facelift Archives - Dr. Persky

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The face is an important physical feature that is typically the primary focal point when interacting with others. So it can be discouraging when we begin to notice unflattering signs of aging appearing on our faces.

Losing facial definition and developing pockets of fat in stubborn areas can affect the overall shape and seem almost impossible to erase.

Minimally invasive procedures can help restore the flattering angles on our face and redefine the jawline and neckline.

What Surgical Procedures Can Redefine My Chin and Jawline?

Dr. Persky offers different surgical procedures and techniques to sculpt and redefine important facial features. Depending on how fast you need to see the results or the type of facial corrections you hope to see, there is an option for everyone.

Liposuction on the Neck

Chin fat is almost as stubborn to get rid of as neck fat. Liposuction for the neck targets and removes excess fat hanging on the neck. Vertical banding, also referred to as the platysma bands, are long and visible lines that can extend from the top to the base of the neck. Liposuction can help laser away the loose, hanging skin.

Mentoplasty

People who are searching for more drastic results may choose mentoplasty, or chin surgery. This surgical procedure enhances the structure of the chin by placing chin implants or reducing the bone itself. This procedure can improve facial contours and enhance the jawline definition by inserting a shaped silicone implant to increase chin projection or by mentoplasty reduction to the bone to decrease an overly projecting chin.

Facelift and Neck Lift

Laxity on the lower face and neck can soften the angles of the chin and obscure your desired definition. This surgical combination tightens the underlying tissues of the face and neck while trimming away excess skin.

After a facelift and neck lift combination, your jowls will be minimized and your jawline will be more contoured.

What Non-surgical Procedures Can Redefine My Chin and Jawline?

Profound™ Lift

Profound™ Lift implements the use of microneedling and radiofrequency to treat sagging skin on the face and neck and to lift the forehead. This technique tightens the skin and strengthens the contours of the jawline.

Injectable Treatments

As we age, our cheeks can naturally lose volume and begin to sag. These tissues settle around the jawline to obscure its contour. Injectable treatments can restore this definition and return youthfulness.

Dr. Persky uses JUVÉDERM VOLUMA® XC, an FDA-approved injectable treatment for cheek augmentation, to restore lost volume in the cheeks and redefine facial contours and improve the jawline. This non-surgical cheek augmentation technique provides long-lasting results.

Sculptra® Aesthetic, Restylane® Lyft™, and RADIESSE® are additional injectable fillers offered by Dr. Persky to enhance the chin and jawline.

KYBELLA®

Excess fat underneath the chin can seem almost impossible to remove. KYBELLA® is an injectable modulator that permanently destroys stubborn fat cells under the chin. This technique can redefine the jawline structure and enhance facial features without surgery.

Have More Questions?

To learn more about facial procedures to help restore facial contours, call our San Fernando Valley and Calabasas location at (818) 918-9252 or fill out our online contact form.

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.

Dr. 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

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.

Recently in a spinning class, the instructor said, over Cher’s (It’s a Woman’s World) song, “…and if you like spinning in the dark, come to my 5 am class. We keep the lights low…everyone looks as if they are 10 years younger!” This was not at a Soul Cycle, where I hear the the lights are always low.

The “looking 10 years younger in the dark” comment reminded me of one of our tongue in cheek sayings at Persky Sunder Facial Plastic Surgery. Dr. Sunder and Dr. Persky believe that you should, “Look Good Even With the Lights On!”

Our practice’s goal is that you look your best and most beautiful always. “Your best” is looking naturally better than you did in the past. You should look like yourself…just a more rested, healtier, fresher, and youthful “self” (in any kind of lighting). We are proud of our skin care, spa aesthetician services, aesthetic procedures from the slightest cosmetic injection to non-invasive aesthetic treatments, to the most elegant rhinoplasty or facelift surgery.

