Female Plastic Surgeon - New York City - NYC- Manhattan - Reconstructive Surgeon - facelift - eyelift - Lara Devgan MD
Dr. Devgan is passionate about natural, elegant cosmetic rejuvenation of the face and neck.
Dr. Devgan's facial rejuvenation focuses on lifting the muscular substructure of the face ("the SMAS") to restore the beautiful bone structure of the jaw, cheeks, and neck. Dr. Devgan is experienced in all facelift techniques, including short scar, deep-plane, SMASectomy, and SMAS plication. There is no one "magic bullet" facelift technique that works for all patients. The specific technique she employs depends on the individual patient's areas of concern.
For those with loose neck tissue, neck bands, or extra neck and chin skin, Dr. Devgan performs a necklift with platysmal plication. This technique does not merely stretch the skin taut, but rather, it lifts the neck and smooths the jowls and jawline from the deep muscular tissue underneath.
In patients with fat under the chin or a saggy neck, microliposculpture-- a delicate technique to sculpt this area-- can be an option. This technique, also referred to as neck liposuction, can be helpful in addressing a "double chin" or "turkey neck" in patients ages 18-80+.
BUCCAL FAT PAD EXCISION
When the fullness of the face and cheeks creates disharmony of facial balance, Dr. Devgan offers buccal fat pad excision to accentuate and refine the cheek bones.
CHEMICAL PEEL, LASER, FAT GRAFTING
In all patients with facial concerns, smoothing the complexion with a chemical peel, laser, or fat grafting is an option.
Beautiful cheekbones and a smooth jawline make the face come across as young and happy.
Sculpted contours of the face and neck are classically beautiful.
The skin around the eyes is the thinnest on the body, and it is the first place where you show your age. As early as the late 20s, crows feet or smile lines begin to etch themselves into the thin skin on the sides of the eyes. Dark circles and puffy bags under the eyes often come next, usually in the 30s. They are brought on not just by sleepless nights, professional stress, and the responsibility of childrearing, but also by the loss of elasticity in the skin. In the 30s and 40s, many people notice a hooding of the upper eyelids. In the 40s and beyond, extra skin folds accumulate on your eyelids and also underneath your eyes, making you appear more tired. A heavy groove begins to form between the bottom of your eye and your cheek (the "tear trough"). Makeup application becomes difficult. You look worn out and sad eyed, even when you feel energetic and happy.
Eye creams are expensive, and unfortunately their ability to de-puff and tighten decreases dramatically as we age. In fact, many of the most luxurious brands at the cosmetic counter contain no ingredients with proven medical efficacy. The most definitive and satisfying way to make your eyes more youthful, beautiful, and energetic is eyelid surgery, or blepharoplasty.
UPPER & LOWER EYELID BLEPHAROPLASTY
Dr. Devgan specializes in all areas of eye rejuvenation and periorbital surgery. In fact, procedures of the "periorbita," or tissues around the eyes, are her favorite operations to perform.
Dr. Devgan's approach is imperceptible to the naked eye, and aims to restore your eyes to a more youthful state, without changing your overall face. She systematically addresses sagging eyelids, bulges of "bags" or fatty tissue, hollowness around the eyes, dark circles, and loose crepe-y skin, and tailors this approach to her patients, individually.
To correct the upper eyelids, Dr. Devgan hides fine incisions in the crease above each eye, so that after surgery, the scar is almost imperceptible and camouflaged in the normal eye fold. To correct bags and puffiness of the lower eyelids, Dr. Devgan places incisions inside the eyelid, so there are absolutely no visible scars. If loose skin under the eyes is part of the problem, Dr. Devgan addresses this by hiding her incisions in the natural crease of the eyelashes, so her patients have barely any evidence of surgery after they heal-- even without a stitch of makeup.
FUNCTIONAL EYELID SURGERY
In addition to eye lift (blepharoplasty), Dr. Devgan performs all aspects of functional eyelid surgery, including ptosis repair (for those with one or two droopy upper eyelids due to a structural problem), and lateral canthopexy and canthoplasty (for those with lax lower eyelids) .
In people with hollows underneath their eyes that make them look tired, Dr. Devgan performs correction of deep tear troughs with fillers or fat transposition.
CHEMICAL PEELS, LASER, BOTOX
In patients with younger tissue who require less, Dr. Devgan also offers laser or chemical peel treatment to the skin around the eyes, as well as Botox to smooth out crows feet and smile lines.
Beautiful eyes are as much about the skin around the eyes, as the eyes themselves.
In your 20s, the eyes are supple and alert.
In your 30s and 40s, crows feet, dark circles, and loose skin appear.
