Dr. Persky

Los Angeles Kings…Best Treatment for Facial Injuries From Persky Sunder Plastic Surgery

michaelpersky — Mon, 28 May 2012 01:25:50 +0000

Congratulations to the Los Angeles Kings for advancing to the Stanley Cup Finals! It has come to our attention after enjoying ice hockey for many years that there is a propensity toward facial lacerations, broken noses, and loss of teeth.

The best treatment for a facial laceration is different for National Hockey League players as compared to the general population. In ice hockey, the goal is to get the wound repaired as quickly as possible and to get the player back into the game immediately. In general, lacerations should be cleaned, debrided, and sutured to maximize the best healing with minimization of future scarring.

The wound should be kept clean, and in most cases the sutures (stitches) are removed from facial injuries at five days after the repair. Steri-strips are applied across the wound to minimize tension, decreasing the chance noticeable scar formation. Once the stitches are out, either Vitamin E oil or Aloe Vera (preferably from a living plant leaf) should be applied to the wound two to three times a day for a few weeks (if there is any redness or irritation from this then it should be discontinued). Within a week, Fraxel restore erbium laser treatment can begin. There are usually about 3 to 4 quick and easy laser treatments separated by 2-3 weeks. There is no downtime. The laser treatments end when we can’t find the scar anymore. This is effective even for some older scars, say after the better team wins the Stanley Cup, and the season is over.

King defenseman Alec Martinez appeared to suffer a nasal fracture in the last game against the Phoenix Coyotes, playing the remainder of the game with packing in his nostrils. Kudos to Alec, it’s not easy to breath, let alone skate up and down the rink at full speed. Hopefully it was a non-displaced fracture. For those of you not vying for the Stanley Cup, after a nasal fracture we recommend that you be evaluated by a nasal surgeon to make sure that there is not a septal hematoma (internal bleeding within the nose in the septum which is really the only time that immediate surgical intervention is indicated). If there is no swelling and the nasal bones are obviously displaced, the nasal bones can be reset immediately by manipulating them into place. In the great majority of cases, there is significant swelling in which case the nose should be re-evaluated in about 5 days at which time it can be determined if the bones need to be placed back into their normal position. In the meantime, we recommend elevation of the nose above the heart (sleep on 3 to 4 pillows), use baggies of frozen peas on the nose for the first two days, and unlike our hockey players, avoidance of exertion, lifting, or exercising.

Persky Sunder Plastic Surgery wishes good luck to both the New Jersey Devils and our Los Angeles Kings in the Stanley Cup Finals beginning this week. We hope that the best team prevails, that all of the players remain healthy without injury, and that neither team will need any of the treatment advice given in this blog entry. Go Kings, Go!

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 and more. Please subscribe to our blog by clicking the link above, right. Thank you!

The Los Angeles Kings, Dita von Teese, and Beauty. What Do They Have in Common with Persky Sunder Plastic Surgery?

michaelpersky — Thu, 17 May 2012 06:27:03 +0000

The Los Angeles Kings hockey club are in the midst of the semi-finals for the Stanley Cup against the thus far out-matched Phoenix Coyotes. Dita von Teese, the high priestess of burlesque is currently performing her flawless show (this week at the Mandalay Bay Hotel in Las Vegas). Drs. Sunder and Persky are using their skills daily to enhance and create beauty on the faces of their patients. What the heck is the common thread between these three utterly different activities?

What does witnessing the Los Angeles Kings and seeing Ms. von Teese’s show have to do with the beauty of facial aesthetic surgery? All three involve attention to detail, intense focus, concentration, visualization, and lastly the physical execution of the task at hand to be successful.

