Signature Procedure | Suture Suspension

Dr. Lara Devgan demonstrates her signature suture suspension procedure in this TikTok.

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What Is Suture Suspension? A Modern Approach to Facial Rejuvenation

As we age, one of the most noticeable changes in our appearance is the descent of the midface—the area between the lower eyelids and the corners of the mouth. Volume loss, skin laxity, and gravity work together to create sagging cheeks, deepening nasolabial folds, and a tired or aged expression. For those looking for a minimally invasive solution without undergoing a full facelift, midface suture suspension has emerged as an appealing option.

What Is Suture Suspension?

Midface suture suspension is a cosmetic procedure that uses specially placed sutures (stitches) to lift and support the midface tissues. Instead of cutting away skin or repositioning deep facial structures like in a traditional facelift, this technique suspends the soft tissues using sutures anchored to a stable structure such as the deep temporal fascia (a strong layer of connective tissue above the cheekbone).

How Does It Work?

The procedure typically involves small incisions made either in the scalp (behind the hairline) or inside the mouth. Through these openings, the surgeon threads permanent or long-lasting sutures beneath the skin to grasp and elevate the soft tissues of the cheek. These sutures are then anchored to provide support and a lifted appearance.

The goal is not just to pull the skin tight, but to reposition the deeper facial tissues to restore natural contours and fullness.

Who Is It For?

Midface suture suspension is best suited for individuals with mild to moderate midface sagging who want a more youthful appearance without the downtime or invasiveness of a traditional facelift. It's especially popular among patients in their 30s to 50s who are beginning to notice volume descent but still have relatively good skin elasticity.

It’s also commonly used in reconstructive contexts—for example, in patients who have experienced facial paralysis or trauma—as a way to restore symmetry and facial function.

Benefits of Suture Suspension

• Minimally invasive – Smaller incisions and quicker recovery than traditional facelifts

• Natural-looking results – Repositions existing tissue rather than stretching skin

• Less downtime – Most patients return to normal activities within a week or two

• Customizable – Can be combined with other procedures like fat grafting, eyelid surgery, or injectables

What Are the Limitations?

Like any procedure, midface suture suspension isn’t a miracle cure. Results can vary based on individual anatomy and skin quality. The lift is generally more subtle compared to a full facelift, and while some sutures are permanent, tissue aging continues. In some cases, additional procedures may be desired after a few years to maintain or enhance results.

Recovery and Aftercare

Post-procedure swelling and bruising are common but usually mild. Patients are often advised to avoid strenuous activity, sleep with their heads elevated, and follow specific care instructions to ensure optimal healing. Most can return to work and social activities within 7–14 days.

Final Thoughts

Midface suture suspension is a promising middle ground between injectables and full-on surgery. Whether you’re aiming for subtle rejuvenation or addressing early signs of aging, it offers a way to restore youthful contours with less downtime and risk. As with any cosmetic procedure, consult with a qualified facial plastic surgeon or specialist to determine if it’s the right approach for you.

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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!

Signature Procedure | Nefertiti Neck Lift

Dr. Lara Devgan demonstrates her signature Nefertiti Neck Lift procedure in this TikTok.

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What Is the Nefertiti Neck Lift?
The Nefertiti Neck Lift is a non-surgical cosmetic procedure designed to redefine the jawline and smooth the neck using Botox injections. Named after the ancient Egyptian queen known for her elegant neckline, this treatment targets the platysma muscles, which can contribute to sagging skin and prominent neckbands as we age.

How Does It Work?
Botox is injected into specific points along the lower jaw and neck to relax the platysma muscle. This relaxation reduces the downward pull on the jawline, allowing the muscles in the upper face to lift naturally. As a result, the jawline appears more sculpted, and the neck looks firmer and smoother. The treatment is especially popular among those who want a more defined lower face without undergoing invasive surgery.

Benefits and Results
One of the biggest advantages of the Nefertiti Neck Lift is that it requires no downtime. The procedure typically takes about 15 to 30 minutes, with results appearing within a few days and lasting for three to six months. Side effects are usually minimal, including mild bruising or swelling at the injection sites. However, the effectiveness of the treatment varies depending on factors like age, skin condition, and the severity of sagging.

Is It Right for You?
While this procedure can create a noticeable improvement, it is not a replacement for a surgical neck lift. Individuals with significant skin laxity may not achieve the desired results with Botox alone. Some patients combine the Nefertiti Neck Lift with other treatments, such as dermal fillers or skin tightening procedures, to enhance the outcome.

For those considering this treatment, it is essential to consult with an experienced injector to ensure proper technique and realistic expectations. A skilled provider will assess whether the Nefertiti Neck Lift is suitable for your needs and discuss alternative options if necessary.

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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 | Profile Balancing

In this TikTok, Dr. Devgan breaks down her Signature Profile Balancing Procedure.

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Elegant, Understated Profile Balancing

True facial refinement isn’t about transformation—it’s about restraint. This patient came in with a clear, thoughtful goal: she wanted to subtly improve her profile without surgery, downtime, or anything that would read as “done.” Specifically, she was concerned about a mild dorsal hump, a softly bulbous nasal tip, and a micrognathic chin that disrupted overall balance. Nothing dramatic. Just enough to bring harmony back to her facial architecture.

That kind of request requires precision, not excess.

