Billy Crystal’s Saturday Night Live character Fernando said things like, “When you look marvelous, you feel marvelous” and “Remember, it’s better to look good than feel good!” Well he may not have been too far off.

Recent studies have studied the effect of the neuromodulators Botox®, Dysport®, and Xeomin® on depression. The studies have shown that Botox® may be as effective for the treatment of depression as anti-depressants. The reason for this is thought to be the synaptic axon connections between facial muscles and part of the brain that senses expressions on the face caused by these muscles. Our brains can sense the expression on our face. When we look sad, tense, or angry, the facial muscles are contracted, the brain senses this and we feel sad, tense, or angry. There is a feedback loop that reinforces mood. The brain can also sense when the face looks relaxed, calm, and happy. Botox® relaxes the muscles that create angry, stressed faces, therefore the patient cannot make the angry unhappy face, quite the opposite results, a rested, calm, happy face. The majority of Botox® patients report “feeling really good” a few days after their Botox® injections. Many facial plastic surgeons believe that we may be treating depression with Botox® within the next 5 years.

There has been a large increase in the number of millennials who are requesting facial aesthetic treatments. The rapid rise of “Selfies” and the effect of the Kardashians have led to a rise in patients 30 years old and younger seeking facial aesthetic treatment. The most popular millennial requests are for lips, cheek and facial volume enhancement, fine line treatment and prevention, and skin care.

INJECTABLE COMBOThe treatment of young patients demands a most conservative and natural approach. Patients wish to look like themselves only better. All patients should be extremely careful in choosing their aesthetic physician based on their skill, experience, care, and most importantly natural artistic vision!

Minimal amounts of Restylane Silk® and Juvéderm Ultra Plus® are used to create soft, full, natural, sexy lips in younger patients. A little more can always be added if needed, but lips that are too large, out of proportion, or shaped like a Lip Augduck’s bill are to be avoided at all cost.

Faces begin to lose bone volume from age 25 on resulting in early facial sagging. Hollows under the eyes, diagonal cheek valleys, nasolabial folds all immediately improve with properly placed Juvederm Voluma® and/or Sculptra®.
Dr. Michael Persky is on the advisory board and a clinical injector trainer for Sculptra®, and has injected more Voluma® than any other practice in The Valley.

Botox® used in miniscule doses on younger faces gives a more rested look, tightening the forehead, and diminishing lines around the eyes. Some believe that early Botox® treatment minimizes facial rhytids (lines) later in life.

Millennials love Clear + Brilliant™ to brighten their skin. Our licensed esthetician, Samantha Potter, customizes each patient skin care regimen recommending the most effective scientifically proven skin care products selected and tested by our physicians. We offer oxygen infusion facials, peels, micro-needling with or without platelet rich plasma, micro-dermabrasion as well as advice on healthy living.

Dr. Persky and Dr. Sunder love to answer questions about all aspects of facial plastic surgery. Please feel free to contact us at your convenience. As Fernando says, “Remember, when you look marvelous you feel marvelous.” Be well.

Call the office at 818-501-FACE to schedule your complimentary facial analysis.
Bookings@DrPersky.com

There is no one who can fight ageing, and so, everyone tends to get some visible changes with ageing, especially on the face. However, there are various surgical cosmetic procedures and non-surgical cosmetic procedures that can slow down the signs of ageing on your face. If you are noticing some loose skin around the neck, chin and brow, it is basically due to a slow down in the process of collagen production. Ultherapy is the only FDA approved non-invasive procedure that can lift the skin on the neck, under the chin and on the eyebrow. Ultherapy stimulates the growth of new collagen deep within the skin.

Dr. Michael Persky, MD, a board certified surgeon for Facial Plastic Surgery Los Angeles carries it out as an out-patient procedure in under an hour. When you get in touch with Dr. Persky, you will get to know that you can resume your routine activities soon after the procedure. The procedure is carried out with the help of Ulthera Los Angeles which is an ultrasound emitting hand held device that tightens up loose and sagging skin in the mid-face region and below the chin. Ultherapy that uses ultrasound imaging allows Dr. Persky, one of the best plastic surgeons in Los Angeles, to actually see the layers of tissue that he targets during the treatment.

Fraxel laser treatment is another procedure that is carried out by Dr. Persky. The treatment renews the skin surface, giving you a refreshed and youthful glow, and a boost in your self-confidence as well. It is a proven laser technology that can reverse the visible effects of ageing, and is a perfect solution for people who want their skin to look younger, but don’t want to look fake or pulled out. Since the procedure requires a minimal recovery time, so you don’t need to be away from work or social life for much time.

For more details, call Dr. Persky at Persky Sunder Facial Plastic Surgery, Encino, CA.
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 treatment or any surgery that can stop time and the effects of ageing. However, there are quite a few surgical and non-surgical procedures that may be carried out to help you restore a healthy, tight and glowing skin. If you have so much laxity in your skin that you need a face lift, then you surely need a face lift. If you wish to life your eyes as before, get rid of that turkey gobble, and get collagen back, then, ultherapy is the right answer for you.