We also believe that it is only right to give credit where credit is due. “Look Good Even With the Lights On at Persky Sunder Facial Plastic Surgery!” originated many years ago, in a dimly lit, early morning Barry’s Boot Camp class, when one of our most beautiful, intelligent, and outright funny and entertaining patient (you all know who you are) commented that after her recent visit to our practice that she “looks really good…even with the lights on.” We are grateful for the privilege of helping our patients achieve and maintain your facial aesthetic goals and health for many years to come. Please feel free to contact us with any questions or concerns that you may have regarding beauty and facial aesthetics. Be well!

“Rethinking the Facelift” written by Sandra Ballentine in the August 2013 issue of Vogue Magazine discusses the “new, customized facelift” of 2013. What’s new and different? Not much.

For years we have been customizing our facelifts, using fat transfer to replace lost volume, and meticulously taking care of the incision lines to create a natural, undectable, fresher, younger, and better version of the patient. Dr. Sarmela Sunder performs a most natural, “not pulled” facelift. A patient who had a facelift by Dr. Sunder three months ago commented today, “Dr. Sunder’s incisions are unbelievable! Within two weeks we couldn’t see them!” In four to five hours, Dr. Sunder can erase at least ten years from a patient’s face, and no one would know unless they saw the patient during the two week recovery period. Women in their 40’s, 50’s, and 60’s simply look like better versions of themselves.

There is controversy about the benefits of stem cells and plasma en-riched platelets (PRP) added to fat for better effect. We have witnessed the “stem cell” benefits of fat transfer for years. The cost of the “new customized facelift” quoted to range from $20,000 to $40,000 is high compared to our “customized” fees. Please feel free to contact us with any questions that you may have regarding your face. Be well!

Statistics released by the American Society of Plastic Surgery (ASPS) for 2012 revealed that breast augmentation (286,000, down 7% from 2011) was the most popular cosmetic surgery. Rhinoplasty (nose job) was second (243,000, unchanged), blepharoplasty (eyelid surgery) third (204,000, up 4%), liposuction forth (202,000 down 2%), followed by facelifts (126,000, up 6%). It is thought that with baby boomers now at the age for facial rejuvenation that there will be increased demand for face lifts, neck lifts, and blepharoplasty.

Dr. Michael Persky and Dr. Sarmela Sunder are located in Encino, California and Beverly Hills, California (The Lasky Clinic) 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

“There is no such thing as an ugly woman, only a man with a utter lack of imagination!” Anonymous

In a recent online article Grated listed it’s 10 most unattractive (ugly is an ugly word!) celebrities. After looking at the photos, we must admit that many on the list have been previously referred to during consultations here at Persky Sunder Facial Plastic Surgery by patients who, “…do not want to look like so and so!” We have undertaken the task of reviewing each of the listed celebrities photos, pointing out what exactly it is that has landed them on this unenviable list.

Before going any farther, let us remind ourselves that we are only refering to superficial, outer appearance, and that in the celebrity world there are many externally “beautiful” people not on this list who are “ugly to the bone” on the inside. Conversely, in defense of those on this list, yes, they may have made some bad plastic surgical physician choices in the past, but they may be beautiful people on the inside, where beauty really counts.

We must remember that it only takes millimeters of change one way or the other for the human primordial brain within fractions of a second to determine if a face is symmetric, healthy, and one that another human would wish to share genes with (reproduce) for survival of the species. When the millimeters of change are positive, it is rejuvenative and youthful. On the other hand, as in the case with many of the celebs on this list, when the millimeters of change are asymmetric, or measured in centimeters (or seemingly feet), then the unnatural change can cause the face to look like a genetic mutant (not to infer anything about the celebs on Grated’s top 10 list).

With that in mind and with tongue in cheek, here we go:

10. Melanie Griffith has had her share of bad plastic surgery and fillers over the years since she first met Miami Vice’s Don Johnson, but actually we feel that she is returning to normalacy (thank you Antonio Banderas), and most definitely there are other celebs out there more deserving to be on this list (see below). Melanie’s lips had been filled with something permanent, which created an imbalance, her upper lip being much larger than her lower lip. The proper lip proportions have the upper being smaller than the lower (upper lip should be ~70% the size of the lower lip).