Dita von Teese’s “Strip Strip Hooray” tour was impeccably produced by Ms. Melissa Dishell. Dita’s four burlesque productions were creations of beauty on an unprecedented scale. This is a sample of her glowing review from the Los Angeles Times this weekend, ”Her attention to detail and embellished glitz onstage is unparalleled, even for pop stars. From the sparkle of each and every Swarovski crystal (hundreds of thousands swathe pretty much every prop and article of clothing in the production) to the sensual lighting that caresses her slender porcelain frame to the vampy music that sets the mood for the procession of themed vignettes — including her classic martini glass sponge bath, cowgirl steer grind, powder compact dance and Opium Den climax — your eye cannot turn away from the utter flawlessness of it all.”
As far as the commitment and excellence displayed by the LA Kings, our physicians not only can take care of their facial injuries, treat their wounds and scars with fractionated lasers, but much prefer to take care of beautiful wives and girlfriends of the players with the latest aesthetic beauty treatments.

Beauty can be found in so many unexpected places, this week we are inspired by that created by our hockey team, and an incredible burlesque artist. Enjoy the beauty of life and be well!

To read Dita von Teese’s entire LA Times review go to

http://latimesblogs.latimes.com/music_blog/2012/05/the-pop-burlesque-of-dita-von-teese.html

Mirror Mirror on the Wall, Who’s the Fairest of Them All? What Are Women’s Perception of Facial Features as They Age?

michaelpersky — Tue, 15 May 2012 04:47:15 +0000

In a recent study published in Aesthetic Surgery Journal (32 (4) 421-425), Turkish plastic surgeons (B. Sezgin, et. al.) have investigated what women of different ages presenting for facial cosmetic surgery consultation focus upon. They grouped patients into 4 groups, those in their 20′s, 30′s, 40′s, and over 50. Each group was asked what facial feature bothered them the most, as well as which of their facial features they liked the most. The list of facial features included skin, forehead, periorbital region (eyes), eyebrows, cheeks, jawline, lips, and nose.

The top features that women in their 20′s noticed when they looked at themselves in the mirror were their nose and skin. The most liked feature was the lips (36%). The most disliked feature and feature that they wished to change the most was the nose (42%). Remember that this study was conducted in Turkey, home of many a large nose.

Women in their 30′s focused on their skin and periorbital area in the mirror. Their favorite feature was their lips, and most disliked feature again their nose which also was the feature they most wished to change (32%).

Women in their 40′s stated that the periorbital region and their skin was most focused upon in the mirror. Their favorite feature was their nose (apparently by the time most women in Turkey have reached their 40′s they have either had a rhinoplasty, or have grown to love their nose.) The periorbital region was their most disliked, 36% wished to change the area around their eyes.

Women 50 and above focused on their periorbital area and jawline. Again their most liked feature was their nose. The most disliked area was their jawline which along with their periorbital area was the feature that they most desired to change.

In summary, younger women’s self-beauty focal points were their nose, skin, and lips. For older women it was their jawline and periorbital area. Younger patients aim to achieve facial harmony (smaller, hump-free nose), while older patients seek to restore a more youthful appearance (eye and jawline rejuvenation).

Another recent study by I. Springer showed that impaired well-being is associated with impaired facial perception. Isn’t this what Billy Crystal’s character on Saturday Night Live was saying, “When you look Mah-vah-lous, you feel Mah-vah-lous!”? While we are looking at studies, another showed that 20% of patients who undergo cosmetic surgery have a history of psychiatric disorders (on some days around the office it seems a lot higher than that!) 80% of those patients are clinically depressed. Finally, there are multiple studies that have shown that a positive change in appearance can improve psychological well being, as well as symptoms of depression (Botox among treatments that can improve a patient’s attitude).

As Sezgin discusses in his article, “Throughout history, the relationship between a woman and her mirror has made its way into children’s fairy tales and other literature. The tug-of-war between the two can be continuous; if a woman constantly desires to be at peace with her reflection in the mirror and yet she is not, the desire to change and the process of changing begins.” As we have said before, beauty comes from within, from the heart, from a free mind, and if that is not enough, then it may be time to consider an aesthetic consultation with a board certified professional. Be well.

