BUSTLE | The Perfectionist


The Artist Behind the Scalpel: Dr. Lara Devgan

Dr. Lara Devgan isn’t your stereotypical cosmetic surgeon — she blends her training in painting, sculpture, and photography with surgical precision. In her Upper East Side office, she starts by sketching her patients’ faces, mapping out tiny asymmetries and subtle issues (“midface descent,” “periorbital hollowing,” etc.) before she ever picks up a scalpel. Bustle

A Vertically Integrated Practice

One thing that sets Devgan apart: she combines both surgical and non-surgical treatments in-house. At her Park Avenue HQ, she performs complex surgeries and offers Botox, fillers, and laser treatments — all under one roof. Bustle She argues you need “bricks, mortar, plaster, paint” to build beauty — meaning different tools for different kinds of refinement. Bustle

Subtlety Is Her Signature

Devgan is known for “global facial micro-optimization”: making very small, millimeter-level tweaks all over the face and neck so the overall effect is noticeable — but never dramatic. Bustle She doesn’t aim to erase every “imperfection”; instead, she balances features like the canthal tilt of the eyes, how much of the lip shows when someone smiles (“lip show”), and jawline definition. Bustle

She calls plastic surgery the “ultimate Goldilocks problem” — too much is bad, too little is bad — and believes the most beautiful results live in that gray area in between. Bustle

The Realities of Her Work (Including Cost)

  • Her surgical packages for this kind of full facial optimization run $150,000–$300,000. Bustle

  • For patients looking for less downtime, she offers non-surgical “liquid rhinoplasty” (nose tweaks using injectables), which costs around $2,500 every 6–12 months. Bustle

  • Despite her social-media presence (almost a million followers), very few of her patients allow their before-and-afters to be posted. Bustle

A Very Personal Touch

Devgan brings a deeply personal, almost maternal perspective to her work. The article describes her working style as gentle but exacting, and her artistic sensibility clearly influences how she plans surgeries. Bustle

In surgery, she makes extremely small, precise incisions — sometimes hidden entirely in the hairline — and choreographs each step like an artist shaping a sculpture. Bustle

The Surgeon Herself: Not Fully “Fixed”

Interestingly, Devgan doesn’t rely heavily on major surgery for her own face. According to the article:

  • She uses Kybella (deoxycholic acid) under her chin rather than a neck lift. Bustle

  • She does her own injectables: neuromodulators (Botox), small-volume fillers. Bustle

  • She gets microneedling with PRP (her platelet-rich plasma), and laser resurfacing twice a year. Bustle

This reinforces her philosophy: subtle, intentional enhancements — not drastic transformations.

Why She’s Coveted by the Elite

  • Her clients include high‑profile celebs and wealthy individuals who specifically want to look refreshed, not “done”. Bustle

  • Hairstylist Harry Josh (who works with Priyanka Chopra, Rose Byrne, etc.) praises her: you’re “paying for a sense of security to remain natural but fresher.” Bustle

  • Her delicate surgical tools: Because of her own smaller hands (she’s petite), she designed custom calipers and curved scissors — which she now sells to other surgeons — to achieve more refined results. Bustle

The Bigger Picture

Devgan’s work reflects a broader shift in cosmetic surgery: away from exaggerated, clearly “done” faces, toward stealth beauty — the kind where people look better, but you can’t always pinpoint why. Bustle Her philosophy is rooted in empathy, art, and craftsmanship, making her a standout in a field often criticized for excess.


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INSIDE EDITION | Analyzing Paris Jackson's Septal Perforation

In this TikTok, Dr. Lara Devgan gives her thoughts Paris Jackson’s Septal Perforation.


Analyzing nasal surgery and pain medication options for @insideedition’s coverage of Paris Jackson’s septal perforation.

“Cocaine nose” is a condition resulting from nasal tissue damage caused by drug use or trauma. These cases are among the most complex in facial plastic surgery, as they require not only aesthetic restoration but also the rebuilding of essential structural and functional support for breathing. In such patients, nasal collapse, septal perforation, and tissue loss must be meticulously reconstructed using tissue grafts and flaps to reestablish both beauty and airway integrity. This type of surgery lies at the intersection of art and medicine, demanding precision, creativity, and compassion to help patients regain form, function, and confidence.


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Doctor's Notes | Botox After Facelift?

In this TikTok, Dr. Lara Devgan gives her thoughts on getting Botox after having a facelift.


