The Ladder of Interventions
When it comes to aesthetic medicine, there’s a thoughtful progression in how treatments are chosen. This “ladder of interventions” starts with the most conservative options and moves toward more involved solutions only when necessary. For surgeons like Dr. Lara Devgan, it’s about achieving the best results with the least amount of intervention needed for each individual patient.
Step 1: Injectables and Topicals
The first rung of the ladder focuses on treatments that are quick, low-risk, and require minimal or no downtime. Injectables such as Botox and dermal fillers can soften expression lines, restore lost volume, and refine facial contours. Medical-grade skincare products — including prescription retinoids, antioxidants, and growth factors — can improve skin tone, texture, and overall radiance. These treatments are ideal for early signs of aging or for patients who want to maintain their appearance without making a major commitment.
Step 2: Suture Suspension
When injectables and topicals aren’t enough to achieve a patient’s goals, suture suspension can be the next step. This minimally invasive technique uses dissolvable threads to lift and reposition the skin, restoring a more youthful contour to the face or neck. While the results aren’t as dramatic as surgery, they can bridge the gap for patients who want noticeable lifting without the recovery time of an operation. It’s a targeted option for those with mild to moderate skin laxity.
Step 3: Surgical Procedures
The top rung of the ladder is reserved for surgery, which delivers the most dramatic and long-lasting results. Procedures like facelifts, brow lifts, or eyelid surgery can correct significant skin laxity, reposition deep tissues, and restore youthful structure. Surgery comes with more downtime and a higher level of commitment, but for the right patient, it can be the most effective way to achieve transformative results.
By following this ladder of interventions, Dr. Lara Devgan can create a treatment plan that is highly personalized — starting small, escalating only when necessary, and always focused on achieving natural, beautiful results.
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!
