Microneedling for Glowing Skin

Actual patient of Dr. Devgan, before and immediately after Microneedling treatment

Truly beautiful skin is soft, supple, and glowing. Yet with sun damage, acne, wrinkles, fine lines, freckles, and sun spots, a luminous complexion can be difficult to achieve. A large body of research supports the use of an exciting technique to aid in getting great skin: Collagen Induction Therapy.

Collagen Induction Therapy, also called Dermapen Microneedling, or Microneedling, is a minimally invasive technique that boosts your skin's production of collage and elastin, two of the most important substances in maintaining plump, youthful, glowing skin.

HOW DOES IT WORK?

Microneedling involves using a mechanized device called a dermapen to make thousands of miniscule needle punctures in the outermost layers of the skin. By precisely controlling the depth, spacing, frequency, and pattern of these needle pricks, the dermapen stimulates your body to make more collagen in the areas where it needs it the most. Microneedling has been scientifically demonstrated to show improvement in fine lines, freckles and sun spots, scars, burns, pitted and non-pitted acne scars, stretch marks, and large pores. 

CAN MICRONEEDLING BE COMBINED WITH OTHER TREATMENTS?

Microneedling can be combined with a liquid treatment on the skin surface-- such as growth factors, vitamin C, or platelet rich plasma (PRP)-- to further improve skin quality, evenness, and texture. This is highly effective because the skin absorbs more of these growth factors as a result of microneedling treatment. The so-called "vampire facelift" (shown on Bar Rafaeli and Kim Kardashian, above) is an example of this combination.

HOW IS THIS DIFFERENT FROM A MICRONEEDLING OR DERMAROLLER TREATMENT IN A SPA?


Spa & home needles are shorter and less effective.

In a spa or home-use setting, microneedling devices and dermal rollers have needles that are much shorter than the ones used by a plastic surgeon. A spa or home device will have short, fine needles that are 0.2 mm in depth and can be used two times a week or more. In contrast, medical microneedling performed by a qualified plastic surgeon uses long, fine needles with depths ranging from 2 to 7 mm, depending on your concern (in other words 10 to 35 times deeper than the spa model).

Spa & home needles can hurt your skin and cause scarring.

Microneedling must be done with a device that hits your skin surface at a 90 degree (perpendicular) angle, in order to minimize scraping, scratching, or other trauma that could cause scarring. Inexpensive spa devices often have poor quality needles that are slightly angled or bent and can thus hurt your skin. Similarly, circular devices like dermal rollers don't hit the skin at a straight 90 degree angle and can be injurious for this reason as well.

A licensed physician or medical professional is required to supervise any procedure that breaks your skin. A vigourous Dermapen Collagen Induction Therapy session should do this, and thus should be medially supervised.

WHY NOT JUST USE A LASER OR CHEMICAL PEEL?

Microneedling is preferable to laser and chemical peels in many patients because it is safe for use in all skin tones, all parts of the body (including stretch marks on the abdomen), and all times of life (including pregnancy and breastfeeding). In addition, the downtime with Microneedling is quite short, with transient redness usually lasting less than a day (as compared to one week or more with peels or laser).

Microneedling Collagen Induction Therapy is also a great technique for those who are concerned with their complexions but are relunctant to try Botox or fillers. Because it is mechanical and doesn't involve any chemicals or neurotoxins, the technique is reassuring to many.

DOES IT HURT?

Although Microneedling sounds scary (thousands of needles going into your face!), it is actually quite painless. Dr. Devgan uses lidocaine numbing cream on your face to keep you completely comfortable, and you are wide awake during the procedure. The experience feels similar to a deep facial with a bit of extra vibration. At the end of the procedure, your face will be slightly red and tingly, as the growth factors, vitamin C, or platelet rich plasma absorb into your skin. By the next day, you will be able to return to work and play, with minimal downtime.

Improved skin appearance begins to occur almost immediately and continues for 4 to 6 weeks. For best results, Microneedling can be repeated as frequently as every 6 weeks, or as infrequently as 2-3 times a year, depending on your concerns.

IS IT EFFECTIVE?