Ulthera Featured on TODAY Show, Kathie Lee Gifford Treated

michaelpersky — Thu, 10 May 2012 03:23:01 +0000

Ulthera, the revolutionary non-surgical skin lifting and tightening ultrasound device, was featured on The TODAY Show on May 3, 2012. Dr. Pat Wexler and Dr. Francesca Fusco treated Kathie Lee Gifford’s right eye brow on camera. Seeing is believing, and we have seen definite improvement in the vast majority of patients that we have treated with Ulthera. Unfortunately, on the video clip of Kathie Lee’s treatment I was hard pressed to see any difference when the ladies were all raving about how they “…could already see the difference!”

After watching the clip again, it was apparent why I did not appreciate the difference that the doctors were claiming. The area was treated with only a small superficial transducer that was set to a very low energy level and a very short length line of energy delivered. Dr. Fusco treated Kathie Lee with only 10 pulses or lines. The usual treatment involves at least 10 lines with a deep, higher energy transducer followed by 10 lines with the standard length more superficial transducer. Ulthera treatment is uncomfortable, but tolerable. Most likely the very weak settings were used on Kathie Lee to give the appearance that the treatment is not painful.

1 Month after Ulthera treatment by Dr. Persky

Ulthera is a great treatment that is safe and effective, but I am sorry that this live treatment performed on Kathie Lee does not represent the product as it should, especially the uncalled for enthusiastic reaction of the women claiming a visual “difference” when there was not one. Hopefully, Kathie Lee received a full standard treatment off air and we will be able to see the difference in a few months. Seeing is believing!

1 Month after Ulthera face and neck

If you have any questions regarding Ulthera or other aspects of facial aesthetics please feel free to contact us at Persky Sunder Plastic Surgery. To view the TODAY Show segment on Ulthera for yourself, go to http://vimeo.com/41531681?utm_source=TODAY+Show+Clip+-+May+2012+-+Customers&utm_campaign=TODAY+Show+Clip++-+Customer+Email&utm_medium=email

What is Beauty? Emily Blunt is an Example of Leonardo da Vinci’s Classic Devine Facial Proportions

michaelpersky — Mon, 30 Apr 2012 00:57:46 +0000

“The Five Year Engagement” is an excellent movie about relationships in today’s world. For this facial plastic surgeon, Ms. Emily Blunt, the fine British actress stole the show and dominated the big screen with her natural beauty. Her acting is Academy Award nomination worthy, but as an aesthetic physician I could not take my eyes away from analyzing her beautiful face.

I have given two lectures in the past three days on “Beauty Secrets“. Part of my presentation discusses Leonardo da Vinci’s devine proportions of beauty. While watching Ms. Blunt in the film, it was apparent that her facial proportions are consistent with the vertical fifths and horizontal thirds that da Vinci describes. Her forehead appeared to have just the right amount of neuromodulator (Dysport, Botox, or Xeomin) as it appeared smooth yet had some movement (not available during da Vinci’s times).

Producer Judd Apatow, there are some “toe” puns in the movie, captured the intricacies of today’s man-woman and parent-child relationships. The story line took this baby boomer back to Dustin Hoffman’s relationship in “The Graduate” with the on again, off again nature of the main characters relationship (as well as the partial Northern California location of the shoot). The film was brilliantly cast, though as a rhinoplasty surgeon I thought that the delicatessen employee’s noses were a bit too Semitic (Tracee Chimo and Brian Posehn right and left respectively). Alison Brie was well cast as Ms. Blunt’s sister. Ms. Brie is very beautiful herself, and also has da Vinci like facial proportions.

Well, that’s it for the combination of Siskel and Ebert Movie Review/ facial plastic surgeon analyzes faces with regard to the Devine Golden Ratio of Beauty (also known as the Phi Ratio). Be well and enjoy the movie and the beauty of life.

