At Some Point in Every Woman’s Life She Must Choose Between Her Face or Fanny”

Catherine Deneuve

The most revolutionary concept in facial plastic surgery over the past 10 years is the appreciation that replacing volume in the face is rejuvenating. The most exciting fillers that we are using to sculpt and restore natural facial volume are Voluma and Sculptra. In December 2013 Voluma was FDA approved for restoring volume of the cheeks, lasting up to 2 years. For the past 4 years we have loved using Sculptra to restore volume and the heart shaped face of youth. Once full facial correction is reached with Sculptra, the effects last up to 2 to 4 years until maintenance is needed.

 

Patients are now asking, “What’s better Voluma or Sculptra?” Fortunately, they are both great. In the past few months since Voluma was introduced to the US market, we have been combining it with Sculptra. Voluma is excellent for immediately restoring cheek volume. By lifting the cheeks naturally, it is amazing how the lower eye tear tough hollow, the nasolabial folds, lower cheek lines, and even the jowls are improved. Voluma injections are relatively easy, quick, and comfortable. There is local anesthesia mixed in the Voluma syringe, and we use ice to distract the brain from sensing the injections. Patients wash their face with anti-bacterial soap prior to treatment. One to two syringes are most commonly used at the first visit. Immediate results are seen. There can be swelling for 1 to 3 days, and a minority of patients may have bruising for a few days. We see our patients about 10 to 14 days after their treatment for a face check, post-photos, and possible additional treatment.

Voluma can be used “off label” in other areas of the face but we prefer to use Sculptra in the rest of the face (Sculptra’s only on label use is for treatment of the naso-labial folds.) The amount of volume added with Sculptra is directly related to the number of injection sessions. Sculptra results are gradual over time, maintaining a natural appearance for our patients. Most patients receive 2

6 Months After Multiple Sculptra Sessions by Dr. Persky

6 Months After Multiple Sculptra Sessions by Dr. Persky

vials of Sculptra at their first treatment. They are then seen 6 weeks later for photos and further treatment if needed. Once the patient reaches complete correction they are advised to return for maintenance Sculptra whenever they desire, usually between 1 to 4 years.

For patients who wish the ultimate in non-invasive, non-surgical facial and neck rejuvenation, we combine the use of Ultherapy, the only FDA approved for lifting and tightening the face, eyebrows, and neck (a micro-focused ultra-sound technology) with Voluma and/or Sculptra. In summary, it is wonderful to add a new revolutionary injectable product (Voluma) to the tried and true, safe and effective injectables we have used over the years.

voluma-before-and-after-2The most important aspect of any facial aesthetic treatment is choosing your physician most carefully based on their artistic vision, skill, and experience to insure your best natural cosmetic results in the safest manner. Please feel free to contact us with any aesthestic questions that you or your friends and family may have. We look forward to the privilege of helping you achieve and maintain your facial aesthetic goals. Be well.

Dr. Persky treating patient

Dr. Persky treating patient

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

Acevedo, Clara  (20110720164456973) 20111129163514892As an international lecturer and instructor for Ultherapy by Ulthera, I often hear questions about the pain of Ulthera, “Ulthera is the best lifting and tightening non-surgical treatment for the face and neck, but it is so painful!”, or “But Dr. Persky, how do you manage the pain?”. We are dedicated to keeping our Ulthera patients as comfortable and pain free as possible. Over the past 3 years we have developed techniques that make Ulthera most effective and very tolerable (even in patients with a low pain threshold). Both Dr. Sunder and I are facial plastic surgeons with full knowledge of facial and neck anatomy along with the nerves that can be blocked with a small amount of local anesthesia. Our Ulthera treatments are performed by physicians only.

Today we received these kind words from a patient whom we treated with an extended neck Ulthera treatment just two days ago:

Hi Dr. Persky,

I just wanted to thank you for the terrific treatment on Tuesday. The pain control was spectacular as it seemed you injected me in areas that were already numbed. I have a few small areas of bruising but nothing serious.

The great news is that there is already a marked improvement along the jawline, which is of course what we wanted. I am amazed and excited to see such improvement already.

Thank you also for taking your time and really giving me such a thorough treatment. I am very grateful.

Hope to see you next year 🙂

Aloha and mahalo,
(Name deleted)

Don’t let the fear of pain keep you from looking your best. We understand your concerns and treat you as we would want to be treated ourselves. 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