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

Points from the Video:

00:14- There is a very-very small percentage of patients who really get endorphin type release and happiness with a procedure;

00:50- We have to evaluate whether it is something that is beneficial to the patient;

01:10- If I cant improve upon it, then I let the patient know that;

With all the amazing things that we can do in facial plastic surgery, fortunately, most of out patients are extremely happy with the results. Unfortunately, there is a very-very small percentage of patients who really get endorphin type release and happiness with a procedure and that can lead to almost an addiction to facial plastic surgery procedures. It is important for the individual physician to recognize this in patients. Personally, when a patient comes to me and requests either multiple procedures or procedures after having had other procedures, we have to evaluate whether it is something that is beneficial to the patient. I look to see if a patient complains of something, if there is actually something there that I can improve upon; If I cant improve upon it, then I let the patient know that. Unfortunately, there are many cases where patients will drive a physician or a treatment to beyond where it is indicated and I think we have examples of that in celebrities like late Michael Jackson probably had far too many facial procedures, particularly on his nose and skin color. Heidi Montag is on film documenting feels that she had too many procedures at one time; and so, it is really important for you to see a physician who is able to be realistic with you and frank with you in telling you that you are looking for a little bit of too much; and here at Persky Sunder, both Dr Sunder and I both believe in being truthful to our patients and often times will turn down requests for procedures if we don’t think they are indicating.

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

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

Points from the Video:

00:12- With the increased use of selfies and the facebook, and other social media applications where our faces are there online, patients see themselves a lot more often;

00:53- We are seeing a lot more patients who are wanting to look better for their social media appearances;

There have been many articles recently about social media and its effect on facial plastic surgery. With the increased use of selfies and the facebook, and other social media applications where our faces are there online, patients see themselves a lot more often and they see themselves in positions that they don’t usually see themselves in during a usual kind of photography. So when you are taking a selfie and you are down here like this, your neck shows or your eyes are looking a little bit funny and distorted; some patients want to have procedures done; so yes, we are seeing a lot more patients who are wanting to look better for their social media appearances.

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

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

Points from the Video:

00:20- He shares how people ask him about products like juvederm, voluma;

00:35- He speaks about how any product can be great and any product can result in a plastic surgical disaster;

01:00- He explains why it is important to choose the most suitable aesthetic physician;

01:35- He discusses how they want their patients to have long term plans and results;

People want to know why such and such product is bad; As per Dr. Persky, it’s not about the product; Any product can be great, and any product can be used to make people look like plastic surgical disasters. So it’s not the product, not the treatment, not the surgery, but the person who is performing that surgery. It really behooves you as a patient to do your due diligence and choose your aesthetic physician more carefully, based on their artistic vision, their skill, knowledge and experience to ensure getting the best results. In our practice, there are many times we see patients and tell them that they really don’t need anything; We want to make a long term plan, and help them achieve and maintain their goals for many years. So it’s not about using a particular product in a particular way, but it’s about using everything in an artistic manner that is best for the 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

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.

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!
+ 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!