Ultherapy is the only FDA- cleared procedure to non-invasively lift the brow, neck and under-chin. It is non-surgical face treatment that uses ultrasound to actually lift and tone sagging skin without any downtime. Ultherapy is an uplift, and not face-lift; It is a viable option for those who are not ready for a face-lift.

Dr. Michael Persky, MD, is a reputed board certified specialist in Facial Plastic Surgery in Los Angeles, and successfully carries out the process of ultherapy. Ulthera Los Angeles is a simple hand held device that emits ultrasound waves that penetrate deep within the layers of facial skin. It activates collagen production in the target areas. The whole process takes about an hour, wherein, the patient is allowed to resume his day to day activities almost immediately. Although it is a painless procedure, yet some patients tend to feel stinging sensations which disappear in a few minutes. At times, Dr. Persky may prescribe some mild medication.

Besides sagging skin, some people tend to observe spots, marks and discoloration of facial skin which makes the face look tired and lifeless. It can be set right by Fraxel laser treatment which involves polishing the skin, and eliminating marks, acne and discoloration, thus restoring a natural glow and luster on the face.

Dr. Persky is an expert in carrying out both ultherapy and Fraxel laser treatment in Los Angeles. For more details, contact Dr. Michael Persky, MD, at Persky Sunder Facial Plastic Surgery, Encino, CA or call 818-501-3223.

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

What wouldn’t you give to have a smooth, taut and lustrous skin, the looks that celebrities generally boast of? But sadly, the ravages of time catch up on everybody and external help of Facial Plastic Surgery in Encino becomes necessary to get the appearance that dreams are made of. Most people try and put off facelifts for fear of surgery and the resultant bruising and swelling from incisions made. However, there is good news for young people showing early signs of aging and wanting a quick fix solution. It is Ulthera Los Angeles, an ultrasound emitting hand held device which when held against targeted areas of the face tightens up loose and sagging skin in the mid-face region and below the chin.

The reason behind this is simple. Collagen keeps the facial skin tightly draped and devoid of wrinkles and fine lines. As you age, collagen production drops leading to typical slackness of skin and loss of elasticity. Ulthera Los Angeles, through sound and thermal energy activates new collagen creation. Over a period of time, about 2 to 3 months, the skin slowly tightens up, leading to a young and refreshed look. Dr. Persky, MD, a board certified surgeon for Facial Plastic Surgery in Encino carries out it out as an out-patient procedure in under an hour. There is no downtime and negligible bruising. For patients who feel any burning sensation during the treatment, passing cold air over the areas being treated usually takes care of the problem.

Fraxel laser treatment is also done by Dr. Persky. The procedure is a form of polishing the skin removing black spots, acne marks, hyper-pigmentation and fine lines and wrinkles. Hundreds of fine lasers are targeted on the required area and the resultant light energy erases the marks and spots, buffing up the skin and giving it a glow. Surrounding areas are not affected at all. Fraxel laser treatment has been around for quite some time but whereas in the earlier versions it took around 5 sessions for results to be seen, the latest technologically improved system takes one sitting. Call Dr. Persky at Persky Sunder Facial Plastic Surgery, Encino, CA, to know more.

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

Bright and lustrous facial features and skin automatically enhances the looks of a person. However, much as we may wish, it is not possible to hold on to youth and over a period of time as we age, the face undergoes a lot of changes. The most noticeable is loose and sagging skin around the neck and below the chin as well as above eyebrows and mid-face region. Another aspect is acne, stretch marks, hyper-pigmentation, black spots and fine lines and wrinkles which diminish glow and luster of the skin. Ulthera Los Angeles and Fraxel laser treatment are two procedures that can take care of these problems.

Fraxel laser treatment is a band of hundreds of laser beams that is targeted at precisely that part of the skin that requires treatment. This results in elimination of acne, black marks and fine lines on the skin resulting in a polished and fresh look. These small areas that are worked upon are known as Microscopic Treatment Zones. The procedure is so precise that adjoining regions of the skin are not affected at all. This form of treatment has been prevalent for quite some time now but whereas the older version required 4 to 5 settings, technological advancements have made it possible to get the desired results in one session only.

Collagen is a key ingredient for a refreshed appearance and loose and sagging skin is a result of its reduced production. Ulthera Los Angeles is a simple hand held device that emits ultra sound waves which penetrate deep below the layer of the skin, boosts collagen production and results in taut and tight facial appearance. Traditional Facial Surgery Los Angeles on the other hand for the same effect would require incisions that lead to scarring, bruising and considerable recovery period.

