Cheekbone augmentation with injectable filler

Cheekbones are said to account for 70% of facial beauty-- they anchor the face, make the face look thinner and more sculpted, and set the stage for beautiful facial features.

One of my favorite techniques for improving facial balance and beauty is injectable filler to augment the cheekbones. Not only does it improve the sculptural quality of the cheekbones, but it also replaces the volume loss of the midface that starts to occur in our 30s.

This technique takes about 10 minutes, and results last 1-2 years. I typically use Voluma, an FDA-approved filler made by Allergan, to achieve soft, natural looking results, as shown above.

Some of the benefits of cheekbone augmentation include:

• better apparent bone structure of the face
• softening of the nasolabial folds
• improvement of facial volume and softness of the upper cheeks
• reduction of "midface descent" or malar bags/ festoons
• creation of a heart-shaped, youthful face, rather than a square-shaped, older face

For all of my cheekbone augmentation patients, I am precise and meticulous when it comes to their facial features. In my practice, I feel that it is mandatory to:

• carefully analyze facial balance and facial features
• measure anatomic landmarks
• mark with a white pencil the important anatomic areas for concern
• sterilize the skin
• use topical and vibrational pain control
• use microdroplet injection techniques for greater precision
• cleanse and massage the tissue after the procedure
• apply a topical steroid ointment to reduce inflammation

If you are interested in Voluma cheek filler (or cheekbone augmentation), please call 212-452-2400 or email office@LaraDevganMD.com.

Natural looking rhinoplasty

Actual patient of Dr. Devgan, before and 1 week after rhinoplasty.

A beautiful, subtle rhinoplasty changes the character of the nose by a few millimeters, but it can change the character of the face much more significantly.

When I am seeing a rhinoplasty patient in my practice, I take several steps to ensure beautiful results that are harmonious with the patient's overall face. This involves:

1. Detailed physical examination of the components of the external nose: the dorsum, the sidewalls, the tip, the soft triangles, and the nasal alae
2. Assessment of the physical characteristics of the nose: the skin type, sebaceous glands, the skin thickness, and the strength of the cartilages
3. Examination of the inside of the nose, including the septum, turbinates, internal and external nasal valves, and the mucosa
4. An overall facial analysis that takes into account other related facial features, such as the chin, eyes, cheekbones, and mouth
5. A detailed conversation with my patient about his or her goals and expectations for surgery

I take tremendous pride in my work and attention to detail, and these qualities are particularly important with rhinoplasty ("nose job") surgery. To see me as a patient in my New York City practice, please call 212-452-2400 or email office@LaraDevganMD.com.

Breast lift (mastopexy) to correct drooping and asymmetry

Actual patient of Dr. Devgan, before and after breast lift (mastopexy).

Actual patient of Dr. Devgan, before and after breast lift (mastopexy).

Actual patient of Dr. Devgan, before and after breast lift (mastopexy).

Actual patient of Dr. Devgan, before and after breast lift (mastopexy) and implant removal.

Actual patient of Dr. Devgan, before and after scarless internal breast lift (mastopexy) and breast augmentation.

Time, genetics, breastfeeding, and pregnancy can all effect the appearance of the female breasts. Over time, drooping, sagging, and deflation of the upper and medial poles of the breasts can set in and leave a patient with a less-than-desirable aesthetic appearance.

A breast lift (or mastopexy) can be a gratifying operation for restoring a natural, feminine, perky shape to the female breasts. A typical breast lift (even when a minimal amount of tissue is removed) will slightly reduce the size of the breasts. In select patients, a breast reduction can be combined with a breast lift if a patient would like to decrease the overall size of their breasts more significantly.

Types of Breast Lifts & Scars

Circumareolar

A circumareolar breast lift raises the nipple position about 1-2 cm. This lift has the advantage of keeping scars hidden in a donut shape around the areola, but has the disadvantage of only being capable of a modest elevation in breast position.

Lollipop

A lollipop or vertical pattern breast lift raises the nipple position more significantly, but the tradeoff is a slightly longer scar that extends around the areola and down the center of the breast. This is an excellent option for moderate lifts.

Anchor pattern

An anchor pattern breast lift has a circumareolar component, a vertical component, and a small horizontal component hidden underneath the breast. This is the best option for very large breast reductions or very droopy, pendulous breasts.

Scars for all types of breast reductions fade significantly and mature over the course of a year, so that regardless of your scar pattern, you can have an excellent result that is individualized to your concerns and anatomy.

If you would like to see me as a patient interested in breast lift, please call my office at 212-452-2400 or email office@LaraDevganMD.com.

What a breast augmentation looks like 2 days later

Actual patient of Dr. Devgan, before and 2 days after breast augmentation

Actual patient of Dr. Devgan, before and 1 month after breast augmentation

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

Actual patient of Dr. Devgan, before and 3 months after breast augmentation

It takes breast implants 3 days to "drop and settle" into their final position after a breast augmentation surgery. However, even right after surgery, you will look and feel a significant improvement in size, contour, and shape of the breasts.

It is normal and expected for your implants to feel "high" and "tight" immediately after surgery. Starting just 1-2 days after your breast augmentation, they will already be feeling softer and more natural.

There are many examples of breast augmentation results from my New York City patients elsewhere on this page, but here I have included images of a few patients at various different time points after surgery to give my patients a better understanding of what to expect over time.

The subtle refinements of a beautiful facelift

Actual patient of Dr. Devgan, before and after revision facelift, necklift, and lower eyelid blepharoplasty. This result is shown 6 weeks after surgery.

Actual patient of Dr. Devgan, before and after revision facelift, necklift, and lower eyelid blepharoplasty. This result is shown 6 weeks after surgery.

Excellent plastic surgery whispers; it doesn't scream. Particularly for facial plastic surgery, beautiful results must keep the natural character of your face and make you look like a younger, more attractive version of yourself.

You lead with your face, and your face is your identity. Having obvious signs of surgery-- such as tightly pulled skin, permanently surprised-looking eyes, and puffy cheeks-- is unattractive and disconcerting.

When I am performing facelift, necklift, and eyelift (blepharoplasty) surgery, these thoughts are always my main concerns. I use the most modern techniques available to keep my patients looking natural.

Here are some of my surgical approaches to achieve the natural look:

• Create scars that are hidden inside the ears, along pre-existing scars, or under the hairline
• Lift the substructure of the face (the deep plane SMAS) in a vertical vector to create a beautiful jawline and cheek
• Gently redrape the skin in a transverse vector to create a smoother, more youthful look, without making it look shiny or tightly pulled
• Use judicious fat grafting to fill hollows and areas of volume loss

Examples of my work are above and elsewhere on this page. If you think a facelift or necklift may be right for you, I suggest coming in for an in-person evaluation and consultation to explore your options further.