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Breast augmentation: gummy bear or silicone implants?

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Actual patient of Dr. Devgan after breast augmentation with highly cohesive silicone implants.

Actual patient of Dr. Devgan after breast augmentation with highly cohesive silicone implants.

I perform all types of breast augmentation in my New York City private practice, using implants that are silicone, saline, structured, and gummy bear or form stable. It is absolutely possible to get excellent results with all types of implants.

One question I am frequently asked is: what do you like better, gummy bear or silicone implants?

While gummy bear implants have gotten a lot of publicity and have a very cute name, I find that they feel a bit hard to the touch and the experience of having them is less natural for most patients. For this reason, most of my patients prefer form stable silicone implants.

Regardless of the type of implants you choose, my focus is on making them as beautiful and natural-looking as possible.


Art in the operating room

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Many of my patients know that I have a background as a painter, sculptor, and photographer. Not only do I try to create beauty for my patients, but I also am drawn to seeing the beauty in the world around me. Here are some images from my daily work as a plastic and reconstructive surgeon, taken in the operating room.

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Life-changing tummy tuck results

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Actual patient of Dr. Devgan, before and 10 days after tummy tuck (abdominoplasty)

Actual patient of Dr. Devgan, before and 10 days after tummy tuck (abdominoplasty)

This beautiful patient's abdomen showed the signs of childbearing, surgery, weight fluctuations, and age that affect many of us-- loose skin, stubborn fat, undesirable scars, and stretch marks. In each of these views, the photo on the right was taken just 10 days after I performed her abdominoplasty (tummy tuck). She already looks amazing at this early stage. She will look even better as her swelling and scars mature over the course of a year.

Actual patient of Dr. Devgan, before and 10 days after tummy tuck (abdominoplasty)

Actual patient of Dr. Devgan, before and 10 days after tummy tuck (abdominoplasty)

Actual patient of Dr. Devgan, before and 10 days after tummy tuck (abdominoplasty)

Actual patient of Dr. Devgan, before and 10 days after tummy tuck (abdominoplasty)

Excised abdominal skin and fat from an actual tummy tuck patient of Dr. Devgan's.

Excised abdominal skin and fat from an actual tummy tuck patient of Dr. Devgan's.

Facial balance with injectable fillers

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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 under-eye augmentation

Actual patient of Dr. Devgan, before and after under-eye augmentation

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

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

Injectable fillers can subtly but definitively improve facial balance. Even though they only address one discreet part of the face, the millimeter changes that they make to certain anatomic areas can make the whole face appear more beautiful, as seen in three of my recent patients, pictured above.

Fillers are a powerful adjunct to-- and sometimes replacement for-- surgery. I love them because they are immediately apparent, and when done well, very natural and beautiful. If you are curious about fillers, I encourage you to make a consultation appointment with someone who does a lot of them and can appreciate their nuances.

Beautiful lip injections in my New York City private practice

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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

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 an art as well as a science. It requires a precise understanding of anatomic relationships, ideal aesthetic ratios, and beautiful proportions.

When performing lip augmentation, one of the most important concerns is appropriately analyzing the lips, and carefully addressing their unique characteristics. These examples demonstrate a bit of my thought process when carrying out a natural looking lip filler procedure.

Microliposculpture for submental fullness (double chin)

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Actual patient of Dr. Devgan, before and 1 day after submental liposuction

Actual patient of Dr. Devgan, before and 1 day after submental liposuction

Submental liposuction is one of my favorite surgical techniques for addressing a double chin, or excess fat tissue under the chin. In a 20 minute procedure performed under local anesthesia alone, your profile can be completely revamped, and your face can be made to look significantly thinner and younger.

Submental liposuction is a midpoint between Kybella (the fat melting injection deoxycholic acid) and a full surgical necklift. It is an excellent option for those desiring an improved neck with minimal downtime and fast recovery.

