked amazing and it was only 30 days. Everybody was warm and welcoming and friendly; Dr Sunder was very open and forthcoming with information. I had been on a search for so long, I had hundreds of questions and she answered them one after the other, over and over again. She saw me play three different times while I you know was making sure it’s a big decision and I just felt that she got me; she understood me and I loved the feeling around here. My friends that knew I was doing were amazed that I looked fabulous, and the people that didn’t know, who I then told because I can’t keep my mouth shut thought I just looked rested, really well rested and refreshed; and that was my biggest complaint in the first place. I had big bags under my eyes and my neck, I just looked tired and aggravated even when I wasn’t. Afterwards, I just looked refreshed and not worked on. You know I was kind of concerned because I’ve had contact with other doctors before; after they do the procedure, they are not your best friend any more, they are not that significant. It’s not like that here. Here they are always welcoming, everybody knows your name when you come in two years later; they are like how are you, and it’s like a family. I have marched at least half a dozen people in here for some aesthetic stuff they do, and like I said my best friend came with me through the healing and in the stitches, and in removing of the bandages, and loved how they handle things, and she had exact same procedures as I did.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

Susan Testimonial Encino, Los Angeles, CA

As stated by Susan, Dr. Sarmela Sunder’s patient:

Points from the Video:

00: 15- I fell in love with Dr Sunder ease and trusted her to do work on me;

00: 40- She really was able to do a lot of work on my neck and it just made me look gorgeous;

01:00- They were always very accommodating to whatever my needs were;

I was researching and I was wanting to get many face lifts, and I was researching online and I just read Dr Sunder’s bio and that was like I want to meet her. She was actually the only doctor that I met, and I just fell in love with her ease and you notice really comfortable with her and trusted her to do the work on me. It was a great experience. The procedure was pretty amazing and came outside talking to her, and she said she would try to pull more out of my neck as much as she could and she really was able to do a lot of work on my neck and it just made me look gorgeous. They were so accommodating to me, so wonderful and made me feel so comfortable through the procedure. I had to come back a lot to remove sutures and I kept calling and they were always accommodating to whatever my needs were. I feel like I just had a lift up of me. I feel like I am 30 and may be 40 you know…It feels wonderful.

image001Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California but service all of Los Angeles and the San Fernando Valley. Including, Beverly Hills, Hollywood, Hancock Park, Brentwood, Santa Monica, Pacific Palisades, Malibu, Sherman Oaks, Studio City, Calabasas, Woodland Hills, Tarzana, Westlake, Thousand Oaks, Agoura Hills, La Canada, Pasadena, and more. Please subscribe to our blog by clicking the link above, right, and “Like” us on Facebook. Thank you! + Michael Persky

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