Signature Procedure | Facelifts Later in Life

Dr. Lara Devgan gives an overview and her thoughts on facelifts later on in life.

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Facelifts in Later Life: Why Older Patients Often See the Most Striking Transformations

Facial aging isn’t one single event—it’s the gradual accumulation of soft-tissue descent, volume loss, and structural shifts that occur steadily over the years. For patients in their 60s, 70s, and beyond, these changes have had more time to compound, which is exactly why a well-executed facelift can create such powerful, meaningful results. When you restore decades of structural aging in one carefully planned procedure, the impact is profound.

Why Older Patients Often See the Biggest Improvement

By the time someone reaches their later decades, the midface has descended, the jawline has softened, and the neck has lost definition. Treating these concerns together allows a surgeon to reset the facial foundation. Older patients often feel that their outward appearance no longer reflects how energetic or sharp they feel inside. A facelift reconnects those two realities.

Deep-Plane and SMAS Techniques: The Gold Standard for Aging Faces

A modern facelift isn’t about tightening skin. The true artistry lies in repositioning the deeper support layers—the SMAS or deep plane—along natural anatomic vectors. This approach re-elevates the structures that have shifted over time and re-establishes definition where it’s been lost:

• The jawline becomes crisp again

• Jowls smooth out

• The midface lifts into a more youthful, natural position

Because the movement happens below the skin, the result looks authentic rather than pulled.

The Power of Combining Lifting With Volume Restoration

Aging isn’t only about descent—it’s also about deflation. Strategic fat grafting is one of the most impactful additions for older patients. It restores gentle fullness to areas like the cheeks, lips, and temples, helping the face regain balance and softness without looking overfilled.

Think of the lift as restoring structure and the fat grafting as restoring vitality. Together, they recreate the architecture the face used to have.

Neck Refinement: The Finishing Touch

The neck is often the most revealing area of age, especially in older patients. Platysmal banding, loose skin, and deep fat compartments can make the profile appear heavier. A tailored neck procedure—whether tightening the platysma, removing excess skin, or contouring deeper tissues—brings the facelift full circle and creates a smooth, elongated neckline that complements the rejuvenated face.

Delicate Technique Matters More With Age

Older patients can absolutely be excellent candidates for surgery. The key is thoughtful planning and meticulous execution. With careful tissue handling, respect for natural anatomy, and a lifting vector customized to the patient’s facial structure, the result looks refined, elegant, and true to who they are.

This is the opposite of “changing” someone’s identity. It’s restoring the harmony and definition that once came effortlessly.

A Meaningful, Confidence-Restoring Change

When performed properly, facelifts in later decades of life go far beyond cosmetic improvement. They help patients feel aligned again—comfortable, confident, and authentically themselves. The transformation is not about erasing age; it’s about elevating what’s already there in the most natural, graceful way possible.

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Appointment Inquiries

For inquiries and appointments, please email appointments at appointments@laradevganmd.com or call 212-452-2400. You may also use the following button to schedule an appointment online. We look forward to hearing from you. Thank you!

Doctor's Notes | Breast Implant Sizing: How It Really Works

In this TikTok, Dr. Lara Devgan gives insight into her process to determine the ideal breast implant size for her patients.

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Breast Implant Sizing: How It Really Works

Breast implant sizing isn’t guesswork, and it’s not about chasing a cup letter. It’s a technical, individualized process that blends anatomy, proportion, and aesthetic intention. Cup sizes vary wildly between brands, so they’re a terrible tool for surgical planning. What actually matters is how an implant interacts with your body—your measurements, your tissue, and your overall frame.

The first step is understanding the breast footprint. I look at base width, the quality of the soft-tissue envelope, the sternal-notch to nipple distance, and the position of the inframammary fold. These landmarks define the space an implant can occupy without causing problems later. An implant that’s too wide pushes into the armpit and creates lateral spillage; too much projection can make the upper pole feel rigid or round; too much volume can distort the shape instead of enhancing it.

From there, it becomes about fit. Projection, profile, and volume all have to line up with the architecture of the chest wall and the patient’s proportions. It’s like tailoring—precision matters. The right implant should sit comfortably within the natural boundaries of the breast, adding shape without overwhelming it.

