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The spectrum of eye rejuvenation: from injections to surgery

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Actual patient of Dr. Devgan, before and immediately after injectable tear trough filler.

Actual patient of Dr. Devgan, before and immediately after injectable tear trough filler.

Actual patient of Dr. Devgan, before and 2 weeks after upper and lower eyelid blepharoplasty.

Actual patient of Dr. Devgan, before and 2 weeks after upper and lower eyelid blepharoplasty.

The eye area has the thinnest skin on the body, and for this reason, the periorbital area is one of the first places where the face shows its age.

There are a variety of options to rejuvenate the eyes, depending on your anatomic characteristics, expectations, downtime, and budget. The two principle options are injectable rejuvenation and surgery.

Injectable Eye Rejuvenation

Injectable rejuvenation of the eye area focuses on use of Botox to soften crows feet (the wrinkles on the lateral aspects of the eyes) and filler to soften tear troughs, dark circles, and hollowing under the eyes.

The main advantages of injectable eye rejuvenation are that it is fast, easy, minimally invasive, and has little downtime. The entire procedure takes under 15 minutes in most cases, and it can be done wide awake, with many patients returning immediately back to work.

The main disadvantage of this approach is that it is temporary and results are not quite as good as those that come with surgery. Botox lasts 3-4 months, and tear trough fillers last 1-2 years in most cases. For tear trough filler in particular, the injected material serves to blend and camouflage signs of aging, rather than definitively correcting excess skin or puffy fat pads.

Surgical Eye Rejuvenation

Surgical rejuvenation of the eyes is called upper eyelid and lower eyelid blepharoplasty. These operations involve using hidden incisions to definitively correct signs of aging around the eyes, such as excess folds of skin, puffy bags (fat pads), and hollowing.

The main advantage of blepharoplasty is that it is the gold standard, most effective way of treating periorbital aging. Results are very durable and long-lasting, and patients tend to be very happy.

The main disadvantages of surgery are the downtime, invasiveness, and expense associated with it. But for those who can accept these limitations, surgery creates a superior aesthetic result.


Total nasal reconstruction for badly broken noses

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Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

Actual patient of Dr. Devgan, before and after reconstructive nasal surgery

The nose is the center-most point of the face, and injuries to the nose can alter one's entire perception of facial balance and attractiveness. If you have a broken nose, with or without an overlying soft tissue injury, careful anatomic alignment of the nasal bones, septum, paired upper lateral and lower lateral cartilages, and skin envelope are critically important.

When I am addressing a traumatic nasal injury, I use the same type of anatomic analysis and meticulous surgical technique that I use when I am performing a cosmetic rhinoplasty or nosejob. While reconstructive nasal surgery is about returning a person to their baseline and cosmetic nasal surgery is about improving their appearance, both types of operations hinge on good surgical technique and sound planning.

If you have a nasal concern-- whether it is a broken bone, a soft tissue trauma, or an aesthetic complaint-- please feel free to contact my office at 212-452-2400 or office@LaraDevganMD.com.

Correction of Dark Circles (tear trough filler)

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Actual patient of Dr. Devgan, before and after tear trough injection

Actual patient of Dr. Devgan, before and after tear trough injection

The skin around the eyes is the thinnest and most delicate on the body. For this reason, it is the place where many people are likely to show signs of aging and fatigue. Even in young patients, as in this twentysomething patient of mine pictured above, dark circles can contribute significantly to a tired appearance of the face.

One quick and easy intervention to treat dark circles and hollowing around the eyes is Injectable Tear Trough Filler. In a 10 minute procedure with minimal discomfort and no downtime, the under-eye area can be rejuvenated for 1-2 years. This is an excellent option for you if you would like a cosmetic correction without undergoing surgery (like blepharoplasty/ eye lift, or fat grafting).

Tear trough filler is an expert injector technique that can cause skin necrosis, tissue damage, and permanent blindness if done improperly. I advise my patients to find a board-certified plastic surgeon and expert in periorbital anatomy with extensive experience in this nuanced procedure. To see more examples of my work, look at the "Eyes" section under the Before & After tab. 

