facial fillers Archives

Reversing visible signs of aging that have developed on your face without having to go through extensive plastic surgery can be accomplished through the use of various injectable fillers and neuromodulators (Dysport® and BOTOX® Cosmetic). Facial fillers have become one of the most popular and recommended alternatives to surgery. Dr. Persky is a non-invasive facial rejuvenation expert, practicing with the original fillers (collagen) and ‘toxes since 1985. In Dr. Persky’s hands these treatments are quick, easy, safe, and effective. Although Dysport®, BOTOX® Cosmetic, and injectables can provide patients with excellent and long-lasting results, unfortunately, even non-surgical procedures can come with risks and side effects, one of the most common adverse effects is bruising. There is an old adage, “You bruise ‘em, you lose ‘em!” Dr. Persky does everything possible to minimize bruising in his patients. Thankfully, there are techniques and protocols to minimize this bruising during your treatment.

If you are interested in Facial Filler Injections, please schedule your consultation with Dr. Persky by calling (818) 918-9252. Join our newsletter to receive special offers & promotions exclusively available for subscribers.

What Are Cannula Needles?

Bruising is known as one of the most common complications that come with facial injections. While some patients may experience minor bruising after their treatment for only a few days, others with sensitive skin may not be so lucky. Fortunately, Dr. Persky has found a way to reduce bruising by using the smallest needles possible, and when indicated, a blunt tipped needle not a sharp cannula.

A cannula tip is blunt and round-tipped, it does not cut sharply through the skin, blood vessels, or nerves. Unlike sharp needles, a cannula is much less likely to pierce blood vessels, which result in bruising. Likewise, they are less likely to cause pain by piercing a nerve during the injection. Cannulas may be longer than most needles and can easily reach more areas with fewer entry points into the skin. Because they are less likely to pass into your vein or artery, cannulas cause less bruising and swelling. Most importantly, cannulas add a great deal of safety to your facial filler injections. One of the most dreaded complications of injectable fillers is vascular occlusion. Vascular occlusion occurs when a filler is inadvertently injected directly into an artery or vein. The blocked artery can cause tissue loss, blindness, or even stroke. The chances of entering a blood vessel with a cannula are miniscule compared with a needle. It is critical for patients to choose their injecting physician based on the injecting physician’s expertise, knowledge (particularly of facial vascular anatomy), experience, and skill to minimize the chances of injectable filler complications. Fortunately, Dr. Persky, with his years of facial plastic surgery experience, knows the facial blood vessel anatomy and uses that knowledge to minimize adverse injectable events. In addition, Dr. Persky possesses natural artistic vision to create natural results.

Your Consultation

To minimize bruising during your facial injection treatment, we begin with our initial consultation. Patients with a history of any previous bleeding problems, medications that have “thinned” their blood, or those who struggle with high blood pressure may not undergo treatment until these issues have been evaluated and treated. You will be asked to stop all medication that can increase your chances of bleeding for at least one to two weeks. These medications include:

Aspirin
MOTRIN®
Aleve®
Advil®
Anything with Ibuprofen as an ingredient

How Does It Work?

Since the tip of a cannula is rounded and not sharp, it cannot puncture the skin. Therefore it is necessary to use a needle of equal diameter to make a small entrance puncture in the skin through which the blunt cannula is passed. During your treatment, the round, blunt tip of the cannula needle pushes blood vessels and sensory nerves aside while injecting the filler. The opening on a cannula is located toward its tip on the side. While cannula use takes a little bit more time in inexperienced hands, it is well worth the decrease in bruising. With Dr. Persky’s years of experience with cannula use, he finds that not only are complications much less likely, but that the treatments are quicker and much less painful than with standard needle use.

beautiful girl in a white dress in a field with ears at sunset in summer-img-blog

Recovery

If any bleeding occurs during your treatment, manual pressure will be maintained for a few minutes on the treated area. Ice may also be used to reduce the bleeding. If Dr. Persky suspects any possibility of bruising, he will place a small clear Arnica® gel patch on the area. You will be asked to wear the patch for at least six hours and then replace the patch with a new one before you go to bed.

To learn more about cannula needles and to determine if injectable fillers are right for you, please call our office at 818-501-FACE or schedule a consultation with us online today!

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

Points from the Video:

00:05- He introduces voluma as the hottest filler of today;

00:40- He speaks about how 1-2 syringes of voluma can give some incredible results in patients;

01:15- He shares the effect of voluma in beautiful women and in people who already look great;

Voluma is the hottest filler that we have today; It was FDA approved for use in the US on Dec 13, and we have been using it off and on. The indications are to restore volume of the cheeks; As per the initial studies, patients were receiving 4-5-6 syringes of voluma. What is surprising to me is that we are able to use 1-2 syringes of voluma in the proper strategic area and get incredible results. So, initially when we were treating patients with voluma, the patients really needed volume and they were coming in, and we were filling them. But recently, we have had a couple of very, very beautiful women coming in the office. By using a small amount of voluma in a beautiful woman, it makes her even more beautiful. It was an insight for me to see how well voluma works in someone who already looks great. So it’s not only to restore volume in patients who really need a lot of volume, but it almost works best in those patients who have a good volume but are just starting to see the earliest signs of a little loss of volume.