In the operating room, sizers let me verify everything in real time. They show how the implant will sit, how the two sides balance, and how the contours settle when the patient is lying down. It’s the final check to make sure symmetry, shape, and harmony are exactly where they need to be.

The end goal is simple: an implant that looks like it belongs to you. When sizing is done properly, the result is elegant, proportional, and aligned with your natural anatomy—an enhancement that feels authentically yours, not forced or artificial.

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Signature Procedure | Zip Stitches Removal 1-Week Post-Blepharoplasty Operation

Dr. Lara Devgan demonstrates her process of removing zip stitches 1 week following and upper and lower eyelid blepharoplasty operation in this TikTok.

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Zip Stitches Removal: 1-Week Post-Blepharoplasty Guide

Blepharoplasty, or eyelid surgery, is a popular procedure to rejuvenate the eyes by removing excess skin and fat. Many surgeons use zip stitches—dissolvable or removable sutures that provide a secure yet minimally invasive way to close incisions. If you're one week post-op and preparing for stitch removal, here's what to expect.

What to Expect at the 1-Week Mark At this stage, your healing process should be well underway. Swelling and bruising may still be present but significantly reduced. Your incisions should be forming new skin, and any discomfort should be mild.

Your surgeon will determine if the zip stitches are ready for removal based on how well your eyelids have healed. In some cases, they may dissolve on their own, but if they are non-dissolvable, they will be gently taken out by your doctor.

How Zip Stitches Are Removed The removal process is typically quick and painless. Here’s what happens:

• Your surgeon will examine your eyelids to ensure they have healed enough.

• Using fine scissors or forceps, they will carefully snip and pull out the stitches.

• You may feel slight tugging, but there should be minimal discomfort.

• Your doctor may apply an antibiotic ointment to aid healing and prevent infection.

Aftercare Following Stitch Removal Once your stitches are out, your skin may feel slightly sensitive. To ensure smooth healing:

• Continue applying any prescribed ointments.

• Avoid rubbing or stretching your eyelids.

• Use cold compresses if minor swelling persists.

• Protect your eyes from sun exposure with sunglasses.

• Follow your surgeon’s instructions regarding makeup and skincare.

Signs You Should Contact Your Surgeon While most patients heal without issues, keep an eye out for:

• Excessive redness, swelling, or pus discharge.

• Unusual pain or tightness around the incision.

• Any signs of infection, such as fever.

Final Thoughts Removing zip stitches is a straightforward process and a key milestone in your blepharoplasty recovery. By following your surgeon’s guidance and taking proper care, you’ll be on your way to fully healed, refreshed eyes in no time. Always communicate any concerns to your doctor to ensure a smooth recovery journey.

Signature Procedure | Upper & Lower Eyelid Blepharoplasty: Recovery Process Photos

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Appointment Inquiries

For inquiries and appointments, please email appointments at appointments@laradevganmd.com or call 212-452-2400. You may also use the following button to schedule an appointment online. We look forward to hearing from you. Thank you!

Signature Procedure | Facelift

Dr. Lara Devgan gives an overview on the facelift surgical process.

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Understanding the Power of a Combined Facelift

When it comes to facial rejuvenation, no single procedure can address every dimension of aging. The face changes in layers — volume shifts, ligaments loosen, skin laxity increases, and the deeper structural support weakens over time. That’s why many of the most natural, elegant results come from a thoughtful combination of procedures that work together rather than in isolation. A midface lift, lower facelift, and neck lift performed in harmony can restore balance, shape, and contour across the entire lower two-thirds of the face.

Why the Midface Matters

Aging in the midface often starts earlier than people expect. The deep cheek fat pads descend gradually, pulling the face downward and flattening the once-youthful curve under the eyes. A midface lift repositions these deeper structures back to their native, lifted position. The goal isn’t to change how someone looks — it’s to restore the soft, supportive contour that defines a youthful cheek. When this foundation is reset, everything above and below it looks more refreshed.

Refining the Jawline With a Lower Facelift

The jawline is where many people first notice sagging. Skin laxity, shifting fat, and weakened connective tissue blur the clean edge between face and neck. A lower facelift works beneath the skin, elevating and tightening the deep muscular layer to re-establish a crisp, defined mandibular border. This deeper approach is what keeps the result natural, avoiding the pulled look and instead recreating the firm, smooth sweep of a youthful jaw.