The before and after photos of Microneedling speak for themselves. Although individual results and situations vary, this technique has been demonstrated to be effective in facial wrinkles, acne scars, hyperpigmentation, burns, surgical scars, and stretch marks.

WHAT IS THE DATA?

The scientific literature supports the use of Collagen Induction Therapy using a Dermapen Microneedling device. More detailed data can be found here:

  • Fernandes D. Minimally invasive percutaneous collagen induction. Oral Maxillofac Surg Clin North Am.2006;17:51–63. [PubMed]
  • Aust MC, Fernandes D, Kolokythas P, Kaplan HM, Vogt PM. Percutaneous collagen induction therapy: An alternative treatment for scars, wrinkles and skin laxity. Plast Reconstr Surg. 2008;21:1421–9. [PubMed]
  • Fernandes D, Signorini M. Combating photoaging with percutaneous collagen induction. Clin Dermatol.2008;26:192–9. [PubMed]
  • Aust MC, Reimers K, Repenning C, Stahl F, Jahn S, Guggenheim M, et al. Percutaneous collagen induction: Minimally invasive skin rejuvenation without risk of hyperpigmentation-fact or fiction. Plast Reconstr Surg. 2008;122:1553–63. [PubMed]

HOW DO YOU SET UP YOUR NEW YORK CITY DERMAPEN MICRONEEDLING TREATMENT?

If you are interested in Collagen Induction Therapy (microneedling dermapen treatment), please call our Manhattan office at (212) 452-2400 to schedule a consultation and treatment with Dr. Devgan. If you have specific questions, you can also reach out to us at info@LaraDevganMD.com.

HOW DO YOU MAKE YOUR MICRONEEDLING RESULTS LAST?

As amazing as collagen induction therapy with Dermapen Microneedling is, its effect on your skin is best combined with synergistic and scientifically proven skin care products. Prescription strength retinol, vitamin A, vitamin C, vitamin E, ferulic acid, and titanium are medical-grade products that will improve your skin and make your microneedling results last longer. For my recommendations, shop my custom-formulated line, Dr. Devgan Scientific Beauty, developed exclusively with a skin science laboratory in California. Microneedling makes your skin more permeable to absorption of medically active ingredients, so use of these products after your treatment is the best way to get great skin.

Dr. Devgan featured in the Hamptons Magazine hot list

The Hamptons Magazine Hot List, August 2016.

We are thrilled to announce that Dr. Devgan has been named to the Hamptons Magazine hot list, "The List." Featuring movers and shakers throughout the New York City, greater New York, the Hamptons, and surrounding areas, Dr. Devgan is honored to be listed with esteemed company, including:

Emily Ratajkowski, Brooke Shields, Mary-Kate Olsen, Oliver Sarkozy, Bebe Neuwirth, Alec Baldwin, Lauren Bush Lauren, Nacho Figueras, and more.

For more information on Dr. Lara Devgan, please contact office@LaraDevganMD.com or email 212-452-2400.

hamptons magazine
The Hamptons Magazine Hot List, August 2016.

Introducing the Ideal Implant: a saline breast implant that feels more like silicone

The Ideal Implant: a novel new saline breast implant that feels more like silicone

Finally, beauty without compromise.

I'm pleased to announce the introduction of the Ideal Implant in my New York City private practice. As a female plastic surgeon who focuses on breast augmentation and breast implant surgery, I am thrilled to be able to offer this exciting new implant to my patients. As one of the first plastic surgery practices in New York City to offer the ideal implant, I am honored to participate in this innovative development.

The IDEAL IMPLANT® Structured Breast Implant gives you the natural feel you want, and with advantages over silicone gel implants. Although it is filled with only saline for your peace of mind, the implant has a natural feel because of its internal supporting structure that controls movement of the saline. 

If the IDEAL IMPLANT ruptures, the saline inside is harmlessly absorbed by the body. In addition, you have the confidence of knowing that your implants are intact just by looking in the mirror. In contrast, if a silicone gel implant ruptures, it is “silent” and cannot be detected by looking in the mirror. Current silicone gel implants have been shown to have a high rate of rupture based on MRI scans. 