In your 50s, 60s and 70s, deep furrows, heavy bags, and crepe-y skin make the eyes look smaller and more tired.
The nose is the centerpiece feature of the face, and it is critical in aesthetically pleasing facial balance.
Dr. Devgan performs rhinoplasty ("nose job") surgery for patients with cosmetic concerns about how their noses look. Whether your concern is a subtle change of the tip of the nose, a hump on the dorsum of your nose, a wide nose, a crooked nose, or some combination of the above, surgery can be an effective option. In selected patients, fillers like Juvederm and Restylane can be used for a non-operative nose correction with no surgery or downtime at all.
For patients with functional problems like difficulty breathing, snoring, deviated septum, or inferior turbinate hypertrophy, Dr. Devgan performs septoplasty and functional nasal surgery. All incisions are hidden inside the nose, and this approach can be combined with rhinoplasty (nose reshaping) if desired.
For patients who have sustained nasal fractures or broken noses (whether it was a few months ago during a car accident or a few decades ago during a sporting event), Dr. Devgan can perform operative correction to restore your nose to a straight, refined configuration.
Sometimes, to achieve proportionate facial balance, a chin implant is needed to strengthen the lower third of the face. This can be done in conjunction with a rhinoplasty or alone.
A well-proportioned nose is the most dramatic way to draw attention to the eyes and mouth.
A strong chin improves the jawline and gives harmony to the face.
Facial balance is classically beautiful.
The breasts are a centerpiece to many women's sense of femininity. As a woman and a plastic surgeon, Dr. Devgan is uniquely poised to understand your concerns about your breasts and help you achieve your desired results.
Dr. Devgan performs breast augmentation (breast enlargement, or breast implant surgery) with both saline and silicone implants. Incisions for breast implants are hidden either underneath the breast, around the areola, or in the armpit. Implants are placed either under the muscle or under the breast. Dr. Devgan is passionate about listening to her patients and tailoring her techniques to their specific desires, and each of these decisions will be discussed in detail. Whether you would like a subtle increase in size, correction of asymmetric breasts, or a more dramatic change, Dr. Devgan would be happy to address your concerns. Breast implant surgery is one of Dr. Devgan's favorite, signature operations.
With aging, gravity, pregnancy, weight changes, and breastfeeding, many women find that their breasts sit lower on their chests than they used to. Your nipples may start to point downward, the top part of the breast that creates cleavage may start to look deflated, and you may start to feel uncomfortable with how your breasts look when you are not wearing a bra. All of these issues can be addressed with a mastopexy, or breast lift. In women who want a little extra volume, breast implants may also be added.
For those women with excessively large breasts causing back and neck pain, breast pain, and difficulty exercising, breast reduction can be a satisfying option. When large breasts interfere with a woman's quality of life, this procedure is often covered by insurance companies. Dr. Devgan employs the newest techniques in breast reduction (including the supero-medial pedicle), which allow for a beautiful, feminine, youthful contour. Patients who have breast reductions are among the happiest of all plastic surgery patients.
Pregnancy, breast feeding, weight changes, and genetics can cause drooping, deflation, and size mismatch of the breasts.
The goal of breast contouring surgery is to give you feminine, supple, proportionate breasts.
Dieting and exercising can't always address the most stubborn areas of the body.
Weight fluctuations, genetics, and pregnancy can lead to loosening of the abdominal tissues and a "pooching" of the abdomen underneath the belly button, or a bulge of the abdomen above the belly button. Abdominoplasty, or tummy tuck, can address these problems by not only removing the extra skin and fat of the belly, but also by tightening the "six-pack" muscles of the abdomen underneath to fix a diastasis of the rectus muscles. Dr. Devgan's unique approach to abdominoplasty focuses on tightening the muscular substructure of the abdomen in both the vertical and horizontal dimensions, to create a narrow and feminine waist. The incision is hidden underneath your panty line, and may be planned to go over an old c-section scar in applicable patients.
For persistent areas of fat-- whether they be in the belly, arms, legs, waist, neck, or knees-- liposuction can sometimes be the only way to definitively remove them. Liposuction uses extremely tiny incisions (about half a centimeter in length, and usually hidden in an easily concealed area like the belly button) to actually suck out the extra fat. Downtime is minimal and results are quick and gratifying.
For patients who have lost over 50 to 100 pounds with bariatric surgery or dieting, more extensive body contouring options are needed. These include body lift, fleur-de-lis abdominoplasty, buttock lift, or some combination of the above. Dr. Devgan will examine you and discuss the best plan for you in detail. If you have done the hard work of losing this much weight, reward yourself by helping your body get back to a slimmer profile.
