Signature Procedure | Early Healing After a Modern Lower Facelift, Necklift, Revision Upper Blepharoplasty, and Fat Grafting

Dr. Devgan reviews a Facial Optimization case with her patient in this TikTok.

Procedures performed in this case:
• Lower facelift
• Necklift
• Revision upper blepharoplasty
• Autologous fat grafting

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Early Healing After a Modern Lower Facelift, Necklift, Revision Upper Blepharoplasty, and Fat Grafting

One of the most rewarding aspects of facial rejuvenation surgery is seeing beautiful improvements emerge even in the earliest stages of healing. While swelling and bruising are a normal part of the recovery process, a thoughtfully executed procedure can reveal enhanced facial contours almost immediately.

This 65-year-old patient is shown before surgery, two days after surgery, and seven days after undergoing a meticulous lower facelift and necklift, finesse revision upper blepharoplasty, and autologous fat grafting. Despite being only one week into recovery, she already demonstrates a noticeably improved jawline, smoother neck contour, and a refreshed yet natural overall appearance.

My approach to facial rejuvenation focuses on restoring youthful structure and harmony rather than creating an overdone or altered look. In this case, careful attention was paid to refining the lower face and neck while preserving the patient's unique features and expressions. The result is a rejuvenated appearance that remains authentic to who she is.

An important aspect of this procedure was the placement of the incisions. All facelift and necklift incisions were concealed behind the ears and beneath the chin, with no visible incisions on the face itself. This allows for discreet healing while providing comprehensive access to the deeper structures responsible for facial aging.

The revision upper blepharoplasty required an especially delicate and nuanced approach. Revision eyelid surgery is often more complex than primary eyelid surgery due to altered anatomy, existing scar tissue, and the need to preserve critical structures. Successful revision procedures demand millimeter-level precision, meticulous tissue handling, and a thoughtful respect for each patient's unique anatomy. The goal is not simply to remove tissue, but to restore balance and harmony around the eyes while maintaining a natural, expressive appearance.

Autologous fat grafting served as an important complement to the surgical rejuvenation. By using the patient's own tissue to restore volume, fat grafting softens transitions between facial subunits, improves facial contours, and enhances overall facial harmony. In addition to restoring youthful fullness, carefully placed fat grafts can contribute to improved skin quality and a softer, healthier appearance.

At only seven days after surgery, some swelling and mild bruising remain present, which is entirely expected. These early postoperative changes will continue to improve over the coming weeks and months as healing progresses. Even so, the foundational improvements in facial contour, neck definition, and overall balance are already clearly visible.

The ultimate goal of facial rejuvenation is not transformation, but refinement. Through meticulous planning, individualized surgical design, delicate tissue handling, and a deep understanding of facial anatomy, it is possible to achieve elegant, natural-looking results that age beautifully and stand the test of time.

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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 | The Modern Facelift

Procedures performed in this case:
• Revision upper blepharoplasty
• Mid facelift
• Lower facelift
• Neck lift

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The Modern Facelift: Restoration, Refinement, and Natural Beauty

For decades, facelifts have been associated with dramatic transformations and visibly altered appearances. Today, the most sophisticated approaches to facial rejuvenation embrace a very different philosophy: restoration rather than reinvention.

My signature modern facelift is designed to create the highest level of refinement, naturalness, and longevity in facial rejuvenation. Rather than relying on tension placed on the skin, this technique addresses the deeper structural layers of the face, restoring the foundational architecture that naturally changes over time.

As we age, facial tissues descend, volume diminishes, and the contours of the face gradually lose definition. Traditional techniques often focused primarily on tightening the skin to create a lifted appearance. While this can produce improvement, it does not fully address the underlying causes of facial aging.

A modern facelift takes a more comprehensive and anatomical approach. By lifting and repositioning the deeper support structures of the face, the procedure restores youthful contours while preserving natural facial movement and expression. Every patient ages differently, which is why I customize the direction and degree of lift using multiple vectors tailored to each individual's anatomy. This multi-vector approach allows for elegant rejuvenation of the midface, jawline, neck, and overall facial contours while maintaining softness and authenticity.

An equally important component of facial rejuvenation is volume restoration. Youthful faces are characterized not only by firm contours but also by smooth transitions, balanced proportions, and beautiful light reflection. For this reason, I frequently incorporate autologous fat grafting into my facelift procedures. Using the patient's own fat, carefully harvested and strategically placed, I restore volume where it has been lost over time. This adds dimension, harmony, and vitality in a way that complements the lift and enhances the overall result.

The goal is never to create a different face. The most successful facelift results are often the ones that go unnoticed. Friends and family may comment that you look refreshed, rested, vibrant, or healthy without identifying a specific reason why.

Ultimately, the art of facial rejuvenation lies in preserving what makes a person uniquely beautiful while restoring the structural support and balance that time gradually changes. A truly exceptional facelift should honor your identity, maintain your expressions, and reveal the most refreshed version of yourself.

The best facelift results are not about looking different. They are about looking beautifully restored, naturally rejuvenated, and unmistakably yourself.

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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 | Filmed in New York with Estonian Television: Dr. Lara Devgan on the Future of Aesthetic Medicine

In this interview with an Estonian TV show, Dr. Lara Devgan is asked about current trends and future predictions in the world of plastic surgery.

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Filmed in New York with Estonian Television: Dr. Lara Devgan on the Future of Aesthetic Medicine

Plastic surgery is changing. The era of dramatic, unmistakable transformation is giving way to something more nuanced — more precise, more individualized, and, increasingly, more natural.

Recently filmed in New York alongside Estonian television, Dr. Lara Devgan discussed the evolving philosophy behind modern aesthetic medicine, the rise of advanced facelift techniques, and why today’s patients are seeking refinement rather than reinvention.

