Doctor's Notes | The Key Features of Breast Augmentation

In this TikTok, Dr. Devgan breaks down the key features of her Signature Breast Augmentation Procedure.

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Breast Augmentation: The Art of Proportion, Balance, and Timeless Shape

Breast augmentation is often discussed in terms of size—“how big,” “what cup,” or “how much volume.” But the truth is that the most beautiful breast augmentation results have very little to do with volume alone.

At its highest level, breast augmentation is a study in proportion, shape, balance, and harmony. It’s about designing an outcome that looks naturally elegant on the specific frame in front of me—never overpowering, never artificial, and never trending into something that reads as obviously “done.”

Breast Augmentation Is Not About Volume—It’s About Fit

A refined augmentation begins with one essential question:

What looks right on this body?

That answer is rooted in anatomy—not in a number on a sizing chart.

A thoughtful augmentation respects the patient’s natural foundation, including:

• Chest wall anatomy

• Ribcage shape

• Shoulder width

• Torso length

• Breast base width

• Existing breast footprint and skin characteristics

Implants should never be selected based on “preference” alone. The most important factor is ensuring that implant dimensions match the patient’s base width, so the breast footprint remains natural and proportional to the chest wall.

When the implant fits the frame, the result looks effortless.

When the implant overpowers the frame, the result looks engineered.

Shape Matters as Much as Size

What patients often describe as “natural” is rarely about being small—it’s about being balanced.

In reality, a breast’s aesthetic beauty is driven by shape details, including:

• The slope of the upper pole

• The softness and fullness of the lower pole

• The position of maximal projection

• The way the breast transitions into the décolletage

A well-designed augmentation creates a silhouette that feels smooth, proportional, and feminine—not overly round, overly high, or exaggerated.

This is where experience truly shows. Two patients can receive implants with similar volume, but end up with completely different outcomes depending on shape planning and anatomical nuance.

Harmony Is a Full-Body Concept

Breasts don’t exist in isolation.

To look naturally beautiful, the breasts must integrate into the overall architecture of the body—particularly how they relate to:

• The shoulders

• The ribcage

• The waist

• The hips

• The overall torso length

True elegance is achieved when the breasts complement the body’s proportions rather than dominating them.

The goal is never to “win the room” with volume.

The goal is to enhance femininity and presence in a way that feels seamless and authentic.

Symmetry, Movement, and Natural Behavior

Beauty isn’t static. It’s dynamic.

A successful breast augmentation doesn’t just look good in a mirror—it looks good in motion. That means:

• The breasts sit symmetrically

• They move naturally

• They feel proportionate and stable on the chest wall

• The silhouette looks elegant from multiple angles—not only head-on

This is especially important because the eye detects imbalance instantly. A refined augmentation accounts for symmetry not only in size, but in position, slope, and overall shape.

A Result That Enhances Identity—Not Replaces It

The best breast augmentations elevate confidence without erasing individuality.

When augmentation is performed thoughtfully, it enhances:

• femininity

• softness

• proportion

• elegance

…but still feels aligned with the patient’s identity.

That’s the difference between a good augmentation and a truly exceptional one.

The ideal outcome is not dramatic. It is refined—an improvement that feels so natural it looks like it could have always been there.

The Goal: Timeless, Balanced, Beautiful

Breast augmentation should never be one-size-fits-all.

It should be personalized, anatomy-driven, and executed with a focus on shape design and long-term harmony, not temporary trends.

When done at the highest level, breast augmentation is not about looking augmented.

It’s about looking proportional, elegant, and effortlessly feminine—from every angle.

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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 Intricacies of the Lip Lift

In this TikTok, Dr. Devgan breaks down the intricacies of her Signature Lip Lift/Lip Augmentation Procedure.

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The Intricacies of the Lip Lift

There are certain facial refinements that feel quietly transformative—procedures that don’t announce themselves, but instead restore something you didn’t realize had changed. A well-executed lip lift is one of the best examples of that.

It is a precise, high-impact procedure designed to reduce an elongated philtral distance, restore youthful upper lip proportion, and improve tooth show in a way that reads natural rather than “done.” When performed thoughtfully, a lip lift doesn’t change who you are—it simply brings the upper lip back into harmony with the rest of the face.

Why the Upper Lip Changes Over Time

A common misconception is that lips only age by losing volume. In reality, one of the most important—and often overlooked—changes is lengthening of the philtrum, the vertical space between the base of the nose and the upper lip (vermilion border).

