Restylane Silk best

Restylane Silk is a unique hyaluronic acid facial filler that appears to be the best treatment for lip lines and natural lip augmentation. Galderma recently invited top facial filler injecting physicians from around the world to Dallas, TX for the Galderma Aesthetic Injection Network (GAIN) to certify them to become Restylane Silk (and other product) trainers. Dr. Michael Persky was honored and privileged to be among those at the GAIN conference.

Persky Sunder Facial Plastic Surgery is among the first practices in the US and California to use Restylane Silk. The product has been used in Canada, Europe, and outside the US for about 5 years. It differs from Restylane and Perlane as it’s hyaluronic acid particles are filtered to be the smallest among facial fillers. The tiny size of the particles allows Restylane Silk to naturally spread where it is injected, resulting in a very natural smooth filling of lines and wrinkles. It is a very soft product. It can be used by itself to augment lips and to take care of those most difficult to treat vertical (smoker’s) lip lines.

In the study that resulted in US FDA approval for Restylane Silk, ninety-eight percent of subjects reported improvement in their lip fullness 14 days after injection and 76% of the subjects still had lip improvement 6 months after their injection. Experienced Canadian plastic surgeon Arthur Swift, MD stated that his experience is that it lasts close to nine months.

Dr. Persky is injecting this amazing product now and feels that it is a unique product that adds to the ability to create naturally beautiful lips. It is FDA approved and available only to a very limited number of healthcare professionals.

As with all facial aesthetic procedures, the most important aspect of the treatment or product is making sure that you choose your treating physician most carefully, based on their skill, training, experience, and artistic vision.

Please feel free to contact us with any questions that you may have regarding Restylane Silk. 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

It’s always nice to start a Monday morning on a positive note. We received this email this morning from a patient whom we have been treating for years with BOTOX® Cosmetic and fillers, but she was always very reluctant to do anything with her lips for fear of having that “obvious” lip augmentation appearance.

Woman with full, voluptuous lips against a black background.

Last week, after closely examining our office staff members whose lips we have treated, she agreed to a conservative lip augmentation injection with JUVEDERM®. We used a cannula to inject a conservative amount of JUVEDERM® a few days ago. As with anything in plastic surgery, less is usually more, one should not have the obvious “plastic look”, especially with lips. After her treatment, when given the mirror to look at her lips, our patient said, “Oh, my daughter is going to know!” We asked that she call us and let us know.

Here is her email today: ” Hi Dr. Persky,

Just wanted to tell you I love my lips and my daughter did not notice until I told her. I could probably even add a little more to my upper lip but I’m hesitant to do it.

And…I got carded – twice – Saturday night thanks to you!

Thanks for everything,”
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!

“A man had given all other bliss, And all his worldly worth for this, To waste his whole heart in one kiss Upon her perfect lips” Alfred, Lord Tennyson 1809-1892

Our first patient of the day today was reading British author E. L. James erotic novel “Fifty Shades of Grey” when I entered the treatment room. 50 Shades is not exactly the “best written” book in the history of literature, and probably has Lord Tennyson turning in his grave with each page read. As they say about 50 Shades, “the writing is not that great, but the story kept my attention.” One of the many oft repeated phrases by Christian to Annatasia in the novel is, “I told you to stop biting your lip, you know that it drives me crazy!”

Sexy lips not only drive the main character of 50 Shades crazy, but they are quickly becoming one of the most requested treatments in our office. Lips do not, and should not be enormous to be sexy. In fact, less is usually more when it comes to natural lips. New techniques and injectable products have revolutionized lip augmentation in our practice.

Like snowflakes, no two sets of lips are identical. The first step in creating beautiful sexy lips is analyzing the patient’s lips with an artistic eye. Secondly, we then visualize what the ideal lip would be for that individual. Leonardo da Vinci’s Devine Proportion or the Phi Ratio of 1:1.67 is kept in mind when creating sexy lips. The lower lip should be larger than the upper lip by close to that golden ratio (upper lip should be 70% the size of the lower lip). Lastly, the lips must be technically injected properly with the appropriate injectable product(s).

sharpvsmicrocannula_620pxThe introduction and use of blunt tipped canullas have revolutionized our lip treatments. The blunt tip has the advantage of not cutting through nerves and blood vessels of the lips so that the injections are much less discomforting, and there is considerably less, if any, bruising. Upon patient request, we can use local anesthesia nerve blocks prior to lip injections, but with the use of canullas and local anesthetic in the fillers, most patients do not require the additional anesthesia. The blunt tipped canulla also finds its way into distinct anatomic spaces of the lip that have lost fat, allowing the spaces to be easily refilled in a natural way. This results in shortening, elevation, and eversion of the upper lip even before any filler has been placed into the body of the lip. Juvederm is used to replace lost fat deep in the lip, as well as in the body of the lip to increase volume. Restylane is used to accentuate the vermillion border (the red-white border) of the lips. The newest FDA approved filler, Bolotero, is a thin hyaluronic acid that is used for the fine vertical lines of the lips.

Seeing sexy new natural lips on our patient this morning after her 15 minute treatment session, the comfort that she underwent the procedure with, and her copy of “Fifty Shades of Grey”, I realized that thanks to these new techniques and products, our treatment room no longer rivals Christian’s sado-masochistic, tortuous “Red Room” in painful experiences, but just in case, for those patients who request it, we will give them a “safe word” during their injection treatment.

A foolish man tells a woman to stop talking, but a wise man tells her that her mouth is extremely beautiful when her lips are closed” Anonymous (for obvious reasons)

Wishing you happiness and health this holiday season and into the New Year. 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!