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

Ageing is not only about maturity and experience, but it is about lines and wrinkles too. Common areas are the cheeks, cheekbones and chin. Your cheeks may lose volume and your skin may begin to look sagged. Voluma Los Angeles is the latest range of hyaluronic acid fillers that has been specifically designed to help people restore volume in areas of volume loss.

What happens is that as you age, a noticeable facial fat loss, and loss of skin’s gravity and natural elasticity tend to make you appear much more aged than you actually are. At times, this may lead to a narrower and less youthful forehead and temple area, and a wider jaw line, thus making you look quite unappealing.

Dr. Persky of Encino, a vastly qualified and experienced plastic surgeon carrying out Cosmetic Surgery in Los Angeles, is an expert in facelift with voluma. When you get in touch with Dr. Persky, you may come to know that voluma is a non-surgical procedure and helps you restore a softer and more youthful appearance. The best part about voluma is that it has no recovery period and the results can be observed almost immediately. Voluma is one of the most commonly used facial fillers and is frequently used to revolumise the cheek, cheekbones and chin. Voluma is placed deep inside with the tissues, and so, adds support to the overlying skin, thus restoring your facial contours.

During your initial consultation with Dr. Persky, you may see the before and after photographs of his previous patients, and you will find how well the procedure works for your face. Those in their thirties or forties may get treated by voluma. Seek a preliminary consultation with Dr. Persky in Encino for treatment with voluma in Los Angeles.
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

The process of ageing is something that none of us can control. Adults of any age, at times, tend to notice changes at the mid- face area, the chin, or at the jaw line. The most commonly observed effects of ageing include a visible decrease in the facial volume, sagging of the cheeks, and loss of noticeable contour around the chin. The most effective way to stop these effects of ageing is to undergo a facelift.

People who are in their thirties or forties, may get treated by voluma in Los Angeles. Voluma is the only FDA approved injectable gel that can instantly add volume to the area under treatment (usually cheeks and mid face). The best part is that voluma is a non surgical procedure and helps you restore a more youthful and rejuvenated profile. The procedure has no recovery period and the results can be observed almost immediately (however, the full impact may be seen in a few months). Unlike other facial fillers, voluma’s unique gel is formulated to flow consistently, resulting in smoother results when injected.

Dr. Persky of Encino, a vastly qualified and experienced surgeon carrying out Cosmetic Surgery in Los Angeles, is especially trained in facelift with voluma. During your consultation with him, you may see the before and after photographs of previous patients of Dr. Persky. You’ll find that it really works wonders for your face. The procedure of adding voluma reverses the deflated, sunken look and restores a more youthful appearance. Voluma is also the first hyaluronic formula that can work on all skin tones.

Seek a preliminary consultation with Dr. Persky in Encino for treatment with voluma in Los Angeles.

Voluma in Los Angeles is one of the most effective FDA approved facial fillers that reverses early signs of aging, giving a refreshed and young look. It’s a non-surgical, non-invasive procedure without any downtime. In the absence of incisions there’s no swelling and bruising. It is an injectable gel given deep within the sub-cutis layer of the skin and expands in volume after being administered, filling hollowed out facial features that are primary indicators of aging. It contours the face and the result of a complete treatment session last for about 2 years, one reason why Voluma in Los Angeles is often called a mini facelift. This is against a traditional facelift whose impact is visible over 7 to 10 years.

Only a trained and certified plastic surgeon can successfully carry out this procedure. It requires in depth knowledge of facial anatomy. The right doses must be given in accurate places to craft out a natural and symmetrical look. In the hands of an inexperienced surgeon, the facial nerves might be at risk. Dr. Michael Persky, MD, at Encino, CA is one such board certified surgeon who has effectively carried out numerous procedures with Voluma in Los Angeles. During an initial consultation with him for a mini facelift, ask for before and after photographs of his previous patients. You can immediately evaluate his expertise in this treatment.

Voluma offers greater lift to facial features than other facial fillers as it is extremely light in weight. It also expands after being injected thereby filling out the face quickly. The surgeon will usually massage the treated area to quicken this process and to ensure that it spreads evenly. Any bruising is treated with an ice-pack. There will be a degree of redness in the injected area which lasts only for a couple of days after which the patient can return to normal duties. Next time your mirror tells you that you need Plastic Surgery Los Angeles to turn back the clock, remember that Voluma in Los Angeles can do wonders for you without the pain and trauma of surgery.