RealSelf.com and Persky Sunder Plastic Surgery

michaelpersky — Sun, 29 Apr 2012 23:18:36 +0000

RealSelf.com is the premiere plastic surgery patient “chat line” that not only allows the public to chat with each other online, but also allows the public to ask plastic surgery or non-invasive aesthetic procedure questions that are answered by the large group of plastic surgery experts. Michael A. Persky, MD and Sarmela Sunder, MD are participants in RealSelf.com’s free service.

Dr. Persky (or ”Dr. P” as he is known on RealSelf) has answered over 2500 questions on RealSelf.com over the past 5 years. When he first began answering questions on RealSelf.com, Dr. Persky was one of a handful of physicians who responded. At the end of the day, or sometimes between seeing patients in the office, he would answer questions often in an informal, humorous, but informative manner. Fortunately, today there are hundreds of physicians who respond to questions on RealSelf.com. With so many answers and participants, the number of questions that Dr. P is answering today is much less than in the past. He still is happy to answer any of your facial aesthetic questions by direct email at drpersky@drpersky.com

RealSelf.com has exponentially grown over the years, and remains an excellent source for information about plastic surgery, aesthetics, technology, and physicians. We are often asked what can patients do online to find out more about plastic surgery and physicians. Logging onto RealSelf.com and reading answers, comments, reviews, and articles gives patients a good indication of a physician’s practice and philosophy.

Dr. Persky usually advises patients that “the most important aspect of your treatment is making sure that you choose your treating physician most carefully.” With that in mind, we recommend that if you are serious about your facial aesthetics then decisions such as “Group On“, “Living Well“ , or Botox/Laser Clinics in stripmalls with a guy out front spinning a “Botox/Filler Special” sign is not a good choice.

Dr. P misses interacting with his fellow expert physicians on RealSelf. We are also often asked by patients to recommend colleagues around the country. Dr. P recommends fellow RealSelf.com physicians “Dr. W” (Steve Weiner, MDin Destin, FL), Peter Aldea, MD (Memphis, TN), Steven Pearlman, MD (NY, NY) and Otto Placik, MD (Chicago, IL) to those patients who wish to consult with excellent physicians closer to your home.

If you do have any questions or concerns about facial aesthetics, please feel free to contact either Dr. Sunder or Dr. Persky. As “Dr. P” usually signs off on his RealSelf.com answers, “Good luck and be well!”

Here’s one of our recent RealSelf.com answers:

I’m in my Mid-thirties and Am Wondering if I Should Get Cellulaze Done Now or Wait Until It Gets Worse?

I have some cellulite on my rear end and back of my thighs. Its not awful, but I assume it will worsen as I age. I know there are no guarantees, but is it thought that having cellulaze done now could prevent it from getting worse, or should I hold off until it has progressed more? What I’m wondering is if I get it down now, will new cellulite appear as I age like it would if I had nothing done, or will this decrease/prevent it from forming?

4 answers to I’m in my Mid-thirties and Am Wondering if I Should Get Cellulaze Done Now or Wait Until It Gets Worse?

Cellulaze in Young Woman with Early Cellulite

Hi,

Cellulaze is a new technology used to treat cellulite. It seems to be promising, but as with all new devices, I prefer to be conservative in their use. If you are young with minimal cellulite, it won’t hurt to wait a year or so to determine the safety and effectiveness of Cellulaze in cllinical use. The last thing that you want is to have an adverse event when your concerns were not so bad to begin with. As with all treatments, be sure to choose your treating physician carefully. Good luck and be well.

Dr. P

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Michael A. Persky, MD
Los Angeles Facial Plastic Surgeondrpersky.com

Beauty… The State of the Art…Persky-Sunder Facial Plastic Surgery Thoughts

michaelpersky — Thu, 12 Apr 2012 06:35:19 +0000

“What is beauty? Beauty is to have a happy heart.” Mercedes Nadal, RN, the best surgical scrub nurse a facial plastic surgeon could ever have.