“The goal is no longer transformation,” Dr. Devgan explains. “It’s refinement.”

That shift reflects a broader cultural change. Patients today are more informed, more discerning, and more interested in subtle enhancements that preserve identity rather than erase it. The modern patient doesn’t want to look like someone else. They want to look like the best version of themselves.

This evolution has fundamentally changed the way top plastic surgeons approach facial rejuvenation.

Rather than relying on overly aggressive lifting or volume changes, contemporary facelift techniques focus on restoring structure, balance, and vitality while maintaining the natural character of the face. Precision has become paramount. Small details — the contour of the jawline, the transition beneath the eyes, the quality of the skin — often have a greater impact than dramatic alterations.

According to Dr. Devgan, one of the most important advancements in the field is the move toward individualized treatment planning.

“There is no universal definition of beauty,” she says. “The most successful outcomes happen when surgery respects the patient’s anatomy, ethnicity, age, and personal aesthetic.”

That philosophy extends beyond surgery itself. Increasingly, aesthetic medicine combines surgical expertise with minimally invasive treatments, regenerative therapies, skin science, and long-term maintenance strategies. The result is a more holistic approach to aging — one centered on looking healthy, rested, and vibrant rather than visibly “done.”

Social media has also played an unexpected role in this shift. While heavily filtered aesthetics once dominated online beauty trends, many patients are now moving away from exaggerated features and toward authenticity. Overfilled faces and overly tight results are increasingly viewed as outdated, replaced by a preference for understated elegance and natural harmony.

Dr. Devgan believes that the future of aesthetic medicine lies at the intersection of artistry, technology, and restraint.

“The best plastic surgery is often invisible,” she notes. “People notice that you look incredible, healthy, confident, energized — but they can’t immediately identify why.”

As techniques continue to evolve, so too does the philosophy behind them. Modern plastic surgery is no longer about becoming someone new. It’s about preserving identity while refining the features that make each person uniquely themselves.

And in many ways, that represents the most significant transformation the industry has seen yet.

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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 | Three Common Misconceptions About the Facelift

In this TikTok, Dr. Devgan breaks down a few major misconceptions about the facelift.

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3 Common Misconceptions About Facelifts, Explained

A facelift is one of the most misunderstood procedures in aesthetic surgery. In reality, modern facelift techniques are far more nuanced than the dramatic, “pulled tight” results many people imagine. Dr. Lara Devgan often emphasizes that great facial rejuvenation is not about changing a face—it’s about restoring structure, harmony, and age-appropriate softness. Here are three of the most common misconceptions she addresses in her practice.

1. Facelift results are not meaningfully related to age

One of the biggest misunderstandings is the idea that age alone determines facelift outcomes in a linear way. While a facelift can be effective at many ages, earlier intervention often allows for more refined, subtle, and structurally supported results. A patient in their mid-40s typically has better skin elasticity, less ligament laxity, and less volume descent compared to someone in their mid-50s or beyond. That doesn’t mean older patients don’t benefit—far from it—but earlier treatment can sometimes allow for less extensive work and a more seamless, “you-but-refreshed” result.

2. More lift does not equal a better facelift

There’s a persistent belief that a “stronger” facelift produces a better outcome. In reality, overcorrection is one of the fastest ways to create an unnatural appearance. The goal today is not to erase every trace of aging or pull the face into a new shape, but to restore soft tissue to a more youthful position while preserving individual identity. Overly tight or exaggerated results can distort natural expression and diminish authenticity. The best facelifts are often the ones you don’t immediately notice—you just sense that someone looks rested, lifted, and more cohesive.

3. A beautiful facelift is rarely just a facelift

Perhaps the most important misconception is thinking of a facelift as a single, standalone procedure. In modern facial rejuvenation, the best outcomes are typically achieved through a combination approach. This may include fat grafting to restore volume, eyelid surgery to open and refresh the eyes, skin resurfacing for texture and tone, and neck refinement for overall balance. When done thoughtfully, these elements work together to re-establish youthful facial proportions without erasing character. The goal isn’t transformation—it’s alignment: bringing the face back into harmony while keeping the person unmistakably themselves.

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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 | Surgical Suturing

Dr. Lara Devgan demonstrates her surgical suturing technique in this TikTok.

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Dr. Lara Devgan’s Surgical Suturing

Dr. Lara Devgan has refined a signature suturing approach—often dubbed the “zip stitch”—that underscores her philosophy of marrying surgical precision with aesthetic harmony. Used notably in upper eyelid blepharoplasty, this continuous subcuticular stitch runs just beneath the skin, drawing tissue edges together like a zipper. The result? Even tension distribution without the telltale dotted scars of traditional interrupted sutures.

In action, Dr. Devgan delicately places the suture beneath the skin surface, bringing edges into perfect alignment. This careful execution minimizes visible scarring and accelerates healing, often leaving incisions nearly imperceptible within a week. The technique promotes rapid recovery and a smoother contour—an aesthetic win without compromise.

Beyond eyelids, Dr. Devgan applies suture suspension more broadly in midface lifts. She threads permanent or long-lasting sutures through small incisions, anchoring them to firm structures like deep temporal fascia to deliver a tasteful, natural lift without full facelift invasiveness. Ideal for mild-to-moderate sagging, this method offers subtle rejuvenation with minimal downtime—a middle ground between injectables and major surgery.

In essence, Dr. Devgan’s suturing techniques highlight that great plastic surgery isn’t just about removal—it’s about restoration. Through her “zip stitch” and suture suspension, she sculpts with finesse, ensuring scars remain hidden and results appear effortlessly organic.

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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!