What is the difference between silicone and saline breast implants?

When it comes to breast implants, saline and silicone are two different types of filling materials used. Here are some key differences between saline and silicone implants:

1. Filling Material: Saline implants are filled with a sterile saline solution (saltwater), while silicone implants are filled with a cohesive silicone gel.

2. Consistency: Saline implants have a firmer feel compared to silicone implants. Silicone implants are designed to closely resemble the feel of natural breast tissue.

3. Rupture Detection: If a saline implant ruptures, it deflates quickly, and the saline solution is harmlessly absorbed by the body, making the rupture noticeable. Silicone implant ruptures are often referred to as "silent ruptures" because they can go undetected without regular imaging, such as MRI scans.

4. Appearance: Silicone implants typically provide a more natural look and feel due to their gel consistency. Saline implants may have a slightly more noticeable "water balloon" appearance, especially in patients with less breast tissue.

5. Naturalness: In very thin patients, silicone implants are less likely to show rippling and fold flaws and may thus appear more natural.

6. FDA Approval: Both saline and silicone breast implants are FDA-approved for breast augmentation in the United States.

It's important to consult with a board-certified plastic surgeon, like myself, to discuss your specific goals, medical history, and individual factors that may influence the choice between saline and silicone implants.

What is the difference between a midface lift and a lower facelift?

A midface lift and a lower facelift are two different surgical procedures that address different areas of the face.

A midface lift focuses on rejuvenating the middle portion of the face, including the cheeks and the area around the nose and mouth. It targets sagging or drooping cheeks, deep nasolabial folds, and a tired or sunken appearance. The procedure involves repositioning and lifting the underlying tissues to restore volume and smooth out wrinkles in the midface area.

On the other hand, a lower facelift primarily targets the jawline, jowls, and the neck. It addresses sagging skin, excessive fat deposits, and muscle laxity in the lower face, resulting in a more defined jawline and a tighter, more youthful appearance. The procedure typically involves repositioning and tightening the underlying tissues, removing excess skin, and sometimes liposuction to enhance the contour of the jawline and neck.

Both procedures can be performed separately or in combination, depending on the patient's specific concerns and goals. It is important to consult with a board-certified plastic surgeon to determine the most suitable approach for achieving the desired results.

Dr. Devgan recognized by Goop as one of New York’s best cosmetic surgeons

Written by Jack Nicastro

Goop recently published a shortlist of their favorite physicians in an article entitled: “The goop Guide to Cosmetic Surgeons.” Given goop’s aesthetic preference for a natural, understated look, it is no wonder that Dr. Devgan, known for her “beauty is in the details” motto, ranks as one of their top picks.

Goop applauds Dr. Devgan for her signature facial procedures which accentuate her clients’ natural beauty without leaving distracting scars. Specifically, goop cites Dr. Devgan’s non-surgical injectable procedures as well as her minimally invasive surgical techniques such as suture suspension lifting and eyelid zip-stitch, both of which are visually seamless.

Dr. Devgan's Stitch-work Lauded in Vogue

Written by Jack Nicastro

Vogue’s Maya Singer recently published a piece exploring the large surge in cosmetic surgery during the Coronavirus pandemic.

Maya posits that a combination of an abundance of time away from the office, ubiquity of face coverings and sheer boredom account for the uptick in aesthetic-enhancing procedures. Moreover, just as Dr. Devgan hypothesizes in her Eyelash Index, Maya reiterated that the amount of time spent on zoom seeing our sunken under eyes and distorted noses may also be responsible for renewed interest in facial cosmetic surgery.

Maya herself sought out Dr. Devgan to remove an invisible cyst from a nasolabial fold and lamented how the only person to appreciate her “her teensy incision with a couture-worthy stitch” and “her fine handiwork was [her] boyfriend.” Whatever the reason for the increased interest for cosmetic surgery, those who are in the market for bespoke, virtually imperceptible aesthetic enhancements go to Dr. Devgan.

Dr. Devgan interviewed by Coveteur on the subject of Suture-Suspension Lifting

Written by Jack Nicastro

Coveteur recently wrote an exposé detailing the uses and limitations of thread lifts in cosmetic surgery. To get an expert opinion on the matter, Coveteur consulted Dr. Devgan on what it is and why she recommends it to patients.

While commonly referred to as simply “thread lifting,” the official name of the procedure is: “suture-suspension lifting.” Dr. Devgan explains that this minimally invasive cosmetic option works by using barbed surgical sutures; first the threads find purchase deep in the tissue, then tension is applied to reposition sagging skin.

Debuting in the 1990’s, Dr. Devgan details that the sutures have credibly improved over time. Using modern technology, custom-molded polymer sutures are able to be placed deeper in the tissue and hold more weight - two and a half pounds each - than ever before. Even though suture-suspension is still not as permanent a solution as facelift, it has nonetheless improved “exponentially.”

Some plastic surgeons are hesitant to practice thread lifts as they believe the results aren’t permanent enough. Dr. Devgan - who has performed the procedure over a thousand times - believes they provide an important middle ground between injectables and surgical facelifts. While facelifts remain the gold standard of cosmetic surgery, suture-suspension presents a great option for those patients who do not wish to undergo the general anesthesia and prolonged recovery times associated with more traditional surgical methods.