Brachioplasty, or arm lift, can be an excellent option in patients with extra arm tissue. This can be combined with arm liposuction to achieve a sleek silhouette.
Thigh lift is best performed in patients who have lost excess weight, but still have extra loose skin and fat on their legs. Scars are hidden on the inside of the legs to allow for a smooth contour that can be hidden in clothes.
Labiaplasty is a short surgical procedure that improves the appearance and function of a woman's external genitals. It can be done on the inner labial lips, the outer labial lips, or both. Women with large, protruding, or hanging labia may experience pain when walking or playing sports, discomfort when wearing snug clothing like jeans, difficulty with personal hygiene, and pain with sexual intercourse. Sometimes, they also feel self-conscious about being seen naked, in a swimsuit, or during intimacy. Women who have labiaplasty are among the happiest plastic surgery patients.
Body contouring procedures can undo some of the detrimental effects of pregnancy, weight changes, and aging-- such as loose skin, stretch marks, and persistent bulges.
Skin & Injectables
Dewy skin and a beautiful complexion are the cornerstones of youth, health, and radiance. Dr. Devgan offers the full spectrum of skin care-- from topical skin lotions, to peels, to lasers, to injectables-- to help you achieve this. When you turn to a plastic surgeon for your skin care (rather than an aesthetician, a facialist, or a dermatologist, for example), you are seeing someone who is capable of offering you the full spectrum of what is out there-- from eye cream to surgery-- someone whose only incentive is helping you achieve what is best for you.
Botox (or other neuromodulators like Dysport or Xeomin) smooth out the muscles of the face and neck. This technique is especially powerful for erasing forehead wrinkles, crows feet, and furrows between the eyes-- all of which can make a person look upset or angry even when he or she is not. Botox can also be used to treat hyperhydrosis or excess sweating.
Fillers, including Restylane, Juvederm, Radiesse, Sculptra, and Belotero, among others, are FDA approved biomaterials that add subtle volume to the face. They can be used to fill in deep wrinkles or creases, such as the ones that appear in the nasolabial folds (the lines around the mouth), marionette lines (the lines near jowls), and the glabella (the lines between the eyes). Fillers can also be used to augment the fullness of the lips and fill in the hollow of tear troughs.
Dr. Devgan specializes in the "liquid facelift," which is a cutting-edge technique for rejuvenating the tired or aging face with no time off work and no incisions. Using a combination of neuromodulators and fillers, Dr. Devgan can bring your face back to its youthful luster in under half an hour.
Dr. Devgan offers alpha-hydroxy-acid peels and TCA peels to exfoliate and soften the overall complexion of the face. Whether you need to return to work later that day, or you would like a more rigorous peel that requires a few days off, Dr. Devgan can discuss your goals and offer an appropriate solution.
Laser resurfacing can sometimes be the best solution for freckles, melasma, age spots, and fine lines around the eyes and mouth. Dr. Devgan offers laser resurfacing alone, or in concert with a surgical procedure such as a facelift or blepharoplasty.
As beautiful and luxurious as department store skin products are, few, if any, have actual proven scientific efficacy. Dr. Devgan will work with you to prescribe appropriate skin care for all steps of your routine-- moisturizing, sunscreen, anti-aging, age spots and skin brightening, eye cream, and night cream-- from an unbiased, medically-sound, and science-driven perspective.
Supple clear skin makes even a 35 year old look 18.
A beautiful complexion does not require heavy makeup.
A smooth forehead and supple skin around the eyes and mouth telegraph youth and health.
The right skin care regimen can stave off signs of aging and sun damage for years.
Botox for forehead wrinkles- image courtesy Botox
Botox for forehead wrinkles- image courtesy Botox
Botox for forehead wrinkles- image courtesy Botox
Filler for nasolabial folds (wrinkles around mouth/ nose)- image courtesy Juvederm
Filler for nasolabial folds (wrinkles around nose/ mouth)- - image courtesy Juvederm
Latisse to lengthen and thicken eyelashes- - image courtesy Latisse
Plastic Surgery for Men
Not only is plastic surgery becoming more popular with men of all ages and statures, but modern techniques in plastic surgery have allowed refinement of techniques especially for men. Dr. Devgan prides herself on maintaining a natural and masculine look in her male patients, so they can be back at work and travelling with minimal time off and without obvious signs of surgery.
FACELIFT & NECKLIFT
Facelift and necklift in men are powerful techniques for turning the clock back and refining the masculinity of the jawline and chin. Men in particular can benefit from microliposculpture of the neck (or liposuction of a "double chin" deformity).