For inquiries, please call my office at 212-452-2400.

 

Kim Kardashian Fashion Week Facial: Microneedling by Dr. Devgan

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Kim Kardashian's Fashion Week Microneedling Facial with Dr. Devgan

Kim Kardashian's Fashion Week Microneedling Facial with Dr. Devgan

A few weeks ago, I had the pleasure of helping Kim Kardashian get her skin in tip-top shape for New York and Paris Fashion Week, with a Microneedling Collagen Induction Treatment (also known as a "Vampire Facial," or a "Fashion Week Facial," as Kim calls it).

Microneedling is an amazing way to induce the skin to produce more collagen, leaving it glowy, supple, even, and soft. In my practice, I combine Microneedling with Growth Factors, Vitamin C, Vitamin E, stem cell induction, and PRP treatment-- for maximal beauty benefits. For Kim, we also used an amazing Collagen-Infused Gold Face Treatment Mask to deliver Hyaluronic serum in a targeted fashion.

Shortly after our Microneedling Treatment and skin care regimen, Kim Kardashian attended the Balmain fashion show at Paris Fashion Week completely makeup free. Click to zoom in on her incredible skin quality.

Shortly after our Microneedling Treatment and skin care regimen, Kim Kardashian attended the Balmain fashion show at Paris Fashion Week completely makeup free. Click to zoom in on her incredible skin quality.

Last but not least, we started Kim on my entire skin care line: Platinum Triple Glow, Platinum Vitamin C+ Luminous Night Serum, Platinum Hyaluronic Serum, Platinum Recovery Cream, Platinum SPF 45 Daily Tinted BB Cream, Platinum Revitalizing Cleanser, and Platinum Microdermabrasion Scrub. This left her skin glowy and perfect enough to attend the Balmain fashion show at Paris Fashion Week completely makeup-free.

Click to watch my full treatment video with Kim on her app.

Click to watch my full treatment video with Kim on her app.

Why do women seek labiaplasty? For functional and aesthetic concerns

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Actual patient of Dr. Devgan, before and after labiaplasty

Actual patient of Dr. Devgan, before and after labiaplasty

Actual patient of Dr. Devgan, before and after labiaplasty

Actual patient of Dr. Devgan, before and after labiaplasty

There are a variety of reasons why women seek labiaplasty-- both functional and aesthetic. In the past few months I have had patients report the following concerns as reasons for seeking labiaplasty:

  • self-consciousness when nude
  • discomfort during exercise
  • awkwardness during sexual relations
  • discomfort during sexual intercourse
  • rashes
  • chafing and bleeding
  • hygiene concerns
  • difficulty controlling the flow of urine when using the bathroom
  • toilet paper or tissue adhering to the genitalia
  • frequent need for readjustment
  • limitation of bicycling
  • self-consciousness when wearing swimsuits
  • discomfort with appearance when wearing fitted pants, yoga pants, leggings, or exercise pants
  • itchiness of tissue
  • dryness of tissue
  • undesirable aesthetic appearance
  • dislike of darkly pigmented areas of tissue
  • dislike of skin tags or other benign growths
  • aesthetic dislike of protruding labia minora
  • aesthetic dislike of deflated or saggy labia majora
  • aesthetic dislike of enlarged clitoral hood
  • aesthetic dislike of redundant or enlarged perineum, frequently after childbirth or intercourse-related injuries

Many women have a combination of functional and aesthetic concerns. Each person is different, each set of anatomic characteristics is different, and each surgery is uniquely tailored. If you are considering labiaplasty and would like to be evaluated by me for treatment, please call my office at 212-452-2400 or email office@LaraDevganMD.com.

