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Signature Procedure | Understated Elegance in Global Surgical Facial Optimization
Understated Elegance in Global Surgical Facial Optimization
When people talk about “looking refreshed,” they’re usually describing an outcome that’s hard to define but unmistakable when you see it—someone looks brighter, smoother, more rested, and yet you can’t point to a single feature that gives it away. That’s the core of understated elegance. It’s not about chasing trends or altering identity. It’s about restoring harmony and balance so the face reflects the way someone actually feels on the inside.
Global surgical facial optimization takes this philosophy and applies it with strategy and precision. Instead of fixating on one area, it considers the entire facial ecosystem—how structure, volume, skin quality, and expression all interact. When these components are addressed together, the results are cohesive, believable, and long-lasting.
The Structural Foundation: Facelift and Necklift
A modern facelift isn’t about pulling skin tight; it’s about restoring the underlying support system that time weakens. Elevating the deep tissues brings back youthful contours while keeping expression natural. Pairing it with a necklift completes the frame. A crisp jawline, a refined neck angle—these are subtle signifiers of youth that make the entire face appear effortlessly revitalized.
Refinement Without Overcorrection: Finesse Blepharoplasty and Brow Lift
The eyes carry the emotional weight of the face. Finesse blepharoplasty—light-touch upper or lower eyelid surgery—removes heaviness while preserving shape and personality. Combined with a carefully calibrated brow lift, it opens the eye area just enough to restore energy without drifting into “done” territory. The goal is expression that feels awake, not altered.
Contouring from Within: Buccal Fat Pad Excision
Buccal fat pad excision, performed on the right candidate, defines the midface and sharpens the cheek-to-jaw transition. It’s not about hollowing; it’s about sculpting. When incorporated into a global plan, it harmonizes with the lift and creates natural shadowing that photographs beautifully.
Restoring Volume Thoughtfully: Autologous Fat Grafting
Volume loss is one of the most underestimated components of facial aging. Autologous fat grafting restores that missing structure with the softness and authenticity of your own tissue. From the temples to the midface to fine contour adjustments along the jawline, fat grafting rounds out the surgical architecture with organic fullness.
Skin as the Finishing Touch: Erbium Laser Resurfacing and @drlaradevgan Skincare
No structural work is complete without addressing the skin. Erbium laser resurfacing tightens, smooths, and brightens with precision, improving texture and fine lines while boosting long-term collagen. Pair that with a disciplined regimen of @drlaradevgan skincare, and the results last longer, heal better, and look more luminous. Skin quality is often the deciding factor between a result that looks surgical and one that looks naturally radiant.
The Sum Is Greater Than the Parts
When these treatments are combined in a thoughtful, tailored sequence, the transformation becomes seamless. Nothing looks out of place. Nothing feels exaggerated. It’s the kind of enhancement that makes people say, “You look incredible,” without being able to pinpoint why.
Understated elegance isn’t an accident—it’s the outcome of a holistic approach, technical mastery, and a philosophy that respects individuality above all else. This is the future of facial optimization: results that are elevated, believable, and quietly extraordinary.
Appointment Inquiries
For inquiries and appointments, please email appointments at appointments@laradevganmd.com or call 212-452-2400. You may also use the following button to schedule an appointment online. We look forward to hearing from you. Thank you!
Doctor's Notes | Skeletal Facial Aging
Skeletal Facial Aging: A Plastic Surgeon’s Perspective
When most people think about aging, they picture wrinkles, sagging skin, maybe some volume loss. But the foundation of facial aging isn’t the skin at all—it’s the bone. The facial skeleton quietly remodels over time, and those subtle shifts have a major impact on how you look. If you understand how the bone changes, you understand why certain age-related features show up no matter how well you care for your skin.
The Bone Isn’t Static—It Shrinks, Rotates, and Recesses
Even though facial bones seem solid and permanent, they’re dynamic structures. With age, they experience resorption: the slow thinning and shrinking of bone, especially around the eye sockets, midface, jawline, and chin. This isn’t dramatic overnight change—it’s a consistent, cumulative process. As the underlying scaffolding diminishes, the soft tissues no longer have the same support, and the surface appearance shifts.
The Midface and Cheekbones Lose Projection
A youthful face has strong bony support in the maxilla (upper jaw) and the zygoma (cheekbones). Over time, this support pulls back and inward. Even a few millimeters of resorption creates visible flattening of the cheeks, deeper nasolabial folds, and that “tired” look people describe even when they feel fine. This is one reason fillers and fat grafting are so transformative: they’re compensating for lost bone structure, not just plumping lines.
The Eye Sockets Widen, Making Eyes Look More Tired
The orbital rims—the bony frame around your eyes—expand with age. That widening makes the eyes look more hollow, exposes more of the upper lid, and exaggerates shadows. This is why people often fixate on their “dark circles”; the issue often isn’t skin pigment or thinness alone, but the bone retreating and the tissues collapsing inward. A skilled surgeon evaluating the periorbital area always considers the skeletal framework before recommending procedures.
The Jawline Softens Because the Bone Recedes
The mandible (jawbone) loses height and length over time. The angle of the jaw turns from sharp and defined into something softer, rounder, and less distinct. Combine that with soft-tissue laxity, and jowls become inevitable. Many patients think sagging skin is the sole cause, but much of what they’re seeing is the jawbone shrinking underneath everything. Procedures like facelift, chin implants, and jawline contouring are all about restoring structure that gravity alone didn’t steal—bone loss did.
