Dr. Devgan featured in "The Youth Obsession" documentary

Dr. Devgan is honored to have been featured in the documentary "The Youth Obsession." In the clip included here, she is speaking about her approach to facial rejuvenation, including facelift, eyelift (blepharoplasty), and Botox. These are powerful procedures to gently but dramatically rejuvenate an aging face, allowing patients to age gracefully and beautifully over time.

For more information about facelift, necklift, eyelift (blepharoplasty), and Botox in New York City, contact top NYC plastic surgeon Dr. Lara Devgan at 212-452-2400 or office@LaraDevganMD.com.

Breast augmentation with internal lift (no scars on the breast)

Actual patient of Dr. Devgan, before and 2 months after breast augmentation with internal lift. Note the improvement in 1) symmetry, 2) droopiness, and 3) contour of the breasts-- all without scars on the front of the breast.

When I perform a breast lift (mastopexy) in my New York City practice, many patients are concerned about having scars on the front of their breasts. A traditional breast lift requires either a donut (periareolar) scar, a lollipop (vertical) scar, or an anchor (Wise pattern) scar. All of these are effective for different patients, but each of them carries the downside of creating a scar on the front of the breast.

I use a technique for breast augmentation with an internal lift that allows me to give my patients a modest breast lift of about 2 centimeters, without placing any scars on the breast. This technique doesn't work for every patient because if you have a significant amount of droopiness, you will need one of the other techniques. However, for the right patient, this is a great way to get a beautiful result without obvious scarring. 

If you are concerned about sagginess, droopiness, asymmetry, or deflation of your breasts, you may be a candidate for a breast augmentation (breast implants), breast lift (mastopexy), breast implants with lift (aug pexy), or another procedure. Please call my office at 212-452-2400 to come in for a consultation, or email office@LaraDevganMD.com with questions.

Actual patient of Dr. Devgan, before and 2 months after breast augmentation with internal lift.

Actual patient of Dr. Devgan, before and 2 months after breast augmentation with internal lift.

Actual patient of Dr. Devgan, before and 2 months after breast augmentation with internal lift.

Actual patient of Dr. Devgan, before and 2 months after breast augmentation with internal lift.

Achieving perfect symmetry in labiaplasty surgery

Surgical specimen from a recent labiaplasty patient of Dr. Devgan

Labiaplasty is a popular aspect of my New York City private plastic surgery practice. The reasons women seek labiaplasty are varied and include:

• dissatisfaction with the aesthetic appearance of the labia minora, clitoral hood, labia majora, perineum, or some combination of those
• discomfort with sports or exercise
• difficulty with hygiene
• the frequent need to adjust the private parts
• self-consciousness when in intimate situations or fitted clothing

Every labiaplasty I perform is uniquely tailored to each patient's specific concerns and one-of-a-kind anatomy. No two labiaplasty patients are the same, and no two operations are the same either.

I am well-versed in the full spectrum of labiaplasty repair techniques, include wedge excision, lazy-S excision, en bloc reduction of labia minora and clitoral hood, and others. The important aesthetic points for each operation include:

• matching the pigment borders and lines so that the pink pigmentary line and beige/ brown pigmentary line are continous and aesthetic
• ensuring no rippling or puckering of the incision borders
• hiding scars as much as possible
• achieving the best possible symmetry given a patient's anatomic starting point

The key to achieving the most perfect possible results for a labiaplasty surgery lies in planning, meticulous attention to detail, and stepwise refinement of excised specimens (as pictured above). In this era of gynecologists, general doctors, and high-volume "labiaplasty centers" performing these surgeries, it is important for women to understand that a board-certified plastic surgeon is trained in the delicate tissue handling, aesthetic principles, and surgical anatomy that give you ideal results.

For more information about labiaplasty in New York City, please call my office at 212-452-2400, or email office@LaraDevganMD.com.

3 approaches to chin augmentation

Chin augmentation with injectable filler. Actual patient of Dr. Devgan

People rarely think about their chins, but chin projection and proportion are very important in facial aesthetics. Having a chin that is in harmony with your bone structure, jawline, nose, and face shape can mean the difference between having an attractive face and an ordinary one.