Today’s cosmetic consultation should be a collaboration between patient and physician. A patient should clearly explain what troubles them to the point that has caused them to make the appointment (unless they are very needy and just came for the “compliments” at a complimentary consultation. Compliments at our office include not only, “You have beautiful eyes!”, but also an occasional piece of chocolate). The physician should listen until there is mutual understanding. A patient may hear about this or that new treatment and ask for it, but their may be a better, safer, less invasive plan to achieve the result. A patient bothered by her eyebrows drooping may ask for a surgical endoscopic brow lift, when if the lost volume of the lateral brows and face are restored, a natural rejuvenation can be obtained. Realistic expectations of what both the patient and physicians goals are should be completely clear once a treatment plan is made.

“Youth is happy because it has the capacity to see beauty. Anyone who keeps the ability to see beauty never grows old.”
― Franz Kafka

Visualization is most important in facial aesthetics. Bubba Watson, the 2012 Master’s Golf Champion won the tournament with most incredibly creative shots. Before hitting the winning shot, Bubba, like Jack Nicklaus decades before him, carefully examined the situation of where his golf shot had landed on the leaves in the forest, visualized the movements necessary to create the improbable flight of his golf ball under branches, over tree tops, curving to the right in the air to land softly on the green. Great facial plastic surgeons must likewise examine the face of the patient who sits before them in consultation, and visualize the best possible result, and plan the optimum treatments to that end.

“Everything has beauty, but not everyone sees it.”
― Confucius

Beauty is in the eye of the beholder, and seeing is believing. Drs. Persky and Sunder have had the experience of seeing our results of treatments and procedures so that when they are recommend them, we believe that they are the best choice for you. When it comes to choosing your facial plastic surgeon to help you achieve your facial aesthetic goals, it is most important that you choose a physician with aesthetic vision. Secondly, you should choose a facial plastic surgeon based on proven visual results…the “seeing is believing” part. Today’s facial aesthetic physician has multiple tools, treatments, and surgeries on his/her aesthetic palate just as an artist has multiple colors, tones, and textures on his/her palate. We use the multiple “tools” on our palate in combination or alone to get the best aesthetic result for the individual.

“Think of all the beauty still left around you and be happy.”
― Anne Frank

Buyer beware! Dr. Persky just returned from a multi-speciality aesthetic conference (Facial Aesthetics State of the Art 2012) that was not only for core multi-speciality aesthetic physicians (plastic surgery, facial plastic surgery, dermatology, and opthalmo-plastic surgery), but also included “aesthetic extenders’ and non-aesthetic core physicians. An internist without any experience in plastic surgery approached me during a break asking me what I thought about the surgical tool in the exhibitors hall that she was told ” With this you can do a blepharoplasty (eye lid surgery)” , and whether she should purchase the surgical tool, take it back home to her office, and perform blepharoplasty. I was shocked and succinctly dissuaded her from attempting any surgery without a proper training residency. At a recent Scuptra injection conference in Beverly Hills with premiere injector Danny Vllegar, MD (Vienna), I was not surprised by some of the improper injecting techniques that were being used by nurses, physician’s assistants, and other “extenders” from high profile practices when they discussed their techniques. Patients should also beware that there is an increase of Botox and Laser “centers” in Urgent Cares, and strip mall stores. Needless to say, too ofter patients “get what they pay for.” An advantage of being treated by a facial plastic surgeon with artistic vision is that you may not only need that touch of Botox, but by adding a little something here or there, your aesthetic result is greatly enhanced. Please choose your facial aesthetic provider carefully, it is much easier for us to take care of you from the beginning, and much more difficult to correct problems.

“There is no exquisite beauty… without some strangeness in the proportion.”
― Edgar Allan Poe

So what’s new with noses? Retired world famous facial plastic surgeon Frank Kamer, MD has also said that though our surgical goal is to create symmetry, slight asymmetries in rhinoplasty are okay, even lending to a more natural appearing nose. Rhinoplasty remains the most difficult of all facial plastic surgery aesthetic surgeries (other than the miraculous full facial transplants that we are currently witnessing). The key to a great nose is that it “gets out of the way” of the patient’s eyes and other facial features. While in the past, an obvious nose job was a sign of status, today natural and unoperated upon appearing noses are preferred . We are using more conservative techniques such as using sutures to position and re-shape nasal cartilages instead of removing excessive cartilage. Diced cartilage grafts wrapped in temporalis fascia allows the rhinoplasty surgeon to augment the nasal profile in a most natural manner.

