Michael A. Persky, MD, Mauricio de Maio, MD @ de Maio Voluma Masters Technique Course

Michael A. Persky, MD, Mauricio de Maio, MD @ de Maio Voluma Masters Technique Course

Voluma (Allergan, Irvine,CA) is a revolutionary facial filler that has just been FDA approved for use in the U.S. Voluma has been used outside of the US for many years. Voluma is the longest lasting hyaluronic acid filler, lasting up to 2 years. It is an enhanced form of Juvederm, an injectable filler that we have been using for years.

The most common and pressing question about Voluma is, “How much does Voluma cost?” The answer to this question is complex. With injectable fillers, patients must realize that they are not paying for just a product, Voluma in this case, but they are paying for our physicians expertise, experience, and artistic vision of beauty, all of which result in natural long lasting results with the assurance of patient safety being a priority. Our knowledge of anatomy, where in the face a millimeter can be the difference between an excellent result or a serious untoward complication, gives our patients the best chance to avoid adverse events. All of our injection treatments are performed by our surgeons. At Persky

Voluma 2Sunder Facial Plastic Surgery the cost of Voluma varies depending on how much the patient needs. Both Dr. Persky and Dr. Sunder are Master Injectors of Voluma, having completed the de Maio Master’s Voluma Technique Course taught by the brillant Mauricio de Maio, MD, Sao Paulo, Brazil, a renowned plastic surgeon and expert Voluma pioneer injector. Dr. Sunder and Dr. Persky were privileged to be included in the group of only 30 US facial filler injectors to be recently trained by Dr. de Maio.

Voluma Persky injectingThe FDA approval studies on Voluma concluding that Voluma lasts up to 2 years was based on the trial US physicians injecting an average of 5 to 6 syringes of Voluma. 5 to 6 vials of Voluma is a very expensive proposition. Dr. Persky and Dr. Sunder (as well as our patients) have benefited from de Maio’s Advanced Master techniques by becoming experts in where to inject Voluma to get the “biggest bang for the buck.” Dr. de Maio, and now Dr. Persky and Dr. Sunder are consistently able to get the same or even better facial aesthetic rejuvenation with 1 to 2 syringes of Voluma, rather than having to use 5 to 6 syringes. Therefore our patients benefit not only from a natural facial rejuvenation of their cheeks, eyes, nasolabial folds, marionette lines, jowls, and jawlines, but they are able to achieve those results with less expense.

Voluma before-after-juvederm-voluma-1In order to achieve these dramatic results with less Voluma, all patients undergo a comprehensive beauty analysis by our physicians. It is the beauty evaluation, technical injection skills, and most importantly artistic vision of Drs. Persky and Sunder that results in very high patient satisfaction and natural aesthetic results.

The cost of Voluma at Persky Sunder Facial Plastic Surgery varies from $1200 to $800 per syringe depending upon how much volume the patient needs over a year’s time. The first syringe of Voluma is $1200, each syringe used at the same injection session is $50 to $100 less.

voluma-before-and-after-2Voluma lasts up to 2 years. As with all aesthetic procedures involving the face, it is most important to choose your physician most carefully. There will be plenty of clinics offering Voluma at discounted prices, injected by non-physicians and even untrained, inexperienced physicians, both of whom may lack the artistic vision to insure excellent, natural results. Unfortunately we will be seeing more “Housewives of Beverly Hills, Housewives of Miami, etc.” cheeks and lips on a stick unnatural results from improper use of Voluma. Buyer beware!

To learn more about Voluma, feel free to contact us, watch our videos, and follow our blogs. We look forward to the privilege of helping you achieve your facial aesthetic goals! Be well.

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

“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!

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!
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