 

Emergency plastic surgery: laceration repair

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Actual patient of Dr. Devgan, before and immediately after laceration repair

Actual patient of Dr. Devgan, before and immediately after laceration repair

Actual patient of Dr. Devgan, before and immediately after laceration repair

Actual patient of Dr. Devgan, before and immediately after laceration repair

Anytime you get a cut (whether from an accident or a surgery), there is always going to be a scar. My job as a plastic surgeon is to minimize the appearance of that scar and use the best surgical techniques to camouflage and hide that scar so that it does not detract from your overall appearance.

Frequently, patients will call me when they have had an accident and have a cut, burn, laceration, or open wound that requires stitches, in order to have me help them achieve the best cosmetic outcome. I will either meet the patient in the Emergency Room or in my office to help treat them in a fast, safe, efficient, and cosmetically beautiful manner.

Two of my recent patients are pictured above. The top image is a Vogue covermodel, before and immediately after laceration repair. The bottom image is a male patient visiting from overseas, before and immediately after laceration repair. Even in the early stages of their stitches, both of them demonstrate the qualities of a good wound closure:

  • correctly reapproximated anatomic borders
  • thin, finely spaced sutures
  • respect of tissues and gentle tissue handling
  • excellent cosmesis

If you have an injury and are interested in getting the best cosmetic result, please don't hesitate to contact my office at any time, even at night or on the weekends. I will always make every effort to take care of you.

 

Cheekbone and lip filler to rejuvenate the face

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Actual patient of Dr. Devgan, before and after cheekbone and lip augmentation

Actual patient of Dr. Devgan, before and after cheekbone and lip augmentation

For younger patients and those who prefer to avoid the downtime of surgery, injectable fillers are a powerful technique to optimize cosmetic outcomes.

Some of the most popular procedures in my New York City private practice include cheekbone and lip augmentation. While this can be done surgically and more durably with autologous fat transfer, the newest generation of injectable fillers can also accomplish a similar result with no downtime.

Cheekbone filler helps to define and sculpt the face, improve shadowing underneath the cheekbones, soften the nasolabial folds, and lift the appearance of the jowls. Cheekbone filler creates a prettier, thinner, more heart-shaped facial conformation that signals youth and beauty. 

Lip filler improves the fullness, contour, symmetry, and definition of the lips. It can be as natural or as voluptuous as desired. Lip filler is popular as a way to add beauty and interest to an inherently beautiful part of the face, the pout.

As a surgeon, I pride myself on in-depth knowledge of surgical anatomy and mastery of the full spectrum of techniques from injections to incisions. For this reason, I enjoy being able to offer my patients minimally invasive procedures with no downtime (as well as more intensive surgical procedures).

For questions or to see me as a patient, please contact my office.

 

Dr. Devgan profiled on US News & World Report as a doctor to follow on Instagram and Snapchat

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Dr. Devgan profiled in US News & World Report

I was honored to be featured on US News and World Report as a doctor to follow on Instagram and Snapchat. I believe that there is a responsible, educational, and interesting way to share plastic and reconstructive surgery with the public. Despite what the media may have you believe, plastic surgery is a serious academic discipline, a challenging medical specialty, and an artistic field. 

One expert quoted in the US News article recommends following doctors on social media who have "strong credentials, who post about contemporary issues in healthcare and have a strong patient-centered voice." I am pleased to be regarded as among this group.

Take a look at my practice on Instagram @nyplasticsurgeon and Snapchat @nyplasticsurg.

lara devgan US News and World Report Click to read the full article on USNews.com

Click to read the full article on USNews.com


Abdominal liposculpture to achieve an amazing six-pack

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Actual patient of Dr. Devgan, before and after abdominal etching (abdominal liposuction/ liposculpture)

Actual patient of Dr. Devgan, before and after abdominal etching (abdominal liposuction/ liposculpture)

Liposuction is a powerful tool when a patient is at or close to his or her goal weight. If you are thinking about liposuction, I advise you to regard it as a "spot treatment" to refine and define a physique that is already fairly close to where you want it to be.

For those who are on weight loss journeys, one reasonable rule of thumb is to try to be within 15-20 pounds of your goal weight before considering liposuction. Once you get to that point, liposuction can be an excellent way to sculpt, define, and contour your body.