Sculptra and Ulthera are excellent non-invasive, non-surgical treatments to restore facial volume, shape, and tightness. In combination they are even more effective.

“Beauty is only skin deep, but ugly goes clean to the bone.”
― Dorothy Parker

So how to best achieve a state of beauty? Again, “beauty is a happy heart”, it comes from inside of us. Once your inner beauty is taken care of, when a little external “polishing up” is desired, please come visit Drs. Persky and Sunder. Both doctors share a facial plastic surgeon’s artistic vision and sense (common sense included) with all of the “paints on their palate” to help to bring your inner beauty to the surface. From the slightest facial injection to the most eloquent rhytidectomy (face lift) …and everything in between, our physicians will work with you to help you achieve your aesthetic goals, which we wish to have the privilege of doing for many years to come. Enjoy the beauty of life and be well.

“I choose my friends for their good looks, my acquaintances for their good characters, and my enemies for their good intellects.”
― Oscar Wilde

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 and more. Please subscribe to our blog by clicking the link above, right. Thank you!

What’s New in Facial Plastic Surgery? The State of the Art in Facial Aesthetics 2012…Dr. Persky’s Thoughts

michaelpersky — Sun, 01 Apr 2012 23:20:13 +0000

“The longer I live the more beautiful life becomes. If you foolishly ignore beauty, you will soon find yourself without it. Your life will be impoverished. But if you invest in beauty, it will remain with you all the days of your life.” Frank Lloyd Wright

I was honored and humbled to be included among many of the world’s experts in facial plastic surgery this past week at the 20′th Annual State of the Art in Facial Aesthetics 2012 multi-speciality course. Phil Langston, MD (Memphis, TN) chaired an excellent meeting that covered all of facial plastics. I presented, “Effective Clinical Use of Micro-Focused Ultrasound (Ulthera/Ultherapy) to Lift and Tighten the Skin”, “Effective Clinical Use of Cryolipolysis (CoolSculpting)”, “The Treatment of Stretch Marks with Non-Ablative Fractionated Laser“, and participated in panel discussions on skin care, injectables, and non-ablative lasers.

Highlights of the meeting included rhinoplasty, facelift, blepharoplasty, injectable, and non-invasive aesthetic procedures. Ronald Gruber, MD (Oakland, CA) and Richard Zeph, MD (Carmel, IN) wowed attendees with their artistic rhinoplasty results. Course director Phil Langston, MD, and world renowned Gaylon McCollough, MD shared their invaluable rhinoplasty experience and wisdom.

Sam Lam, MD led a day long hair transplant seminar in addition to sharing pearls from his successful practice throughout the week. Catherine Maley led lectures in improving aesthetic patient experiences.

So what’s new in facial aesthetics? Surgery remains the gold standard for lifting and tightening the face. Non-invasive technologies remain in demand. Fillers such as Juvederm, Restylane, Radiesse, and Sculptraplus neuromodulators (Botox and Dysport) are as popular as ever. Ulthera is the currently best non-invasive method to lift and tighten skin. CoolSculptingis easy, safe, and effective in treating unwanted fat bulges that have been resistent to diet and exercise. Dr. Gruber shared new and innovative techniques that will better my rhinoplasty results.

All in all, it was great to be back in Buckhead! For those of you not familiar with Atlanta, Buckhead is a suburb where I spent my medical school days while at Emory University Medical School…many years ago. Springtime in Atlanta is a most wonderful time bringing back many fond memories while attending the conference with old colleagues and friends, meeting new ones, and sharing our facial aesthetics knowledge to promote better aesthetic outcomes for our patients. Be well y’all!

