Doctor's Notes | Neck Wrinkle Treatment

In this TikTok, Dr. Devgan breaks down her recommendations for treating neck wrinkles. Her solutions range from topical to non surgical to surgical options.

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Neck Wrinkles: Why They Happen—and What Actually Works

The neck is one of the first places to show aging, and one of the hardest to treat. Skin here is thinner, oil glands are fewer, and it’s constantly in motion—looking down at phones doesn’t help. Add sun exposure, collagen loss, and gravity, and you get creases, laxity, and fullness that don’t respond to wishful thinking or random creams.

Dr. Lara Devgan’s approach is simple and unsentimental: match the treatment to the problem. Neck aging isn’t one issue—it’s several happening at once. Texture, lines, fat, and skin laxity each require a different solution.

Start With Skin Quality: Scientific Beauty Niacin Qualene Neck Cream

Great results start with great skin. Dr. Devgan recommends daily use of her Scientific Beauty Niacin Qualene Neck Cream to address the foundational issues: thinning skin, dehydration, and loss of elasticity.

This isn’t a face cream repackaged for the neck. It’s formulated specifically to strengthen the skin barrier, improve texture, and support collagen where the skin is most fragile. Used consistently, it helps soften fine lines and makes in-office treatments work better and last longer.

Neck Tox: Relax the Pull That Creates Lines

Vertical banding and tightness in the neck often come from overactive muscles, not just aging skin. Carefully placed neuromodulator injections—often referred to as “neck tox”—can relax these muscles, reducing visible banding and creating a smoother, more elegant neck contour.

This is a precision treatment. Done correctly, it softens without affecting natural movement or expression.

Horizontal Neck Line Filler: Treat the Creases, Not Just the Skin

Horizontal neck lines—sometimes called “tech neck”—can appear early and deepen over time. Skincare alone won’t erase them.

Dr. Devgan may recommend micro-aliquots of filler placed directly into these lines to smooth creases and restore continuity to the skin. The goal isn’t volume—it’s refinement. When done properly, results look natural and seamless.

Kybella: Address Fullness Under the Chin

Submental fullness can blur the jawline and make the neck look heavier, even in younger patients. Kybella is an injectable treatment that dissolves excess fat under the chin, improving definition and contour over time.

This option is best for patients with good skin elasticity who want improvement without surgery.

Submental Liposuction: When Fat Is the Main Issue

When excess fat is more significant—or when faster, more dramatic results are desired—submental liposuction may be the better option. This procedure physically removes fat beneath the chin and along the upper neck, immediately restoring sharper definition.

It’s a targeted solution for patients whose skin quality is still strong but whose neck contour has been compromised by fat.

Surgical Neck Lift: The Gold Standard for Laxity

When skin laxity and structural aging are advanced, no injectable or topical can fully correct it. In these cases, Dr. Devgan considers a surgical neck lift the definitive solution.

A neck lift tightens underlying muscles, removes excess skin, and redefines the neck and jawline with results that are both dramatic and long-lasting. It’s not about looking different—it’s about restoring what time has taken.

The Bottom Line

There is no single fix for neck aging—and that’s the point. Dr. Devgan’s philosophy is layered, precise, and honest. Skin care supports procedures. Injectables refine specific issues. Surgery is reserved for when it’s truly needed.

The best neck results come from choosing the right tool, at the right time, for the right anatomy. And when that happens, the neck doesn’t just look younger—it looks intentional.

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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 | The Identity Threshold

The Identity Threshold: Dr. Lara Devgan’s Philosophy of Subtle, Identity-Preserving Aesthetics

There’s a line in aesthetic medicine that most people can feel, even if they can’t quite articulate it—the point where enhancement shifts into alteration. It’s the moment someone stops looking like themselves. Dr. Lara Devgan has built her approach around staying on the safe side of that line. She calls it the identity threshold: refining a face without ever erasing the core of who a person is.

Understanding the Identity Threshold
Every face has a visual signature—micro-asymmetries, character lines, proportions, and expressions that make someone unmistakably them. The identity threshold is the limit of how far you can push an enhancement before that signature begins to fade. Cross it, and results look artificial. Stay within it, and the outcome feels striking yet natural.

This isn’t about holding back. It’s about intention, restraint, and precision.

Why Dr. Devgan Stays Subtle on Purpose
Subtle work ages better, photographs better, and protects the patient’s individuality. When treatments respect anatomy, proportion, and expression, the results don’t scream “procedure.” Instead, they whisper: I look rested. I look sharper. I feel more like myself.

Dr. Devgan’s philosophy is rooted in elevating what’s already there—strengthening bone structure, sharpening light reflexes, balancing facial thirds, and restoring youthful volume—without rewriting a face’s fundamental identity.

Tools That Respect Your Face’s DNA
Whether she’s using surgical techniques or non-surgical treatments like injectables, lasers, or medical-grade skincare, the goal stays the same: enhancement that still looks like you.
A few principles drive that outcome:

• Start with the patient’s innate architecture—never work against it.

• Add structure where it once existed, not where trends suggest it should be.

• Maintain natural expressivity; nothing should interfere with how a person emotes.

• Focus on cumulative, incremental refinements rather than a single dramatic shift.

This is how subtle work becomes powerful.

The Role of Skincare in Identity-Preserving Aesthetics
Skincare is one of the most identity-friendly ways to improve the face. Instead of altering shape or structure, it restores health: luminosity, smoothness, bounce, and clarity. That’s why Dr. Devgan formulates products like a surgeon—targeted, evidence-based, and designed to support the face’s natural strengths.

Healthy skin amplifies your features without changing them.

Why Patients Respond to This Approach
People don’t come to Dr. Devgan because they want to become someone else. They come because they want to look like the best version of themselves—sharper jawlines, brighter eyes, more uniform skin, but still entirely recognizable.

The identity threshold honors that desire. It reassures patients that their uniqueness isn’t something to fix—it’s something to preserve.

Staying You, Just Elevated
Great aesthetic work should never be detectable. Friends shouldn’t comment on what you had done—only that you look incredible. You should feel confident in your reflection, not confused by it.

That’s the heart of the identity threshold: the belief that beauty isn’t created by changing who you are, but by refining the qualities that make your face unmistakably yours.

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REVOLVE x Scientific Beauty

REVOLVE x Scientific Beauty

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REVOLVE x Scientific Beauty

Scientific Beauty is sold at REVOLVE!

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Signature Procedure | Understated Elegance in Global Surgical Facial Optimization

In this TikTok, get an overview of the Global Facial Optimization Process with before and after imagery showing the patients’ transformation!

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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.

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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

In this TikTok, Dr. Lara Devgan gives insight into skeletal facial aging and how it impacts facial aesthetics.

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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.

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