Persky Sunder Facial Plastic Surgery Archives

“What is beautiful is the honor of being Louis’ mother.”
Sandra Bullock

Congratulations to Sandra Bullock, People Magazine’s 2015 Most Beautiful Woman. The common feature of the beautiful woman featured in “The
World’s Most Beautiful issue (#MostBeautiful) is the exquisite symmetrical geometric proportions of their faces. Leonardo da Vinci used mathematics and observation dividing the face into horizontal thirds and vertical fifths (each fifth the width of the distance between the inter corners of the eyes.) da Vinci(1485) discovered the “Devine” ratio of 1 to 1.68 representing beauty. For instance, if the upper lip is 1 unit wide, a beautiful natural lower lip should be 1.68 units wide. The same holds for the width of a nose to the length of it.

We meet new patients everyday who request an honest evaluation of their facial appearance. Fortunately, both Dr. Sarmela Sunder and Dr. Michael Persky are experts trained in facial proportions and facial anatomy. We use the classic golden proportions first used by da Vinci in his art to guide our facial aesthetic procedures, whether with injectable fillers or surgical procedures.

We take our time to evaluate the patient’s anatomy, listen to their wishes, get to know what their motivation is for their treatment wishes, and establish a relationship and plan for their optimum treatment. We then use our experience and skill with stage of the art procedures to carry out the cosmetic plan in the most effective, safe, comfortable, and cost effective manner with the ultimate goal being natural beauty, a rested, refreshed appearance.

Once again congratulations to Sandra, a most beautiful woman. Be well!

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

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!

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!

persky selfie Seems like we have seen at least 10 social media articles a day since Thanksgiving asking, “Are Selfies Leading to More Plastic Surgery Procedures?” The answer is a resounding, “Yes!!!” E’nuff said!

Social media sites Facebook, Instagram (owned by Facebook), Twitter, and others have millions of self taken images for both the subject and the world to see. Add to that the online dating sites, and “looking’ good” has never been more popular.

The focus of the face should be on the eyes, the “windows to the soul.” Selfies, because they are by definition taken by the person in the image, are taken from bad angles which usually accentuate any minor facial flaw, drawing attention away from the subjects eyes. This leads patients to seek treatment of what bothers them on their selfie photo.

Whether it is something minor that is corrected non-invasively with a few units of Botox or a syringe of Voluma, or something that requires surgery such as rhinoplasty to remove a hump from the nose, or a mini-face/neck lift for the jowls and neck, the treatment should result in a natural appearance that returns the focus of the face to the subject’s eyes.

When choosing your facial plastic surgeon, take your time, do your due diligence, and make your decision based on their skill, experience, and most importantly their natural artistic vision.

As for my selfie above, fortunately there is a double standard in our society whereby men can get away with more aging, thus I will just perform and write about more facial plastic surgical procedures based on my selfie rather than seek treatment for that funny looking face. Be well!

Michael Persky, MD and Sarmela Sunder, MD are Voluma injection experts (certified in The deMaio Voluma Master Injection Technique), and have the greatest experience injecting Voluma in the area. Voluma immediately replaces lost volume in the face. We have attached a few videos about Voluma to this blog post for our patients educational benefit.

Voluma was FDA approved for use in the USA in December 2013, but has been a favorite filler in Europe since 2008 as demonstrated in this video:

Our New York City aesthetic dermatology colleague Doris Day, MD demonstrates Voluma injections on the Bethnaey Frankel Show below:

Shino Bay Aguilera, Miami, FL demonstrates his “Rejuva-Lift” technique with Voluma, and using Sculptra along with Voluma:

Lastly, our facial plastic surgeon colleague Steven Weiner, MD, Destin, FL shares a patient testimonial of his 64 year old patient:

Our patients at Persky Sunder Facial Plastic Surgery love the natural results that Voluma gives our patients. Please feel free to contact us with any questions that you may have regarding facial plastic surgery. Be well.

One of the most popular treatments today at Persky Sunder Facial Plastic Surgery is CoolSculpting by Zeltiq. It has been referred to as “Freeze the Fat”, “Squeeze it and Freeze it”, or by some of our patients as just “The Fat Machine”. As I write this, we have a patient having his “love handles” and “tummy” reduced while he works on his computer between catching a little nap. The treatment is ideal for those who wish to get rid of or reduce that annoying bulge of fat that is resistant to diet and exercise.