Dr. Devgan nominated for a Doctors Choice Award

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We are pleased to announce that Dr. Devgan has been nominated for a 2017 Doctors' Choice Award. This award is based on the strength of recommendations from other physicians and surgeons for her professionalism, patient care, work ethic, and fund of knowledge.

Chemical peels for improved complexion

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Actual patient of Dr. Devgan, before and after deep chemical peel.

Actual patient of Dr. Devgan, before and after deep chemical peel.

This lovely patient was unhappy with her complexion after years of sun damage, brown spots, freckles, and melasma. I treated her with a deep chemical peel to achieve this significant improvement in her evenness and skin tone.

A deep chemical peel has about a week of downtime. It is an excellent treatment to combine with a surgical procedure, when you might be taking time off of work anyway. If you don't have the downtime to be out of the public eye for a week, I also perform moderate-depth mixed-modality chemical peels that have minimal to no visible peeling and no downtime.

Deep chemical peels may not be suited for all skin types and are safest for fair-skinned patients with sun damage. They are excellent for lightening dark spots and getting rid of fine lines.


Botox 101: How to use Botox for cosmetic improvements of the face

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Actual patient of Dr. Devgan prior to Botox injections

Actual patient of Dr. Devgan prior to Botox injections

Botox is one of my favorite cosmetic interventions because it is so powerful and yet so minimally invasive. When performed well, Botox (and other neuromodulators such as Xeomin and Dysport) can relax facial muscles, make facial expressions more pleasing, and soften wrinkles and fine lines-- without making you look frozen or fake.

The key to natural looking Botox administration is in-depth knowledge of facial anatomy. By using microdroplet injection, careful measurement, and deliberate marking, I am able to individually target facial muscles to achieve natural-looking and youthful results.

Botox takes a few minutes, lasts 3-4 months, and improves the complexion, resting expression, and animated look of the face. For questions about Botox or other injectables, please contact my office.

Tear Trough Augmentation in my New York City practice: My signature technique for reducing dark undereye circles

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

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

Dark circles and hollows around the eyes are a frequent complaint among men and women in my New York City private practice. The most definitive treatment for these issues is surgery: lower eyelid blepharoplasty with fat grafting-- one of my favorite operations.

For patients who are not ready for surgery or who prefer a less invasive approach, injectable tear trough augmentation is a very powerful option. Using my signature metric-based technique, I layer hyaluronic acid based filler in the undereye area to lighten the appearance of dark circles, fill in hollows, and create a more youthful undereye appearance.

Tear trough augmentation takes a few minutes, lasts 1-2 years, and has no associated downtime. Results are immediately apparent but improve over the course of several weeks.

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

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

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

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

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

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

Immediate breast augmentation results

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Actual patient of Dr. Devgan, before and 1 week after breast augmentation

Actual patient of Dr. Devgan, before and 1 week after breast augmentation

Most women who seek breast augmentation in my New York City private practice are seeking natural-looking results. Even with conservative breast implants, it takes 3-4 months for breast implants to drop and settle into their final position.

Nevertheless, most breast augmentation patients look good even very early after surgery, as seen in these photos. As the pectoralis muscles relax and the implants settle, women see an improvement in their breast slope and teardrop shape.

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

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

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

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

Dr. Devgan's work featured in Emergency Medicine Textbook

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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.

Dr. Devgan performs both cosmetic and reconstructive surgery. One of her recent emergency reconstructive cases for a severe nasal injury was recently selected to be featured in a respected emergency medicine textbook, Emergency Medicine Procedures (Reichman EF: Emergency Medicine Procedures, 3rd edition. McGraw-Hill, 2018).

Dr. Devgan featured as an "Honoring Inspiring Professional" brand ambassador for Medelita

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best plastic surgeon nyc

Dr. Devgan is honored to serve as a brand ambassador for Medelita, a national medical apparel company, as part of its "Honoring Inspiring Professional" program. 

Medelita is a manufacturer of high-quality professional lab coats and performance scrubs-- and one that has improved the fit, style, and technology of medical apparel. Dr. Devgan often wears Medelita scrubs and lab coats while operating and seeing patients.