Understanding the Architecture of the Face

A refined result starts with anatomy. The nose and chin don’t exist in isolation—they work together as a structural unit that defines the profile. In many patients, a dorsal hump becomes more noticeable because the chin is under-projected. Likewise, a nasal tip can appear heavier when the surrounding support is lacking.

Rather than “chasing” individual flaws, I approach these cases using principles of surgical anatomy, even when working nonsurgically. The goal is to rebalance proportions, not erase character.

Nonsurgical Rhinoplasty: Subtle Power

In this case, nonsurgical rhinoplasty allowed me to smooth the appearance of the dorsal hump by strategically placing injectable filler to create a straighter dorsal line. This doesn’t remove bone or cartilage—it reframes the contour so the eye reads continuity instead of interruption.

For the nasal tip, careful structural support was added to refine shape and improve definition without stiffness or over-projection. The result is a nose that looks naturally elegant, not altered.

Chin Augmentation: The Quiet Game-Changer

The chin is often the unsung hero of facial balance. A micrognathic chin can make the nose appear more prominent and disrupt the flow of the lower face. With conservative chin augmentation, I was able to restore forward projection and improve the cervicomental angle, which immediately softened the profile and enhanced overall harmony.

Importantly, this wasn’t about making the chin “bigger.” It was about placing support exactly where anatomy calls for it.

Finesse Over Force

This is what finesse facial optimization looks like. No invasive surgery. No exaggerated contours. No giveaway signs. Just thoughtful adjustments that work with the patient’s natural structure.

My signature nonsurgical rhinoplasty and chin augmentation techniques are designed for patients who want refinement without spectacle—results that look effortless, timeless, and unmistakably high-level.

The Result

The final outcome is an elegant, understated profile that feels entirely her own. Friends won’t ask what she had done. They’ll just notice that she looks balanced, confident, and quietly elevated.

That’s the standard.

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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!

TREND HUNTER x Dr. Lara Devgan Scientific Beauty

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Signature Procedure | Tear Trough Augmentation

Dr. Lara Devgan demonstrates her Signature Tear Trough Augmentation Procedure in this TikTok.

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Tear Trough Augmentation: What You Need to Know

Tear trough augmentation is a popular cosmetic treatment designed to address under-eye hollows, dark circles, and a tired appearance. This minimally invasive procedure can provide a refreshed, youthful look with little to no downtime. If you’ve been curious about how it works, what to expect, and whether it’s right for you, this post covers the essentials.

What Is Tear Trough Augmentation?
The tear trough is the area between your lower eyelid and upper cheek. Over time, this area can develop hollows due to aging, genetics, or lifestyle factors. Tear trough augmentation typically involves the use of dermal fillers to add volume, smooth out the area, and reduce the appearance of dark circles. Hyaluronic acid-based fillers, such as Restylane or Juvederm, are commonly used because they are safe, effective, and reversible if needed.

Benefits of Tear Trough Augmentation

• Reduced under-eye hollows and dark circles

• A more youthful, rested appearance

• Immediate results with minimal downtime

• Non-surgical and minimally invasive

The Procedure: What to Expect
The treatment is relatively quick, usually taking 15 to 30 minutes. Here’s a step-by-step overview:

1. Consultation – Your provider will assess your tear trough area, discuss your concerns, and determine whether you’re a good candidate for the procedure.

2. Preparation – Before the injections, the area may be numbed with a topical anesthetic to minimize discomfort.

3. Injection – The dermal filler is carefully injected into the tear trough using a fine needle or cannula. This process is done slowly and precisely to ensure a smooth, natural result.

4. Aftercare – After the procedure, you may experience mild swelling, redness, or bruising, which typically subsides within a few days.

Results and Recovery
One of the biggest advantages of tear trough augmentation is that the results are visible almost immediately. You may notice an improvement right after the procedure, with full results appearing after any swelling has resolved. Most patients return to their normal activities the same day, although it’s recommended to avoid intense exercise, alcohol, and excessive sun exposure for 24 to 48 hours.

The effects of hyaluronic acid fillers usually last between 9 and 12 months, depending on the individual and the specific product used. Maintenance treatments are needed to sustain the results over time.

Are You a Good Candidate?
Tear trough augmentation can be effective for people with mild to moderate under-eye hollows and dark circles. However, it’s not suitable for everyone. Those with significant under-eye bags, excessive skin laxity, or certain medical conditions may not benefit from fillers and may be better suited for surgical options such as blepharoplasty.

The best way to determine if tear trough augmentation is right for you is to consult with a qualified, experienced provider. They can assess your anatomy, discuss your goals, and recommend the most appropriate treatment plan.

Risks and Considerations
While tear trough augmentation is generally safe, it’s not without risks. Potential side effects include bruising, swelling, asymmetry, and, in rare cases, more serious complications like vascular occlusion. Choosing a skilled injector with a thorough understanding of facial anatomy is crucial to minimizing risks and achieving the best possible outcome.

Conclusion
Tear trough augmentation is a popular, minimally invasive solution for under-eye hollows and dark circles. With immediate results, minimal downtime, and long-lasting effects, it’s an appealing option for those seeking a more refreshed, youthful look. As with any cosmetic procedure, doing your research and choosing the right provider are key to a successful experience.

If you’re considering tear trough augmentation, book a consultation with a licensed, experienced injector who can guide you through the process and help you achieve your aesthetic goals.

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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!