Coolsculpt ad2 CoolSculpting takes one hour per area and is pain free. There is no downtime and you may return to normal activities immediately. The results can be seen as early as two to three weeks, and continue to improve over a 2 to 4 month time period. The fat bulge is reduced 20 to 25% each treatment so depending on how much fat is present at the beginning, it may take from 1 to 3 or 4 treatment sessions for ideal results. Our physicians personally perform all of the treatments to insure your safety and best results. If you can “pinch an inch” and want to freeze the fat or squeeze it and freeze it, feel free to contact us. Be well!

To see before and after images of CoolSculpting go to this link: http://www.coolsculpting.com/proven-results/before-and-after/

The effects of aging are most noticeable on the face as it bears the full impact of dirt and dust, environmental pollution and harmful UV rays of the sun. This results in the skin losing its elasticity and sagging in the region of the neck, drooping eyebrows and a baggy look around the eyes and lips. People in their late thirties and early forties are also facing this problem. Even a couple of years back, the only treatment available was a facelift, a completely surgical method. But with the introduction of Ultherapy in the USA a couple of years back, this has been simplified to a great extent. If you contact Dr Persky at 818-501-3223 for facial plastic surgery in Encino, he will tell you how much Ulthera in Los Angeles has gained in popularity over conventional surgical facelifts.

Ulthera is an ultra-sound device that is handheld and placed on the areas of the face that has to be tightened and targets particular muscles. Hence it is totally non-surgical and non-invasive in nature. Some patients report discomfort and a hot stinging pain. It is usually taken care of through local anesthesia or oral pain-killing medication. Surgeons who conduct facial plastic surgery in Encino often let cool air blow over the area to reduce the sensations. The whole process takes about an hour and is done in the office. Because there are no scars or swelling to heal, there is no downtime or recovery period. One can go for Ulthera in Los Angeles and resume normal activities almost immediately.

The full effect of ultherapy takes about 2 to 3 months to be visible. The patient will look absolutely rejuvenated and youthful and this will last for about 2 years when a second treatment will be required. Those in the age range of 35 to 60 will benefit most from ultherapy.

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

The more beautiful they are, the harder they fall…for Voluma that is. Voluma continues to amaze. For that instant “pick me up” there is nothing in the history of man that immediately gives a “Wow” when the mirror is looked into. Treating several very beautiful women who are attractively even more beautiful with a little Voluma in the right place. Most fortunate to have early US experience with Mauricio de Maio, MD Sao Paulo, Brazil, de Maio Voluma Masters Injection Technique certification. Voluma is usually thought of as a great filler to replace cheek volume in aging faces. It is amazing at just that, but anywhere from 2 to 6 cc may be needed for optimal aesthetic results.

Getting back to beautiful women who are first seeing the earliest signs of facial volume loss, particularly in the mid-face, under the eyes, around the mouth, with 1-2 cc of Voluma, wow, beauty more so! We have treated over 400 happy Voluma patients. Most grateful to all of you, be well!
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 world has lost a great woman, plastic surgery has lost it’s best spokeswoman, rest in peace funny lady, may your soul be bound to eternal life. Our deepest condolences to her friends and family.

Ms. Rivers wrote a patient’s guide to plastic surgery after consulting with 26 plastic surgeons, “Men Are Stupid…and They Like Big Boobs!”

Joan Rivers on Plastic Surgery:

“My face is falling so fast that when my gynecologist examines me he wears a hard hat!”

“Money can’t buy you happiness, but it can pay for the plastic surgery.”

“When they bury me and dig me up, they’ll discover I’m absolutely non-biodegradable and non-recyclable.”

“I want to get cloned so that I can see what I look like without all the plastic surgery.”

“My motto is “Better a new face coming out of an old car than an old face coming out of a new car.” Spend your money on you.”

“I wish I had a twin, so I could know what I’d look like without plastic surgery.”

“I’ve had so much plastic surgery, when I die they will donate my body to Tupperware.”

“Looking 50 is great – if you’re 60.”

“I’m never without a bandage.”

“The only way I can get a man to touch me at this age is plastic surgery. And I want to be awake!”

“No more Botox for me. Betty White’s bowels move more than my face.”

“I saw what’s going on under my chin. I don’t want to be the one the president has to pardon on Thanksgiving.”

We will miss you.

Full Facial Evaluation…The World’s Most Beautiful Woman 2015

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