Gynecomastia, or breast development in men, can be socially embarrassing and professionally uncomfortable. Dr. Devgan addresses gynecomastia with a combination of liposuction and direct excision of glandular tissue, all with hidden incisions.
Body contouring for men includes abdominoplasty, brachioplasty, thighplasty, and body lift. Whether these procedures are done after you have lost a significant amount of weight, or simply because you would like to fit in your clothes more comfortably, they can be incredibly gratifying for both the patient and the surgeon.
Liposuction is an ideal way to refine and define the contours of the male physique when stubborn pockets of fat remain. Dr. Devgan uses this technique to sculpt a "six pack," bring in a wide torso, eliminate love handles, and remove excess breast tissue in gynecomastia.
Facial aging can detract from a man's sense of youthful vitality.
Plastic surgery should improve your self-confidence and quality of life.
Dr. Devgan is committed to reconstructive surgery, the dedicated branch of plastic surgery that is devoted to helping those who have suffered disfigurement due to accident, injury, cancer, or congenital anomaly. Dr. Devgan has trained at some of the finest reconstructive institutes in the world, and her scope of practice encompasses all aspects of reconstructive surgery. Her particular areas of expertise are breast reconstruction after cancer, reconstruction of facial fractures (including broken noses), and skin cancer reconstruction.
BREAST CANCER RECONSTRUCTION
When a woman receives a diagnosis of breast cancer (or atypia) and requires mastectomy, lumpectomy, or chemoradiation, she is legally entitled to breast reconstruction coverage by her insurance company. Only about one third of women who can opt for breast reconstruction currently know and take advantage of this fact. Dr. Devgan is a strong advocate for breast cancer patient rights, and she feels that breast reconstruction is a meaningful and profound way of reconstructing your femininity after a cancer operation. Dr. Devgan has found that many of her patients feel that reconstruction is what allowed them to put their cancer diagnosis behind them once and for all.
Dr. Devgan is well versed in all aspects of breast reconstruction, including:
-using breast implants -using tissue expanders and then breast implants -using your own tissue (including free flaps, or perforator flaps) -nipple reconstruction -nipple tattooing -revision of a prior reconstruction -surgery to make both breasts appear more symmetric even if only one breast had cancer
Dr. Devgan has been recognized for her skill in repairing facial fractures by AONA, an international organization that manufactures specialized titanium plates and screws used in fracture repair. She is skilled in addressing all facial fractures. She is especially interested in nasal fractures (also called broken noses). In addition, for those with traumatic lacerations, burns, or other wounds, Dr. Devgan is well-versed in modern techniques to minimize scarring.
Dr. Devgan performs excision of suspicious moles and lesions that could be skin cancer. She also reconstructs defects of the face and body created by Mohs Surgery (a dermatologic technique that removes certain types of skin cancer). Dr. Devgan can perform the above procedures in the comfort of her Upper East Side office, or in a hospital surgical facility.
FUNCTIONAL NOSE SURGERY
Dr. Devgan performs functional surgery for those with trouble breathing due to a deviated septum, turbinate hypertrophy, or a new or old nasal fracture.
Dr. Devgan performs corrective surgery for ptosis, which is a drooping eyelid that obstructs vision.
PEDIATRIC SURGERY & CONGENITAL ANOMALIES
Dr. Devgan performs surgery on children and adults with a variety of congenital anomalies including birth marks, suspicious moles, facial growths or tumors, craniofacial anomalies, cleft lip and palate, and protruding ears.
Dr. Devgan performs corrective surgery for hand nerve and tendon lacerations, nailbed injuries, metacarpal fractures, carpal tunnel, and trigger finger.
Breast cancer reconstruction
Facial fractures & lacerations
Skin cancer surgery
Boutique & Concierge Plastic Surgery
For those situations where privacy and convenience are of the utmost importance, Dr. Devgan offers boutique and concierge service for her elite clientele.
BOUTIQUE & CONCIERGE SERVICES
In the comfort of your home, hotel room, office, or spa suite, Dr. Devgan will provide an in-depth one-on-one consultation. Should the need arise, Dr. Devgan can perform minor cosmetic procedures, such as Botox, injectables, peels, mole removal, and laceration repair at your desired location.
Using immaculate technique, sterile instruments, and maximal discretion, you can have your bespoke plastic surgery needs met without disrupting your busy schedule.
For lacerations, facial fractures, broken noses, and hand injuries in adults and children, Dr. Devgan can see you right away either in her Upper East Side office, or directly in the Emergency Room of Lenox Hill Hospital or Greenwich Hospital.
For boutique & concierge plastic surgery services, please call 212.452.2400.