Botox After a Facelift: Why It Matters More Than You Think

A beautifully performed facelift restores structure, repositions descended tissues, and sharpens the jawline and neck—but it doesn’t stop facial movement. And that’s exactly why Dr. Lara Devgan encourages patients to think of Botox as a natural extension of their surgical results, not an optional add-on.

A facelift elevates the deeper layers of the face and tightens the muscular and ligamentous support system, giving you a smoother, more youthful contour. But expression lines—those etched-in creases from years of smiling, frowning, squinting, and raising your brows—form in the dynamic layer of the face. Surgery doesn’t interrupt the movement patterns that create them, and even the most refined lift won’t erase lines across the forehead, between the brows, or at the crow’s feet.

This is where Botox becomes a strategic tool. By relaxing overactive muscles after surgery, Botox helps maintain the smooth, lifted appearance you achieve in the operating room. It prevents the return of deep furrows, softens residual fine lines, and protects the integrity of your surgical outcome. In other words, it supports what the surgery gave you—longer, smoother, and more naturally.

Dr. Devgan views injectables not as “extra,” but as part of a holistic longevity plan. A modern facial rejuvenation journey is rarely one-dimensional. Surgery restores architecture; Botox refines motion; skincare and energy-based treatments optimize texture, tone, and quality. Together, these elements create results that are elegant, durable, and deeply authentic.

For patients who want their facelift to age gracefully with them, Botox isn’t a luxury. It’s a smart, synergistic decision that keeps the face looking refreshed—not different, just beautifully maintained.


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Doctor's Notes | Breast Surgery: An Overview

In this TikTok, Dr. Lara Devgan gives an overview on breast surgery.


An Overview of Breast Surgery

Breast surgery is a highly personalized field of aesthetic and reconstructive medicine, designed to restore balance, proportion, and confidence. Whether enhancing, lifting, or reducing, the goal is always harmony—between the breasts themselves, the body as a whole, and the individual’s sense of self.

Breast Augmentation
Through implants or fat transfer, augmentation enhances breast volume and shape while maintaining natural movement and softness. It’s about more than size—it’s about sculpting curves that complement a patient’s anatomy and create aesthetic balance across the torso.

Breast Lift (Mastopexy)
Over time, gravity, weight changes, and pregnancy can cause the breasts to lose shape and position. A lift restores youthful contour by elevating and reshaping the breast tissue, often paired with an implant or fat grafting for optimal fullness and proportion.

Breast Reduction
For patients experiencing discomfort or imbalance from larger breasts, reduction surgery offers both aesthetic and physical relief. The result is a lighter, more proportionate silhouette that aligns with the body’s frame and enhances posture, comfort, and confidence.

Reconstruction and Revision
Following mastectomy, trauma, or previous surgery, reconstructive and revision procedures aim to restore natural form and symmetry. These surgeries often combine advanced surgical planning with aesthetic artistry to rebuild not only structure, but also identity and self-assurance.

Across all breast surgeries, precision and personalization define the outcome. Every technique, incision, and contour is guided by the principle of achieving results that look and feel authentic—refined enhancements that honor each patient’s individuality.


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Doctor's Notes | Balancing Facial Identity with Aesthetic Enhancement

In this TikTok, Dr. Lara Devgan breaks down the fine balance between preserving facial identity while making subtle, beautiful enhancements.


Balancing Facial Identity with Aesthetic Enhancement

The most beautiful results in plastic surgery are never about transformation for transformation’s sake—they’re about refinement. Every face carries a unique identity: the balance of bone structure, the way light moves across the skin, the subtle expressions that make you you. The art of modern facial surgery lies in preserving that essence while elevating harmony, proportion, and youthfulness.

A facelift, for instance, should not erase or replace—it should reveal. By restoring natural tissue position and redefining facial contours, a well-performed lift revives the vitality that time has softened without altering the character beneath. Precision techniques, combined with a deep understanding of facial anatomy and aesthetics, allow surgeons to reposition rather than pull, to sculpt rather than stretch.

Balance is key. A refined lower face lift may be complemented by neck contouring or subtle volume restoration to the cheeks and temples. These supporting adjustments ensure that improvements flow naturally across the face, maintaining cohesion and preventing that “operated” look.

Ultimately, true beauty after surgery lies not in how different someone looks, but in how authentic they appear—refreshed, confident, and at ease in their own skin. The goal is not perfection, but alignment between the patient’s internal vitality and their outward reflection.

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