Allergan (Juvederm/Botox)—Merz (Radiesse/Belotero/Xeomin) Wars

michaelpersky — Mon, 19 Mar 2012 05:51:29 +0000

Aesthetic physicians received a fax from Merz Pharmaceuticals late Friday afternoon informing them that they will not be allowed to promote Merz facial fillers Radiesse and Belotero and its neuromodulator Xeomin to their practices until further notice. Radiesse will still be available, but Xeomin will not, and the release of Belotero, a highly anticipated new facial filler, may be delayed until court details of a lawsuit brought by Allergan (maker of Botox/Juvederm) against Merz are worked out.

According to Michael J. Sacopolus, JD, legal analyst for Plastic Surgery Products “Earlier this week a Federal Court Judge in Santa Ana, California entered into an injunction against Merz. The injunction stopped Merz from marketing Xeomin to the facial aesthetic community. This injunction came at the request of Allergan whose Botox product would directly compete with Xeomin. The judge sided with Allergan in finding that former Allergan employees had blatantly misappropriated Allergan’s proprietary information when they switched employment to Merz. The judge next indicated the full extent of the injunctive order as the scope, terms and duration would be released Friday March 9^th.”

Merz recruited and hired ex-Allergan employees and used their Allergan data, sales strategies, targets, physician lists, and much more in promoting Xeomin and Radiesse. Xeomin will likely not be available for the remainder of 2012. For those of our patients wanting to get a dose of Xeomin before who knows when, Persky Sunder Plastic Surgery has two vials left. Dysport and Botox are still available as usual.

Now if Allergan could just do something about that darn Medicis company and their neuromodulator Dysport, they would have their “Botox Monopoly” back! Good luck and be well!

To read more about the lawsuit go to http://www.rttnews.com/1839077/allergan-wins-u-s-court-order-blocking-merz-s-sale-of-xeomin.aspx

A Nose Does Not Necessarily Grow When One Tells a Lie!

michaelpersky — Fri, 09 Mar 2012 06:29:32 +0000

Pinocchio: Oh, look! My nose! What`s happened?
The Blue Fairy: Perhaps you haven`t been telling the truth, Pinocchio.
Jiminy Cricket: Perhaps?

The Blue Fairy: A lie keeps growing and growing until it`s as plain as the nose on your face.

Since early childhood we knew that when Pinocchio told a lie his nose would grow larger. In the recent case of an Egyptian botched nose job incident, a gentleman’s nose was made smaller and he lied.

They are calling it the curious case of the nose job in Egypt. Not since Cleopatra has aesthetics been so in the Cairo news. Anwar Bilkimy, an ultraconservative Islamist member of the newly elected Egyptian parliamnent attempted to “mask” his nasal plastic surgery by convincing fellow lawmakers that his bandaged and bruised face resulted from an attack by thugs. Ironically, Bilkimy is a member of the parliament’s subcommittee on health! He initially drew the sympathy of his colleagues when they visited him at the hospital, that was until one of his physicians, Dr. Mahmoud Nassef (any relation to “Housewives of Beverly Hills” Paul?) stunned by the lie that crossed the bounds of religion and vanity, told investigators the truth. Bilkimy immediately submitted his resigation from parliament in public embarrassment.

Though cosmetic surgery in Beverly Hills and Encino is not condemned as tampering with God’s creation as it is by many ultraconservative Islamists, we too are asked by many of our patients to be party to a “fib” about their surgery. “Please don’t show my before and after photos to anyone, I want them to think I was born this way”, “We are having her rhinoplasty done this summer between middle school and her new high school, we don’t want anyone to know”, “I’m doing this while my husband is out of town”, and “I’ll just say that I bumped into a cabinet” are often heard around our office. We respect our patients privacy and wishes, but don’t be angry with us when we bump into you in public and “don’t remember where we know you from.”

Be well…and remember what the Blue Fairy told our friend, “Now, remember, Pinocchio, be a good boy. And always let your conscience be your guide.”