This patient was an already fit male who desired abdominal etching to achieve a fitter six-pack type of look. He was very happy with his result.

Getting a beautiful belly button with tummy tuck surgery

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Actual patient of Dr. Devgan, before and after abdominoplasty (tummy tuck), NYC.

Actual patient of Dr. Devgan, before and after abdominoplasty (tummy tuck), NYC.

One of the key features of a natural and attractive abdominoplasty (tummy tuck) is an attractive belly button.

From a plastic surgical standpoint, an attractive belly button has a few important characteristics:

  • small in size
  • positioned in the midline of the abdomen
  • positioned at the level of the hipbones
  • shadowing or superior hooding
  • ovoid in shape
  • scar hidden in the interior of the umbilicus
  • appropriate for your body habitus

For every tummy tuck patient I take care of, I make a special effort to pay attention to the details of the operation, including the small things like umbilicus placement and aesthetics. If you are thinking about a tummy tuck, I advise you to get as close to your goal weight as possible in advance of surgery, in order to have the most beautiful possible surgical results.

For questions, please email office@LaraDevganMD.com or call 212-452-2400.

Correcting lip filler that is lumpy and bumpy

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Actual patient of Dr. Devgan, before and after corrective lip augmentation

Actual patient of Dr. Devgan, before and after corrective lip augmentation

With the increasing popularity of lip augmentation (lip filler or lip injections), I have seen an increase in patients who come in to my New York City private practice for corrective procedures after they have been treated by other doctors.

The lips are a focal point of the face, and precise measurements and careful attention to anatomic detail are needed to create beautiful results. Often, a patient who has less-than-ideal results is experiencing one of the following issues:

  • lumps
  • bumpiness of lip contour
  • asymmetry
  • imbalance of upper and lower lips
  • poorly defined Cupid's bow
  • overly augmented look ("duck lips" or "trout pout")
  • poor harmony with other facial features

When correcting lip filler done by another practitioner, there are several possible approaches:

  1. Do nothing and allow the filler to dissolve on its own. Most hyaluronic acid based fillers such as Juvederm, Restylane, and Belotero have a lifespan of somewhere between 4 and 12 months. They are naturally degraded by the body, even if nothing is done to them, over the course of time and normal movement.
  2. Dissolve the filler with hyaluronidase enzyme such as Vitrase or Hylenix. These enzymes, when injected, will cause hyaluronic acid based fillers to completely dissolve within about 5 minutes, with repeated massage. This returns the lips to their baseline prior to injection.
  3. Perform corrective lip filler. Additional filler can be added to smooth out evenness, irregularity, and asymmetry to mask the prior undesirable appearance. This is a good option if someone wants a look to be slightly fuller.

If you have questions or concerns about lip augmentation, please feel free to email my office at office@LaraDevganMD.com for more information.

Tip Rhinoplasty to refine a bulbous or boxy nasal tip

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Surgical specimen from an actual patient of Dr. Devgan

Surgical specimen from an actual patient of Dr. Devgan

Many patients like the overall size and shape of their noses, but desire some additional subtle refinement of the nasal tip.

The tip of the nose is an aesthetically important anatomic area for several reasons:

  • It has more topographical prominence than any other part of the nose (i.e. it sticks out the most)
  • It reflects light in a visually arresting manner
  • It can create an impression of refinement when well-proportioned or coarseness when not

If the tip of the nose is boxy, bulbous, or overly large, a tip rhinoplasty can be an effective operation to subtly improve the proportions of the face. Using hidden incisions, I am able to make the nose appear more harmonious and attractive, without making you look like a completely different person.

Most patients take 1 week off of work or school to recover. Results are immediately apparent, but they take up to one year to fully materialize, as the nose can retain a tiny bit of swelling and fluid over a prolonged period of time. Bruising is not common after tip rhinoplasty, but any small bruises or areas of discoloration can be covered by makeup after 2-3 days.