As part of the "H.I.P." (Honoring Inspiring Professionals) Ambassadors Program, Dr. Devgan has been recognized as a leader in plastic surgery. According to Medelita, "our ambassador program serves to honor outstanding medical professionals... As innovators at the forefront of medicine and genuine patient advocates, Medelita offers support for these immense sacrifices and contributions to the health care community."

If you are a healthcare professional interested in Medelita's apparel, Dr. Devgan invites you to receive $20 off your purchase with by clicking this hyperlink. You can combine this with Dr. Devgan's discount code, NYPLASTICSURGEON0, for an additional 15% off.

Tear trough augmentation in my New York City practice

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Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Tear trough augmentation is my signature injectable technique for rejuvenating the under-eye area without surgery, pain, or downtime.

By carefully analyzing a patient's periorbital anatomy, I am able to soften undereye hollowing, lighten the appearance of dark circles, and smooth out the appearance of under-eye bags. While surgery remains the gold standard, for those patients who are not surgical candidates or who don't want the downtime of surgery, tear trough augmentation is an excellent option. It takes a few minutes, lasts up to 1-2 years, and has results that are immediately apparent.

 

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

Actual patient of Dr. Devgan, before and after tear trough augmentation. New York City, New York

I am a meme!

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lara devgan betches meme

I am amused to report that I have been made into a meme on Betches, a popular social media and lifestyle account for Millenial women. Betches was co-founded by three young female entrepreneurs, and it boasts an audience of over 5 million Millenial and Generation Y women. For the record, I think both of these cats are beautiful!


Dr. Devgan Interviewed in Shape Magazine: Can People Please Stop Getting Plastic Surgery to Look Like Ivanka Trump?

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Can People Please Stop Getting Plastic Surgery to Look Like Ivanka Trump?

The trend toward celebrity-focused plastic surgery needs to end.

By Julia Malacoff | Mar 15, 2017

No matter what you think about Ivanka Trump, you will most likely agree with the statement that it's a bit over the top to get plastic surgery specifically to look just like her. Strangely, this seems to be a big trend right now, ranging the globe from China to Texas. The Washington Post reported that a plastic surgery practice has opened in China catering specifically to women who want to imitate Ivanka's looks, and ABC profiled two Texan women back in November who have gone under the knife with the intent of becoming more like America's First Daughter.

First off, there's a big difference between being inspired by a celeb and wanting to look exactly like her. "It is incredibly common for patients to use celebrity photos as inspiration for cosmetic procedures—everything from Bella Hadid's nose to Emily Ratajkowski's breasts to Taylor Hill's cheekbones," says Lara Devgan, M.D., M.P.H., a board-certified plastic and reconstructive surgeon in NYC. "I've seen all of those requests in my practice in the past week alone."

In fact, when it comes to figuring out what a patient really wants as their end result, having a well-known point of reference is really helpful for surgeons. "Inspiration from celebrities or models can actually be a very useful way to communicate with patients," says Dr. Devgan. "It's hard to quantify what someone means by 'full and natural breasts' with words alone, so if someone shows me a picture of Kate Hudson versus Anne Hathaway, those two images have two very different meanings." Makes sense.

But there's a clear line."If a patient brought in a photo of Brad Pitt and asked to be transformed, I would suggest they seek psychiatric help and would refuse to operate on them," says Debra Johnson, M.D., president of the American Society of Plastic Surgeons. The refusal to operate on people who want to basically convert themselves into a celeb role model seems to be standard. "My goal is to help patients become a better version of themselves, not someone else entirely," Dr. Devgan agrees. "Every surgeon has his or her own ethical barometers, but I consider it ethically problematic to try to treat a psychological condition with a surgical procedure, and I would not operate on a person whose goal was to morph into someone else."

Not only does it take a lot of effort for these celebs to look camera-ready in the first place, which can set you up for a big disappointment, trying to be exactly like someone else is pretty much never a good idea, whether or not it involves surgery.