Over time, this distance can elongate subtly, causing the upper lip to appear:

• thinner (even if volume is technically still present),

• flatter and less defined,

• less projected,

• less expressive,

• and “heavier” or more aged in the midface.

The result is not necessarily an unattractive face—often it’s simply a face that looks less fresh, less feminine, and less balanced than it once did.

What a Lip Lift Actually Does

A lip lift restores proportion by shortening the space between the base of the nose and the upper lip, which can:

• re-establish a more youthful upper lip-to-midface relationship

• increase upper tooth show in a natural way

• enhance Cupid’s bow definition and upper lip shape

• improve lip “presence” without adding filler

• bring lightness and femininity back to the lower midface

This is why lip lifts often photograph so beautifully when done correctly—because they impact facial balance, not just lip size.

The “Natural” Lip Lift: What That Really Means

The most important principle I emphasize is this:

A lip lift should never look like a lip lift.

Patients should not look over-lifted, exaggerated, overly toothy, or as though the mouth has been pulled upward. The goal is a result that appears effortless and timeless, as though your facial proportions were simply always meant to look this way.

A lip lift is not about drama. It’s about refinement.

My Signature Approach: Conservative, Anatomy-Driven, and Scar-Centered

A lip lift may look small in scope, but it is deceptively intricate. Millimeters matter. Symmetry matters. And scar quality matters—immensely.

My approach is:

• conservative and anatomy-driven, never aggressive

• centered on scar quality and long-term elegance

• designed to preserve natural proportion, softness, and expression

This is not a procedure where “more lift” means “better result.” In fact, excessive lifting is one of the quickest routes to an unnatural outcome.

Scar Strategy Is Everything

One of the most important technical aspects of a lip lift is how the incision is designed and how it heals.

The ideal incision plan:

• hides within natural shadows,

• respects the contours of the base of the nose,

• avoids conspicuous external markings,

• and heals so discreetly that it does not distract from the result.

The scar should never be the headline. The entire point is for the lip to look beautiful—without anyone noticing the surgical work behind it.

Two Techniques: Scarless Internal vs. External Precision

Not every face needs the same approach. Patient selection determines everything.

1) Scarless Internal Lip Lift (in carefully selected patients)

For the right candidate, an internal technique may offer meaningful refinement without an external scar. This approach can be ideal for patients who need a subtle adjustment and have favorable anatomy.

2) Meticulous Transcolumellar-Only Lip Lift (when external is needed)

When an external approach is necessary, I favor a highly refined transcolumellar-only technique—a strategy that prioritizes discretion and minimizes visible scarring.

This is not about “just removing skin.” It is about:

• incision placement,

• tension control,

• symmetry management,

• and sculpting the lift so it looks elegant rather than surgical.

What Makes a Lip Lift Look “Done” (and How We Avoid It)

The most common mistakes happen when the procedure is treated as a simple mechanical adjustment rather than an aesthetic operation.

Results can look unnatural when:

• the lift is excessive,

• the Cupid’s bow is distorted,

• the nostrils or base of the nose are pulled unnaturally,

• the incision is poorly planned,

• or symmetry is not respected down to the millimeter.

My goal is always:

• refined tooth show (not too much),

• improved lip shape (not “pulled”),

• better proportion (not a different face),

• and a result that holds up beautifully long-term.

Who Is a Great Candidate?

A lip lift may be an exceptional option for patients who:

• feel the upper lip looks long or “aged”

• want more tooth show and lip definition without volume

• have tried filler but still feel the upper lip looks heavy or stretched

• want a structural improvement rather than temporary camouflage

For many patients, the lip lift is the missing piece—because it restores architecture, not just fullness.

The Bottom Line

A lip lift is not a trend-driven procedure. When done properly, it is one of the most elegant and proportion-restoring operations in facial aesthetics.

It is a precise enhancement designed to re-balance the relationship between the midface and mouth, subtly restoring femininity, freshness, and facial harmony.

My philosophy remains the same:
conservative, anatomy-driven refinement, meticulous attention to symmetry and Cupid’s bow definition, and an incision strategy designed to heal discreetly within natural shadows.

The goal is never to look “done.”
The goal is to look like yourself—only more proportionate, refreshed, and timeless.

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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 | 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!