If you are interested in seeing me for nose surgery (nose job), rhinoplasty, or tip rhinoplasty, please email office@LaraDevganMD.com or call 212-452-2400.

 

Dr. Devgan named a Fellow of the American College of Surgeons

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I am honored to be a Fellow of the American College of Surgeons, the largest and most respected group of board-certified surgeons in the world. The press release for my induction into this professional designation, provided by the American College of Surgeons, is featured below.

FACS logo

Local Surgeon Dr. Lara Devgan
Among 1,823 Initiated Into
American College Of Surgeons

New York, New York:  Dr. Lara Devgan was among 1,823 Initiates from around the world who became Fellows of the American College of Surgeons (FACS) during the Convocation ceremony at the College’s 2016 annual Clinical Congress in Washington, DC, last month.  This year’s class of Initiates was among one of the largest ever admitted into the College.

Dr. Devgan received a medical doctorate from Johns Hopkins University School of Medicine and is currently practicing plastic and reconstructive surgery at her own clinic, Lara Devgan, MD, PLLC, located in New York City. Dr. Devgan is a Diplomate of the American Board of Plastic Surgery and attained board certification with board scores in the top 3 percent in the nation.

Dr. Devgan has a strong professional interest in cosmetic surgery of the face, breasts, and body, as well as minimally invasive procedures such as botox, fillers, peels, microneedling, and skin care. She holds membership in other professional societies, including the American Society of Plastic Surgeons.           

By meeting the College’s stringent membership requirements, Fellows of the College have earned the distinguished right to use the designation of “FACS” (Fellow, American College of Surgeons) after their names.  An applicant for Fellowship must be a graduate of an approved medical school; must have completed advanced training in one of the 14 surgical specialties recognized by the College; must possess certification by an American surgical specialty board or appropriate certification by the Royal College of Physicians and Surgeons of Canada; and must have been in practice for at least one year at the time of his or her application.  Before admission into Fellowship, the surgeon must further demonstrate ethical fitness and professional proficiency, and his or her acceptance as a Fellow of the College must be approved by three-fourths of its Board of Regents.

The Convocation ceremony was the highlight of the five-day Congress at which initiation into ACS Fellowship took place.  The Congress also featured reports on research-in-progress, postgraduate courses, panel discussions, symposia, and scientific and industrial exhibits.  Total estimated attendance at the Congress was 11,745, including 8,127 physicians.  Allied health professionals and members of the scientific and consumer media also attended the meeting.

The American College of Surgeons is a scientific and educational organization of surgeons that was founded in 1913 to raise the standards of surgical practice and to improve the quality of care for the surgical patient.  The College is dedicated to the ethical and competent practice of surgery.  Its achievements have established it as an important advocate for all surgical patients.  The College has more than 80,000 members and is the largest organization of surgeons in the world.  For more information, visit: www.facs.org.

 

Breast lift (mastopexy) to restore the breasts to a perky position

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Actual patient of Dr. Devgan, before and after breast lift (mastopexy).

Actual patient of Dr. Devgan, before and after breast lift (mastopexy).

Many women visit my New York City private practice with concerns related to their breasts. One frequent cause for concern is breasts that are droopy, deflated, or sagging below their ideal position.

This can occur due to genetics, tissue quality, breast feeding, weight fluctuations, and aging. 

My approach to helping women in this situation is to perform a breast lift operation (also called a mastopexy). My goals are to:

  • improve symmetry
  • elevate nipple position
  • add volume to the upper poles of the breasts
  • add fullness to the cleavage
  • harmonize the aesthetics of the breasts

I can accomplish this through a variety of techniques, including peri-areolar breast lift (scar around the nipples only), lollipop breast lift (scar around the nipples and extending down vertically), and Wise pattern breast lift (anchor-shaped scar). Patient satisfaction in my practice is very high, and I take great care to ensure high-quality results and compassionate care for all of my patients.