Click to read the full article on Shape.com

Click to read the full article on Shape.com

Medical-grade chemical peels

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Actual patient of Dr. Devgan, during her chemical peel progression over the course of 10 days.

Actual patient of Dr. Devgan, during her chemical peel progression over the course of 10 days.

Chemical peels are an amazing way to resurface the skin, improve fine lines, reduce sun spots, and revitalize the complexion.

Not all chemical peels are the same. There are many strengths, ingredients, modalities, depths, and types of peels, and I tailor each one to your unique characteristics and concerns.

The peel shown here is a mixed modality moderate to deep peel with 10 days of redness and peeling. For people who want less downtime, I also offer peels that have almost no peeling and won't keep you away from work or activities. 

Peels are in the same category as lasers and microneedling-- all are ways to resurface the skin and improve your complexion. The best method for you depends on your skin type, complexion, concerns, and goals.

Dr. Devgan exhibiting her surgical art at Lenox Hill Hospital

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Art in the Operating Room, Dr. Lara Devgan, photography/ multimedia/ ink, 2017

Art in the Operating Room, Dr. Lara Devgan, photography/ multimedia/ ink, 2017

Dr. Devgan is honored to be exhibiting her artwork at Lenox Hill Hospital next month. Her pieces are photographs of multi-media sketches of surgical specimens, pictured above. They reveal a glimpse of the artistry behind some of her most frequently performed operations, including facelift, necklift, blepharoplasty, and rhinoplasty.

The Lenox Hill Hospital Art Exhibition is being hosted by the Lenox Hill Hospital Auxiliary Board. The opening reception will take place on April 5, 2017.

Tear trough augmentation for dark circles and undereye hollows

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Actual patient of Dr. Devgan, before and 2 days after tear trough augmentation with injectable filler.

Actual patient of Dr. Devgan, before and 2 days after tear trough augmentation with injectable filler.

Undereye dark circles and hollows are a common complaint among patients in my New York City private practice. While surgery remains the gold standard treatment for this area, tear trough augmentation is a minimally invasive and remarkable way to rejuvenate the under-eye.

Undereye augmentation is performed with careful microdroplet injection of hyaluronic-based filler. The procedure takes a few minutes, lasts 1-2 years, and has no associated downtime. Final results typically take about 3 weeks. Tear trough augmentation is one of the most popular procedures in my practice, with an extremely high patient satisfaction rating.

Actual patient of Dr. Devgan, before and 2.5 weeks after tear trough augmentation with injectable filler.

Actual patient of Dr. Devgan, before and 2.5 weeks after tear trough augmentation with injectable filler.

Dr. Devgan featured in Self Magazine

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Dr. Devgan was interviewed in a recent Self Magazine article about trends in plastic surgery and injectables. As a board-certified plastic surgeon and expert in minimally invasive techniques, Dr. Devgan discussed tear trough augmentation, one of the most popular aspects of her practice.

Tear-Trough Augmentation

Dark undereye circles are a common complaint for women in their 20s through 70s. Younger women may be able to chalk it up to a late night out. But as we age, the fat pads that support the lower eye dwindle in volume. This creates a sunken, hollow, and, in general, tired appearance. While in the past the only real solution for these “bags” was undereye creams and concealer, now more and more patients are turning to tear-trough augmentation. An injectable filler reduces hollowing under the eyes, creating less of a dark shadow and smoothing puffiness.

“In this era of people working longer hours, sleeping less, and spending more time juggling the demands of work and family, I’ve found a sharp uptick in the number of patients complaining of tired-looking eyes,” says Lara Devgan, M.D., M.P.H., a specialist in plastic and reconstructive surgery. “When skillfully performed, tear-trough augmentation can achieve excellent and transformative results in as little as five minutes, with no downtime, incisions, or pain.” 

 

Click to read the full article in Self Magazine

Click to read the full article in Self Magazine

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