9. Janice Dickinson has lips and breasts that enter the room a time zone ahead of the rest of her body. Other than her alien sized lips, her facial volume otherwise looks good for an older woman.

8. Jackie Stallone appears to have work done on her face by the same surgeon who worked on her son, Sly. Whenever it is obvious that someone has had plastic surgery, the surgeon has failed the patient (see the late Michael Jackson). Ms. Stallone has excessive lip volume, facial volume, elevated eyebrows which all add up to make her look like she is Carrot Top’s mother. By the way, Carrot Top’s plastic surgery is most deserving of a spot on this list.

7. Mickey Rourke has been a veteran of these lists for many years after having a premature, poorly performed facelift many years ago. Since then, boxing and multiple surgeries have changed Mickey’s appearance. His current appearance is actually becoming more normal, so this may be one of his final appearances on lists such as these, as long as he doesn’t go back to the same surgeon for a revision.

6. Male rocker Pete Burns has been transformed to a large “lips and cheeks on a stick” female look a like (see Housewives of Beverly Hills, he would fit right in). What is it about those lips? We are constantly having to reassure our prospective patients that it is not the injectable filler treatment that causes these abberations, but rather the injecting physician or nurse’s lack of artistic vision. By the way Pete, I hope that your coat is imitation, or that you are staying far away from PETA.

5. Cher is one of our favs and personally we don’t beleive that she belongs on this list. Cher has maintained her facial volume relatively well, and takes excellent care of her skin with non-invasive stimulating treatments. She would likely be a hugh fan of Ultherapy by Ulthera, lifting and tightening of the face, neck, and brows. “I’ve Got You Babe!”

4. David Gest may have the gold and platinum albums behind him, is worth multi-millions, but like his late friend Michael Jackson is the two word answer to a RealSelf.com question that we responded to a few years ago. The question was, “Do celebrities get better plastic surgery because they have more money?” Only the ones who choose their surgeons most carefully! Mr. Gest’s exaggerated elevation of his forehead and eyebrows, along with the feminizing upper eye lid blepharoplasty (can you say Bruce Jenner Kardashian?), the lower eyelid sceral show and ectropion from poorly performed blepharoplasty, and disproportionate volumization of his face have landed him most deservedly on this list of celebs.

3. Poor Donatella Versace, don’t know who she saw for her plastic surgery, but they have turned her into an aging Willie Mays (sorry Willie). Her facial volumization with fillers and/or fat is exactly what keeps many patients away from ever stepping inside a plastic surgeon’s office…”fat, pudgy face”.

2. Jodie Marsh. Not sure who she is, but what is again quite obvious is that she has had plastic surgery that is not in line with Leonardo da Vinci’s Devine Ratio of proportion. All that you can say about Jodie’s plastic surgery is that they tried their “breast”!

Drum roll please……..1. Iggy Pop (Really?) Mr. Pop is an example of where loss of facial volume and not dressing appropriately for one’s age will land you, as the winner of Grate’s Ugliest Person List! As we age, we lose facial volume, mainly fat and bone, but also some muscle. Before the days of filler and Ulthera, Catherine Deneuve said, “At a certain point in a woman’s life she must choose between her face or her fanny!” Fortunately today with fillers such as Sculptra, Radiesse, Juvederm, Restylane, and others, a woman (and aging rock stars) can remain slim but still maintain their facial volume.

Honorable Mention: Mick Jagger, the great front man of the Rolling Stones. See Iggy Pop above.

Be well!