Restoring Neck Definition With a Neck Lift

Even the most beautifully performed facelift can look incomplete if the neck still shows bands, loose skin, or volume irregularities. A neck lift handles the structures that a facelift alone can’t fully correct. It tightens the platysma muscle, sharpens the cervicomental angle, and removes redundant skin to create a long, graceful neck profile. When the jawline and neck are treated as a single aesthetic unit, the transformation is cohesive rather than piecemeal.

Why Combining These Procedures Works So Well

Facial aging doesn’t happen in isolated pockets, so correcting it in a piecemeal way rarely looks seamless. By addressing the midface, jawline, and neck together, the surgeon can respect the natural vectors of lift and restore the face as a unified whole. The result is a brightened, rested appearance — not a changed identity. Every improvement supports the next, and the outcome looks like the patient at their best, not an altered version of themselves.

The Bottom Line

A combined midface lift, lower facelift, and neck lift is one of the most powerful ways to achieve comprehensive yet natural facial rejuvenation. When performed with precise, anatomy-guided technique, these procedures work together to reposition deep structures, refine contour, and refresh the entire lower face and neck. For patients seeking meaningful, long-lasting improvement while preserving their essential character, this trio of procedures delivers exactly that.

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Appointment Inquiries

For inquiries and appointments, please email appointments at appointments@laradevganmd.com or call 212-452-2400. You may also use the following button to schedule an appointment online. We look forward to hearing from you. Thank you!

Signature Procedure | Platysma Neuromodulator

Dr. Lara Devgan demonstrates her Signature Jawline & Chin Augmentation in this TikTok.

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Understanding Platysmal Band Neuromodulator Treatment for the Neck

Platysmal bands—those vertical cords that pop out on the front of the neck when you talk, smile, or strain—are one of the most common age-related complaints people notice long before deeper wrinkles set in. They create a “pulled,” sometimes harsh look that can age the lower face even when the skin is otherwise smooth. That’s where neuromodulators step in.

What Platysmal Bands Are (and Why They Show Up)
The platysma is a thin, sheet-like muscle that runs from the jawline down through the neck. As we age, this muscle becomes more active and more visible. Skin laxity, collagen loss, and the natural downward pull of facial structures all make the bands stand out more. Once they’re prominent, skincare alone won’t soften them.

How Neuromodulators Help
Injecting a neuromodulator into the platysma relaxes the muscle just enough to take the tension out of those vertical cords. When the muscle eases, the bands fade and the neck takes on a smoother, more refined appearance. There’s no cutting, no downtime, and the results look natural when done correctly. You’re not freezing the neck; you’re dialing down the overactivity that makes the bands pop.

What the Treatment Looks Like
A typical session involves a series of small injections placed directly into the standing bands as they’re activated. It’s quick—usually under 10 minutes. Most people feel a few pinches, and that’s it. Improvements show up gradually over the next 1–2 weeks.

What Results You Can Expect
The big win with platysmal neuromodulation is subtle elegance. The neck appears smoother, the jawline can look a bit cleaner, and expression lines soften. It won’t lift loose skin or replace a surgical neck lift, but for the right candidate it delivers a sharper, more youthful profile without looking “done.”

How Long It Lasts
Results typically last three to four months, depending on how expressive your platysma is and how your body metabolizes the product. Many patients maintain results with regular seasonal visits.

Who’s a Good Candidate
Anyone bothered by visible vertical neck bands—especially when speaking or emoting—is a strong candidate. The treatment is especially effective for people who want refinement without surgery and prefer a natural, rested look.

Bottom Line
Platysmal band neuromodulation is one of those quiet aesthetic upgrades that can make a big difference. When the neck looks smooth and relaxed, everything above it looks fresher too. If the bands in your neck are starting to bother you, this is a safe, efficient, and high-impact option worth considering.

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Appointment Inquiries

For inquiries and appointments, please email appointments at appointments@laradevganmd.com or call 212-452-2400. You may also use the following button to schedule an appointment online. We look forward to hearing from you. Thank you!