Dr. Persky, MD, Encino, a reputed surgeon of Facial Surgery Los Angeles is especially trained in both these methods for getting a flawless skin. Seek an initial consultation with him, see the before and after photos of previous patients and get to know firsthand his skill and expertise in carrying out these two procedures.

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

Man has been in search of eternal youth since the dawn of civilization but has generally failed in his efforts. It’s only plastic surgeons in modern times that have, to a certain extent been able to partly fulfill this desire. The first signs of age catching up are initially visible on the face. Bags under the eyes and lips, sagging skin around the neck and drooping eyebrows are some of the tell tale signs. Even a few years back, two to be precise, corrections needed a full surgical facelift procedure with considerable downtime and scarring. Not anymore. Ultherapy has changed the very structure of facelifts, being a completely non-surgical treatment.

How is it carried out? Ulthera in Los Angeles is a simple hand held device emitting ultra-sound waves. This is placed against targeted facial muscles that need tightening. The procedure is carried out in the office of the surgeon. Some patients do feel a certain amount of discomfort like stinging or hot flashes which can be taken care of by passing cool air over the affected areas. In extreme cases, pain killing medication or local anesthesia is administered. Dr. Michael Persky, MD, eminent surgeon for Facial Plastic Surgery in Encino, is a specialist in Ulthera in Los Angeles. Call 818-501-3223 for a complimentary consultation.

There is absolutely no downtime after the procedure and the patient can resume normal lifestyle almost immediately. The ideal candidates for Ultherapy are those between the ages of 35 to 60. Beyond that traditional full surgical facelift is more effective. The full impact of this wonder non-surgical treatment is visible after 2 to 3 months when the rejuvenated youthful look can be seen in all its glory.

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

Ultherapy has been practiced by leading plastic surgeons in the USA for about a couple of years now. The ideal candidates for Ulthera in Los Angeles are those who want a total facelift without the inconvenience and after effects of invasive surgery. The changes desired might be pulling up sagging skin on the neck, lifting the brows and tightening the areas around the eyes and lips. All this can be done in the office under local anesthesia by using a simple handheld ultra-sound device that targets particular muscles on the face. For the best results, contact Dr Persky 818-501-3223 a facial plastic surgery in Encino.

Since this is a non-surgical and non-invasive procedure, there is obviously negligible downtime. It is helpful for those who are either terrified of scalpels and needles or have a past medical condition that does not permit them to go through surgery. It is also reported that Ulthera in Los Angeles can be painful at times but this is usually confined to hot and intense bursts of stinging. Patients are given oral or nerve block injections in extreme cases, but in most instances, cool air blowing across the skin is sufficient to douse the pain.

If you are between 35 and 60 this is the procedure for you. Beyond that, facial plastic surgery in Encino is recommended.The results of ultherapy are not immediately visible but surely after 2-3 months you will start seeing a much younger and rejuvenated person in the mirror. Generally the effects of this treatment last for about a couple of years and those who underwent the procedure in the early days after its introduction in the country are now coming back for second treatment.

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 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.

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

Video Highlights

0:07 What is Ulthera?
0:16 What areas can Ulthera be used?
0:38 Does it hurt to undergo Ulthera?
0:43 Dr Persky’s Ulthera technique
0:56 The secret to minimizing patient discomfort
1:04 Should you administer a local anesthetic?
1:36 Can Ulthera be done even without anesthesia?
2:02 Why choose our Ulthera service

Hi, this is Dr Michael Persky from Encino, California, suburb of Los Angeles. We like to call it the Beverly Hills of the San Fernando Valley.
Today I would like to talk to you a little bit about Ulthera, the only FDA approved technology that is approved for lifting and tightening the skin of the face, the neck and the forehead and the eyebrows. One of the things about Ulthera that we hear about often, particularly when I lecture about it or teach other physicians and talk to patients is that Ulthera, what we hear about it is it hurts so much. It’s not necessary to have a great deal of pain with Ulthera.

Here at our office, I take care of all the patients that we see and treat with Ulthera. I perform the procedure myself and I make sure that my patients are as comfortable as possible and minimized any discomfort with a number of methods that I’m often asked about by other physicians and clinics. I find that using just a little bit of local anesthetic goes miles in terms of making people very comfortable with the Ulthera. I’ve just done with a procedure that’s why I’m talking about it right now and trying to educate people. This patient came in. We took five minutes to anesthetize her neck completely and she didn’t feel anything during the treatment.

This was a second treatment that she had. The previous one she decided to do without any anesthesia and she said it was night and day it was unbelievable how pain free she was with this treatment. So I do perform all the treatments myself and I do make sure that my patients are as comfortable as possible, before the treatment, during the treatment and after the treatment. Ulthera is great treatment and who says that Ulthera hurts doesn’t necessarily have to be true if you choose the right practice to have it done in.

If you have any questions about Ulthera, feel free to call me. I’ll be happy to answer them for you.

Be well, take good care of yourself.

Bye Bye.
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