One of the most common questions asked by our patients is, “What is this ‘Life Style Lift‘?” The term “Life Style Lift” is a successfully advertised and marketed national face lift and eyelid surgery performed at Life Style Lift Centers in most major US cities by surgeons working on commission for the company. The surgeries are performed under local anesthesia with the surgeon getting a small fraction of the discounted “mini-lift” fee. Debbie Boone,the current spokeswoman for Life Style Lift on cable TV, interviews patients who have had the surgery sharing their wonderful results and stories.

What isn’t covered on cable TV infommercials is that results, risks, and complications will vary depending on the skill, experience, and aesthetic vision of the surgeon who patients are assigned to at the Life Style Lift center, the same as with surgeons who perform mini-lifts outside of corporate Life Style Lift. That’s why we recommend that before any facial aesthetic procedure, patients make sure to do their due diligence and most importantly choose their facial surgeon most carefully.

We are often asked whether we perform “Life Style Lifts”. We perform mini-lifts and eyelid surgeries under local anesthesia in patients who are appropriate candidates for the surgery. Patients who are not candidates have full face/neck lifts and blepharoplasties under general anesthesia to give them the best possible long lasting and natural results.

Scaring After Life Style Lift

An investigative report by an Atlanta, GA news program did an expose on Life Style Lift which can be seen on You Tube and here:

Many years ago I asked a patient who could afford to go to any rhinoplasty surgeon in the world for her nose job why she chose me as her surgeon. She replied that “Seeing is believing!” A friend of hers had an excellent rhinoplasty result under my care, and that was enough to chose me as her surgeon.

For the past 20 years I have admired the facelift results of Vito Quatela, MD whenever I saw his results at conferences, in textbooks, and in facial plastic surgical journals. Dr. Quatela has been a past president of the American Academy of Facial Plastic and Reconstructive Surgery and leads one of the most prestigious fellowship training programs in the world. I have referred a few of my patients who required extremely advanced face/neck lift surgery across the country to be operated upon by Dr. Quatela in Rochester, NY because of his exceptional results. In an ideal world, I would have been able to drop everything, leave my family and office practice for one year to have fellowship training with Dr. Quatela in New York, but the timing was not right.

Sarmela Sunder, M.D. trained with Dr. Quatela this past year as his fellow. Dr. Sunder is bringing her facial plastic surgical training and talents (including the best, most natural face/neck lift this side of Rochester) to Los Angeles, Beverly Hills, and Encino. I am very excited and privileged to announce that Dr. Sunder has decided to join our practice. Dr. Sunder is an exceptional surgeon and wonderful person.

Dr. Sunder completed her internship and residency in Otolaryngology-Head and Neck Surgery/Facial Plastic and Reconstructive Surgery at Stanford University after graduating with honors from Cornell University Weill Medical College. She attended Johns Hopkins where she graduated Phi Beta Kappa with degrees in Anthropology and Public Health. Dr. Sunder is a board certified and fellowship trained head & neck surgeon, who has passed the board certification examination of the American Board of Facial Plastic and Reconstructive Surgery as well as the American Board of Otolaryngology-Head and Neck Surgery. She is happily married and has a darling baby girl.

When I asked Dr. Quatela about Dr. Sunder, he gave her the greatest compliment that any mentor can give their student, replying, “One of my greatest disappointments is that Dr. Sunder was unable to accept my offer to join our practice. I wanted her to remain as my associate.” When I told Dr. Quatela , “That is more than enough of a recommendation for me”, he added, “…and all of her patients, staff, and fellow workers love her.” We are most fortunate and grateful that Dr. Sunder has decided to share her advanced skills and experience with our patients.

The lyrics of the classic 1960’s Monkees song “I’m a Believer” say it all (with slight additions in parenthesis):

“Then I saw her face (lifts), now I’m a believer
Not a trace of doubt in my mind.
I’m in love (with her facelift results), I’m a believer! ”

Please feel free to schedule your complimentary consultation with Sarmela Sunder, MD.

Seeing is believing, and I’m a believer! Be well.

Dr.Persky

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

How to Achieve Your Ideal Chin and a Defined Jawline