Chin augmentation is a general term that describes a range of procedures that includes injectable chin filler, chin implant, and osseous genioplasty. The images in this post are some examples of my actual patients who have undergone these different techniques.

Chin Filler

Injectable chin filler (typically with Juvederm, Voluma, Restylane, or Radiesse) is a minimally invasive, non-surgical procedure that takes about 5 minutes. Under sterile conditions, an FDA-approved product is injected into your menton (chin prominence). Results last 1-2 years, and chin projection and contour can be made very attractive.

Chin Implant

A chin implant is a soft solid silicone or Medpor device that is surgically placed via a tiny incision hidden under your chin crease or inside your mouth. It is typically done with light sedation ("twilight"), although it can be done under local anesthesia with a nerve block. Results are permanent and very attractive. In my opinion, this is the gold standard best technique for chin augmentation.

Osseous Genioplasty

Osseous genioplasty is a surgical technique for repositioning the bony prominence of the chin and holding it place with tiny titanium plates and screws. The incision is hidden inside the mouth, and results are permanent, although the recovery and healing process can be quite involved due to the pain of bony surgery.

Next Steps

If you think you may be interested in chin augmentation (with our without rhinoplasty/ nose job surgery, which frequently goes with it), please contact my office at 212-452-2400 or office@LaraDevganMD.com.

Chin augmentation with injectable filler. Actual patient of Dr. Devgan

Chin augmentation with chin implant. Adjunctive procedures: submental liposuction, rhinoplasty. Actual patient of Dr. Devgan

Chin augmentation with chin implant. Adjunctive procedures: necklift, submental liposuction. Actual patient of Dr. Devgan

Chin augmentation with osseus genioplasty. Adjunctive procedures: necklift, blepharoplasty, fat grafting. Actual patient of Dr. Devgan

My patient coordinator's experience trying Latisse for eyelash growth

Latisse, before (above) and 16 weeks after (below) daily use. Image credit Allergan.

My First Experiences With Latisse

By Erica, Dr. Devgan's Patient Coordinator

When trying to make a great first impression, one of the first things we are taught to do is make eye contact. Is it their size, color, shape, or is it those big beautiful lashes that outline them giving our eyes the ability to leave a lasting impression? For me, it has been an uphill battle trying to find ways to give my eyelashes that full, beautiful look. So, this week I began the journey of growing out my eyelashes using Latisse. 

If you have looked into options for longer, more luscious eyelashes in the last seven years you have heard of the miracle eyelash grower, Latisse. Latisse was FDA approved in December of 2008 and has been on the market ever since. The active ingredient, bimatoprost, does not only help lengthen the lashes, but also helps thicken and darken them. Finally, a solution for my lacking eyelashes! 

Latisse comes in a small eyedropper container and resembles water like solution. The drops do NOT go directly into your eye. Using a thin paintbrush wand supplied along with the drops, the solution is applied along the eyelashes of the upper lid only. If you are an eyeliner wearer, mimic the same pattern you would with eyeliner on just the upper lid. When you blink, your eyelashes will spread solution to the lower lid on their own. Always apply to a freshly cleaned, but dry eyelid. You can apply at night before bed or in the morning before any eye makeup is applied. 

Aesthetically, eyelashes are just the tip of the iceberg when it comes to beautiful eyes. There are a number of ways Dr. Devgan can help you play up the natural beauty and appearance of your eyes. Botox can address crows feet and wrinkles around the eyes. Filler can help with creases and dark circles around the eyes as well as tired tear troughs. More invasive procedures, such as a blepharoplasty (eye lift surgery), can help with sagging tissues and loose skin that have caused your eyes to age. 

For more information about rejuvenating your eyes, eyelashes, or periorbital tissue, please email me at erica@LaraDevganMD.com or call the office at 212-452-2400.

Latisse, before (above), 8 weeks after (middle), and 16 weeks after (below) daily use. Image credit Allergan.