The Chin Retracts and Alters Facial Balance
The chin is another area where bone loss is easy to overlook. As it subtly recedes, the lower face looks shorter, the neck appears less tight, and the mouth can look more pursed or strained. Even a naturally strong chin can lose definition over time. This is why chin augmentation, whether with filler or implant, is one of the most underrated anti-aging interventions—it restores harmony that bone resorption quietly disrupted.
Why Understanding Bone Aging Matters
From a surgeon’s perspective, we never treat the surface in isolation. The “aged look” isn’t simply skin deep—it's architectural. When the skeletal foundation weakens, everything layered above it follows suit. Modern facial rejuvenation approaches blend skin treatments, volume restoration, and structural correction to rebuild what time has taken away.
This is also why two people the same age can look completely different. Genetics, hormone changes, and even dental history influence bone resorption rates. Some individuals lose volume early and dramatically; others maintain bone density far longer.
The Bottom Line
If you’ve ever looked in the mirror and felt like your face changed shape over time, you’re not imagining it. The face literally remodels itself with age from the deepest level outward. A thoughtful anti-aging plan doesn’t chase symptoms; it respects the anatomy, restores structure, and rebuilds a more youthful framework.
Scientific Beauty | Holiday Gift Guide
Dr. Lara Devgan Holiday Gift Guide: Scientific Beauty for Everyone on Your List
The holidays are the perfect time to give gifts that feel meaningful, luxurious, and genuinely useful—and nothing checks all three boxes like Dr. Lara Devgan Scientific Beauty. These formulas are science-driven, elegant, and built to deliver real results, making them ideal for anyone who loves great skincare (or anyone who should be taking better care of their skin).
Hyaluronic Niacin Panthenol Serum: The Universal Crowd-Pleaser
This is the one serum almost anyone can fall in love with. It’s deeply hydrating without being heavy, calming without being bland, and powerful without irritating sensitive skin. The combination of hyaluronic acid, niacinamide, and panthenol makes it a daily staple that boosts moisture, smooths texture, and supports a stronger, healthier barrier. If you’re shopping for someone whose routine is all over the place—or someone who’s just getting started—this is a foolproof win.
Barrier Balm: Skin Recovery in a Jar
Winter is rough on skin, and this balm is exactly what people need when the cold, wind, and heaters start taking their toll. Rich yet wearable, Barrier Balm seals in hydration, comforts stressed skin, and helps restore that supple, bouncy feel we all lose when temperatures drop. It’s perfect for travelers, night owls, gym lovers, or anyone who wants a no-nonsense boost in their routine. Think of it as the luxury version of a “rescue” treatment—something they’ll reach for constantly.
NAD⁺ Glutathione Serum: The Future-Forward Gift
For the skincare lover who wants the most advanced thing in the room, this is it. NAD⁺ and glutathione work together to support cellular repair, brightness, and long-term skin quality. It’s a longevity-driven formula—a gift that says “I know you’re serious about your skin, and I got you something on your level.” It pairs perfectly with Barrier Balm for the ultimate winter repair duo.
Build a Tailored Gift Set
You can also bundle these products into themed sets depending on who you’re shopping for:
– The Hydration Lover: Hyaluronic Niacin Panthenol Serum + Barrier Balm
– The Glow Obsessed: Hyaluronic Niacin Panthenol Serum + NAD⁺ Glutathione Serum
– The Total Revival Kit: All three, for the person who deserves everything
The Bottom Line
Gifting skincare isn’t just thoughtful—it’s personal. With Dr. Lara Devgan Scientific Beauty, you’re giving someone not only products that feel luxurious, but formulas with real science behind them. It’s the kind of present people remember because it changes how their skin looks and feels long after the holidays are over.
Scientific Beauty | Hyperpigmentation Collection
Introducing the ultimate collection for targeting dark spots and hyperpigmentation, now featuring our Intensive Pigment Corrector.
"Dr. Lara Devgan Hyperpigmentation Collection is the best skin-care line for dark spots." –Shape
OVERVIEW:
These six powerhouse products work synergistically to brighten, smooth, and even your complexion, leaving your skin radiant and rejuvenated.
COLLECTION CONTENTS:
SPF 44 BB Cream: Moisturizes, protects against UVA and UVB radiation, and provides a sheer coverage that blends naturally.
Hyaluronic Niacin Panthenol Serum: A deeply hydrating, soothing serum formulated with 2% Hyaluronic Acid, 2% Niacinamide, and 2% Panthenol.
Retinal + Bakuchiol Serum, 5x: An advanced, rejuvenating serum to smooth fine lines, improve skin tone, and provide intense hydration.
Vitamin C+B+E Ferulic Serum: Introducing the reformulated Vitamin C+B+E Ferulic Serum, the platinum standard in antioxidant skincare.
Intensive Pigment Corrector: To reduce hyperpigmentation, dark spots, and uneven skin tone.
Microdermabrasion Scrub: To improve skin tone, texture and elasticity.
DIRECTIONS & TIPS:
In the morning, apply the Hyaluronic Serum followed by the SPF 44 BB Cream. Several times a week, use the Microdermabrasion Scrub after cleansing in the evening. Apply the Vitamin C+B+E Ferulic Serum and Retinol+Bakuchiol Serum in the evening.
DETAILS:
For full details and directions, please see the applicable pages of the individual products (links above).