Mary: Is that… is that hair gel? From “There’s Something About Mary“

We have just returned from Phoenix, Arizona this weekend where the Sculptra Aesthetic Training and Education Relaunch Advisory Board was held. About 20 of the world’s top Sculptra injectors met to discuss their vast experience with the use of Sculptra. We were humbled and honored to be included with these brilliant, creative, artistic aesthetic physicians.

oxman sculptra Sculptra (Galderma; Dallas, TX a subsidary of Nestle; Vivey, Switzerland) is Poly-L Lactic Acid (PLLA), the same material that make up absorbable sutures. Sculptra has been used since 1999, was first FDA approved to stimulate volume in patients with HIV lipodystrophy in 2001 in the US. It was approved for cosmetic use in the US in 2004. Sculptra is safe, effective, and has many benefits.

We have found the use of Sculptra to be among the best values of facial rejuvenation because of it’s long lasting nature as well as the ability to treat the entire face. Though Sculptra is used in patient of all ages, it is best to begin Sculptra treatments in young patients as less is needed and the aesthetic benefits are quickly seen. Our faces begin to lose volume (bone and fat) from about 25 years old on. A vial of Sculptra properly placed can reverse the earliest signs of facial aging…mid-face hollowing, hints of jowls, and sagging jaw line.

Sculptra patients look younger. Among the best candidates for Sculptra are athletic wasted faces, post-face lift patients, and patients 45 years old or younger with mid face volume loss, especially men. Sculptra is a unique product in that it provides both lifting and tightening of the face and neck. It not only stimulates mcrae sculptra increased volume in the face, but there is a “Sculptra Glow” of the skin. With Sculptra patients get the benefits of many products combined resulting in improved facial structure and skin improvement. In thin skinned patients with dynamic smile/sleep lines on the sides of their face/cheeks, Sculptra can correct these difficult to treat lines and improve the quality of the skin long term.

Along with improved general skin quality, Sculptra most impressively corrects acne scars. It is also being used to improve the skin and lines of the decollette` and to rejuvenate hands. It is being applied topically after fractionated CO2 laser treatment to markedly improve laser results. We have found that patient results with Sculptra are greater when the patient commits to an excellent skin care product regime during and after their treatment.

The key differentiator of Sculptra is that it stimulates the patient’s own collagen production resulting in natural volume replacement. It is also unique Sculptra male in that the effects of Sculptra occur gradually over weeks to months, and then the results are the longest of any non-permanent facial filler. It is also the only facial volume injectable that heat devices such as Ulthera and lasers can be used over. In fact, we have found that the effects of each of these treatments are exponentially increased when used together!

Sculptra is well suited to allow those of us expert in facial evaluation and aesthetics to use our artistic vision treat the whole face and attain natural beautiful results for our patients.

An article in JAMA Facial Plastic Surgery Jan/Feb 2015 by HH Chen, et.al. has documented the quantitative effectiveness of Sculptra over a long time period. The incidence of complications and adverse events with Sculptra are minimal because of the knowledge and experience of it’s use over the years.

There is “something about Sculptra” that has made it one of the best choices for both men and women of all ages to look younger and improve the long term quality of their skin. Should you have any questions about Sculptra please feel free to contact us. Be well!

“Beautiful young people are accidents of nature. Beautiful older people are works of art” Eleanor Roosevelt

Voluma is revolutionizing facial plastic surgery and facial aesthetics. Sarmela Sunder, MD and Michael Persky, MD were privileged to attend Dr. Mauricio de Maio’s “Master Course” in Los Angeles, CA this week.

Voluma (Actavis, formally Allergan), a cross-linked hyaluronic acid is the only injectable filler that is strong enough to correct facial sagging. Sagging as we all know is a nasty word, and an even nastier term when applied to ourselves. In the past, injectable fillers have been directed towards correcting lines and wrinkles. Let’s face it (no pun intended), as Dr. di Maio asks, “Would you rather have someone tell you that your face has lines or tell you that your face is saggy?” Voluma corrects saggy!!! Along with correcting saggy, lines and wrinkles improve as well.

At the eight hour live injection session we were privileged to inject 6 women in their 40’s under the guidance of the artistic and experienced eye of Dr. di Maio. Using Voluma in the most efficient, safe, and effective manner combining our injection skills and artistic vision along with Dr. di Maio’s almost 10 year experience of injecting Voluma (FDA approved for use in the US only since Dec 2014) by the end of the injection session all 6 women were extremely pleased with what 2-3 cc of Voluma did for them. Here is the text message that we received the following day, “Hi Dr. P!! I LOOOOVE everything!!! Thank you so much!!….”