Women have wanted a new type of breast implant – one that would combine the natural feel of a silicone gel implant with only saline inside for safety and peace of mind. After years of research, engineering, product development and a large US clinical trial, the IDEAL IMPLANT was approved by FDA and Health Canada, and is now available through a limited network of board certified or eligible plastic surgeons. 

The IDEAL IMPLANT has been in clinical use since February 2009, at the start of the clinical trial. By February 2010, 502 women received the IDEAL IMPLANT from 45 board certified plastic surgeon investigators nationwide. In clinical follow-up over five years, patient and surgeon satisfaction with the outcome has been high and the capsule contracture rate has been low.

"Kylie Jenner" lip augmentation: the right way to get voluptuous volume

Actual patient of Dr. Devgan, before and after lip augmentation with a dramatic "Kylie Jenner lips" style look.

Most of my patients desire natural looking lip augmentation, but a skilled plastic surgeon is able to deliver any type of result, from very subtle to very dramatic, as shown here.

The image above is an actual patient of mine. She is a high-profile public figure who desired a dramatic, voluptuous, "Kylie Jenner lips" type of look. This required multiple syringes of filler injected over the course of months, with attention toward correcting some of the baseline irregularities caused by another doctor.

I realize that an exaggerated lip look does not appeal to every patient, but it's my job as a plastic surgeon to listen to my patients' goals and do my best to help them achieve their desired looks.

To see me as a patient in my New York City private practice, please call 212-452-2400 or email office@LaraDevganMD.com. Due to high call volume, please leave a message if your call is not answered immediately.

Introducing our new gold infused collagen treatment mask

Increase the absorption of medically active skin care products & rejuvenate the texture and appearance of your skin.

DETAILS

This gold infused collagen treatment mask works to improve the quality of your skin in two ways. First, it contains a proprietary blend of collagen, hyaluronic acid, vitamin E, vitamin B3, natural mulberry extract, and essence of rosebud to soothe and relieve your skin. Second, its silicone bilayer improves the permeability of any medically active substances that are placed on your skin by increasing their absorption.

BENEFITS

  • Proprietary blend of hyaluronic acid, Vitamin E, Vitamin B3, and amino acids improves the skin's moisture level and collagen production
  • Increases skin permeability and improves the absorption of medically active skin care products that have been applied to the surface of cleansed skin. Use of the gold collagen sheet mask is recommended in conjuntion with Platinum Hyaluronic Serum and/ or Platinum Vitamin C+ Luminous Night Serum.
  • Soothes and relieves the surface of the skin
  • Decreases inflammation when cooled in a refrigerator prior to use

DIRECTIONS FOR USE

Apply 4 to 5 drops of Platinum Hyaluronic Serum, Platinum Vitamin C+ Luminous Night Serum, or both to the cleansed and dried surface of your face and neck, avoiding the eye area. Carefully remove your gold collagen sheet mask from its protective encasement with scissors and gentle handling. Apply the mask to your face, leaving the contoured cut-outs over your eyes, nose, and mouth. There is no sidedness to the mask, and either side can be used effectively. Leave the mask in place for a minimum of 30 minutes, and for a recommended 1-2 hours. For increased soothing and anti-inflammatory action, many clients enjoy refrigerating their mask prior to use. After use, carefully store in the original packaging if you would like to reuse the mask, up to 3-5 times, every 5-7 days. Note that effectiveness does decrease somewhat after the first use, as elution of vitamins, minerals, and amino acids is the greatest during the first use. In the unlikely event that you experience any discomfort or itching during the initial few minutes of mask application, you are advised to discontinue use.

INGREDIENT HIGHLIGHTS

Collagen, hyaluronic acid, vitamin E, vitamin B3, natural mulberry extract, essence of rosebud, amino acid moisturizer

INACTIVE INGREDIENTS

Distilled water, soy protein, glycerin, pearl powder

DR. DEVGAN'S ADVICE

"A gold collagen sheet mask is an amazing beauty innovation originally developed in Korea, and it is a great way to improve skin texture, moisture, and effectiveness of your skin care routine," says Dr. Devgan.