If you are interested in a breast lift and would like to discuss your concerns with me in more detail, I invite you to call my office at 212-452-2400 or email office@LaraDevganMD.com.

Refinement of previous plastic surgery (revision plastic surgery)

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Actual patient of Dr. Devgan, before and after revision lower eyelid blepharoplasty.

Actual patient of Dr. Devgan, before and after revision lower eyelid blepharoplasty.

Some of the greatest challenges in plastic surgery come from correcting the results of previous procedures done by other doctors that have left a patient with a less than satisfactory result.

In these situations, I make every effort to fully understand why the patient is not satisfied, to review the records and operative notes of previous surgeries, and to make a coherent and goal-oriented plan for moving forward.

I have performed revision operations from the head to the toe, on patients who have had unsatisfactory eyelid surgery, facelifts, necklifts, rhinoplasties, breast augmentations, breast lifts, tummy tucks, liposuction, and labiaplasties-- among other operations.

While revision surgery is often more complicated due to additional scarring and altered tissue planes, the results can be very gratifying when I am able to help a concerned individual achieve his or her goals.


Dr. Devgan Skin Care Sold at Bergdorf Goodman

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Bergdorf Goodman, 5th Avenue, image credit New York Times

Bergdorf Goodman, 5th Avenue, image credit New York Times

We are pleased to announce the collaboration Dr. Devgan Scientific Beauty, John Barrett Salon, and New York's most legendary department store, Bergdorf Goodman.

Dr. Devgan's proprietary luxury medical-grade skin care line, Dr. Devgan Scientific Beauty, is now being sold at Bergdorf Goodman in a pop-up shop on the 9th floor. Stop by to try the products that have graced the faces of boldface names and savvy private citizens alike.

Dr. Devgan Scientific Beauty Pop-Up Shop and Holiday Reception at Bergdorf Goodman

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Legendary hair stylist John Barrett and renowned plastic surgeon Dr. Lara Devgan. Image credit Stephen Smith, Guest of a Guest

Legendary hair stylist John Barrett and renowned plastic surgeon Dr. Lara Devgan. Image credit Stephen Smith, Guest of a Guest

The holiday reception and launch of my pop-up skin care shop at John Barrett Salon at Bergdorf Goodman was an amazing success! Thank you to all of my friends, clients, and supporters from near and far who made the event so wonderful.

I am pleased to announce that my skin care line will continue to be offered at Bergdorf Goodman through the remainder of the holiday season. For those of you who are not local to the New York area, my skin care line can be purchased in our online shop at www.LaraDevganMD.com/shop.

Natural-looking, subtle lip augmentation

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Actual patient of Dr. Devgan, before and after lip augmentation

Actual patient of Dr. Devgan, before and after lip augmentation

Actual patient of Dr. Devgan, before and after lip augmentation

Actual patient of Dr. Devgan, before and after lip augmentation

Lip augmentation is one of the most popular non-surgical procedures in my practice. I help my patients achieve all types of looks, from very exaggerated very subtle. Most of my patients tend toward a more understated look, but anything that is medically responsible is achievable.

These are a couple of recent examples of natural-looking lip augmentation. Lips like these are sultry and sensuous, without attracting unwanted attention or appearing obviously "done."

Verified reviews from my actual patients

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Feedback from my patients is the best way for me to assess myself, and also the best way for my future patients to learn about me as a doctor and surgeon.

Here are a few reviews from recent patients, independently verified by RateMDs.com.

best plastic surgeon NYC best plastic surgeon NYC best plastic surgeon NYC

More patient reviews!

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I think that finding out about what other actual patients have experienced is the best way to get to know a doctor you are considering for something as important as a plastic or reconstructive surgery procedure.

I'm always so touched to hear my patients thoughts about their experiences with me. Here are a few new reviews, gifts, and cards that came in this week.

Gift from a facial aesthetics & injectables patient

Gift from a facial aesthetics & injectables patient

top plastic surgeon NYC Sculpture gift from the daughter of a patient

Sculpture gift from the daughter of a patient

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