Each Voluma patient was asked what they liked best about their cosmetic result. Amazingly, every patient commented about how they loved how their jawline and neck appeared to be lifted. They also loved how Voluma lifted their eyebrows and improved the appearance of their eyes. These effects resulting from knowing where and how to inject Voluma in the proper anatomic location to maximize it’s lifting capability. The knowledge and experience gained this under Dr. di Maio’s tutelage will greatly benefit our patients going forward.

Another important benefit of The Master Course is knowing where to not inject filler in patients, the so called “No Go Zones” to avoid causing sagging, nasolabial fold “sausages”, and the dreaded “apple cheek.” As Dr. di Maio stated in his Brazilian accent, “No human being should be made to look saggy by our treatments.”

Knowledge of the proper facial anatomy is essential for safe injections and minimizing the risk of adverse events. Dr. di Maio drew out the important facial landmarks including blood vessels, nerves, muscles, fat pads, and bones on live models. Once again, as with all aesthetic procedures, it’s not just the product, but it is how it is used, the technique and philosophy of it’s use! Hence the importance of choosing your facial plastic surgeon most carefully.

Voluma, when used properly by experienced, skilled injectors with natural artistic
vision, is a true aesthetic game changer, reversing the effects of gravity on the face and neck. It is our firm belief that every patient above the age of 30 years old can benefit from Voluma. In this day of selfies and iPads/iPhones, women in their 30’s are seeing the signs of loose skin, early signs of jowls, and mid-face hollowness. Voluma can replace lost structure, restoring the foundation that keeps our skin in place, even when we tilt our head down. Try it yourself. Look in the mirror with your chin to your chest. Now check out your jawline and jowls. In youth, facial and neck skin stays where it belongs even when looking down, but as we age, it folds and falls. Worse yet, the older we get the more things fall and sag. Now we finally have an answer that defies gravity, Voluma! By the way, when taking those selfies, always take them from above, you will thank us for that! As Dr. di Maio said, our Voluma treatment goal is for you to “Live Your Life, Tilt Your Head Down!” and “To not look saggy when using your iPad!”

Voluma is stronger and lasts longer than all other fillers, therefore it costs more than other fillers. In premier practices such as Persky Sunder Facial Plastic Surgery, you are receiving not only Voluma, but most importantly you benefit from our technique and philosophy of it’s use. We are among a select few of Voluma experts in the United States, having injected over 500 syringes last year and having attended five di Maio Master Voluma Courses. For those able to afford complete corrective Voluma treatment, dramatic rejuvenating results are obtained in a 30 minute treatment session. For those on limited budgets, The Master Course has given us the tools to treat sequentially over time and multiple visits, using Voluma in the area where our patients get their biggest bang for their buck. When their budget allows for more, we add on to their correction with further strategic placements of Voluma. Voluma lasts up to two years when the proper volume is used.

Feel free to contact us with any questions that you may have regarding Voluma, facial plastic surgery, or natural beauty in general. Be well.

Voluma is a revolutionary facial filler that takes years off one’s appearance in a 10 minute injection session, as long as it is injected properly. The absolute best candidate for Voluma treatment is a relatively young person who is seeing the earliest signs of aging in their face. Young patients see dramatic improvement with minimal Voluma (Voluma works well for all ages, but the older the patient, usually the more syringes are necessary.)

We all know that “tired look” as our cheek begins to deflate because of natural volume loss. The cheek has a mild depression from the nasal corner of the eye obliquely to the mid-cheek. This also accentuates the early hollow under the eyelids, the nasolabial fold “laugh lines”, and even premature jowling.

Young patients with these very early signs of aging respond extremely well to strategically placed Voluma. It usually only takes 1 or 2 syringes of Voluma to re-create youthful, natural beauty. The injections are relatively painless. It is most important that patients who are contemplating Voluma make sure to choose their injecting physician most carefully. As with all facial aesthetic procedures, the results should look natural and not “done” or “plastic.” This is accomplished by choosing a well trained physician injector who is skilled, experienced, and has a natural artistic vision of beauty.

Both of our physicians, Sarmela Sunder, MD and Michael Persky, MD are among only a few of US Voluma de Maio Voluma Master Injection Technique trained physicians. They have the most experience injecting Voluma in their area,injecting the most Voluma since it was FDA approved December 2013 (over 300 syringes injected). What we love the most about Voluma treatment is the invariable “Wow!” that patients share when they see themselves in the mirror the first time following the injection.

Please feel free to contact us with any questions that you may have regarding Voluma or any other facial cosmetic procedures. Be well.

Minimizing Bruising After Facial Filler Injections

If you are interested in Facial Filler Injections, please schedule your consultation with Dr. Persky by calling (818) 918-9252. Join our newsletter to receive special offers & promotions exclusively available for subscribers.

What Are Cannula Needles?

Your Consultation

How Does It Work?

Recovery

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