Refinement of previous plastic surgery (revision plastic surgery)

Actual patient of Dr. Devgan, before and after revision lower eyelid blepharoplasty.

Actual patient of Dr. Devgan, before and after revision lower eyelid blepharoplasty.

Some of the greatest challenges in plastic surgery come from correcting the results of previous procedures done by other doctors that have left a patient with a less than satisfactory result.

In these situations, I make every effort to fully understand why the patient is not satisfied, to review the records and operative notes of previous surgeries, and to make a coherent and goal-oriented plan for moving forward.

I have performed revision operations from the head to the toe, on patients who have had unsatisfactory eyelid surgery, facelifts, necklifts, rhinoplasties, breast augmentations, breast lifts, tummy tucks, liposuction, and labiaplasties-- among other operations.

While revision surgery is often more complicated due to additional scarring and altered tissue planes, the results can be very gratifying when I am able to help a concerned individual achieve his or her goals.

Breast lift (mastopexy) to restore the breasts to a perky position

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

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

Many women visit my New York City private practice with concerns related to their breasts. One frequent cause for concern is breasts that are droopy, deflated, or sagging below their ideal position.

This can occur due to genetics, tissue quality, breast feeding, weight fluctuations, and aging. 

My approach to helping women in this situation is to perform a breast lift operation (also called a mastopexy). My goals are to:

  • improve symmetry
  • elevate nipple position
  • add volume to the upper poles of the breasts
  • add fullness to the cleavage
  • harmonize the aesthetics of the breasts

I can accomplish this through a variety of techniques, including peri-areolar breast lift (scar around the nipples only), lollipop breast lift (scar around the nipples and extending down vertically), and Wise pattern breast lift (anchor-shaped scar). Patient satisfaction in my practice is very high, and I take great care to ensure high-quality results and compassionate care for all of my patients.

If you are interested in a breast lift and would like to discuss your concerns with me in more detail, I invite you to call my office at 212-452-2400 or email office@LaraDevganMD.com.

Dr. Devgan named a Fellow of the American College of Surgeons

I am honored to be a Fellow of the American College of Surgeons, the largest and most respected group of board-certified surgeons in the world. The press release for my induction into this professional designation, provided by the American College of Surgeons, is featured below.

FACS logo

Local Surgeon Dr. Lara Devgan
Among 1,823 Initiated Into
American College Of Surgeons

New York, New York:  Dr. Lara Devgan was among 1,823 Initiates from around the world who became Fellows of the American College of Surgeons (FACS) during the Convocation ceremony at the College’s 2016 annual Clinical Congress in Washington, DC, last month.  This year’s class of Initiates was among one of the largest ever admitted into the College.

Dr. Devgan received a medical doctorate from Johns Hopkins University School of Medicine and is currently practicing plastic and reconstructive surgery at her own clinic, Lara Devgan, MD, PLLC, located in New York City. Dr. Devgan is a Diplomate of the American Board of Plastic Surgery and attained board certification with board scores in the top 3 percent in the nation.

Dr. Devgan has a strong professional interest in cosmetic surgery of the face, breasts, and body, as well as minimally invasive procedures such as botox, fillers, peels, microneedling, and skin care. She holds membership in other professional societies, including the American Society of Plastic Surgeons.           

By meeting the College’s stringent membership requirements, Fellows of the College have earned the distinguished right to use the designation of “FACS” (Fellow, American College of Surgeons) after their names.  An applicant for Fellowship must be a graduate of an approved medical school; must have completed advanced training in one of the 14 surgical specialties recognized by the College; must possess certification by an American surgical specialty board or appropriate certification by the Royal College of Physicians and Surgeons of Canada; and must have been in practice for at least one year at the time of his or her application.  Before admission into Fellowship, the surgeon must further demonstrate ethical fitness and professional proficiency, and his or her acceptance as a Fellow of the College must be approved by three-fourths of its Board of Regents.

The Convocation ceremony was the highlight of the five-day Congress at which initiation into ACS Fellowship took place.  The Congress also featured reports on research-in-progress, postgraduate courses, panel discussions, symposia, and scientific and industrial exhibits.  Total estimated attendance at the Congress was 11,745, including 8,127 physicians.  Allied health professionals and members of the scientific and consumer media also attended the meeting.

The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the quality of care for the surgical patient.  The College is dedicated to the ethical and competent practice of surgery.  Its achievements have established it as an important advocate for all surgical patients.  The College has more than 80,000 members and is the largest organization of surgeons in the world.  For more information, visit: www.facs.org.

 

Tip Rhinoplasty to refine a bulbous or boxy nasal tip

Surgical specimen from an actual patient of Dr. Devgan

Surgical specimen from an actual patient of Dr. Devgan

Many patients like the overall size and shape of their noses, but desire some additional subtle refinement of the nasal tip.

The tip of the nose is an aesthetically important anatomic area for several reasons:

  • It has more topographical prominence than any other part of the nose (i.e. it sticks out the most)
  • It reflects light in a visually arresting manner
  • It can create an impression of refinement when well-proportioned or coarseness when not

If the tip of the nose is boxy, bulbous, or overly large, a tip rhinoplasty can be an effective operation to subtly improve the proportions of the face. Using hidden incisions, I am able to make the nose appear more harmonious and attractive, without making you look like a completely different person.

Most patients take 1 week off of work or school to recover. Results are immediately apparent, but they take up to one year to fully materialize, as the nose can retain a tiny bit of swelling and fluid over a prolonged period of time. Bruising is not common after tip rhinoplasty, but any small bruises or areas of discoloration can be covered by makeup after 2-3 days.

If you are interested in seeing me for nose surgery (nose job), rhinoplasty, or tip rhinoplasty, please email office@LaraDevganMD.com or call 212-452-2400.

 

Correcting lip filler that is lumpy and bumpy

Actual patient of Dr. Devgan, before and after corrective lip augmentation

Actual patient of Dr. Devgan, before and after corrective lip augmentation

With the increasing popularity of lip augmentation (lip filler or lip injections), I have seen an increase in patients who come in to my New York City private practice for corrective procedures after they have been treated by other doctors.

The lips are a focal point of the face, and precise measurements and careful attention to anatomic detail are needed to create beautiful results. Often, a patient who has less-than-ideal results is experiencing one of the following issues:

  • lumps
  • bumpiness of lip contour
  • asymmetry
  • imbalance of upper and lower lips
  • poorly defined Cupid's bow
  • overly augmented look ("duck lips" or "trout pout")
  • poor harmony with other facial features

When correcting lip filler done by another practitioner, there are several possible approaches:

  1. Do nothing and allow the filler to dissolve on its own. Most hyaluronic acid based fillers such as Juvederm, Restylane, and Belotero have a lifespan of somewhere between 4 and 12 months. They are naturally degraded by the body, even if nothing is done to them, over the course of time and normal movement.
  2. Dissolve the filler with hyaluronidase enzyme such as Vitrase or Hylenix. These enzymes, when injected, will cause hyaluronic acid based fillers to completely dissolve within about 5 minutes, with repeated massage. This returns the lips to their baseline prior to injection.
  3. Perform corrective lip filler. Additional filler can be added to smooth out evenness, irregularity, and asymmetry to mask the prior undesirable appearance. This is a good option if someone wants a look to be slightly fuller.

If you have questions or concerns about lip augmentation, please feel free to email my office at office@LaraDevganMD.com for more information.