Introduction
Tear trough deformity is a common cosmetic concern that can make individuals look tired or older than they actually are. It refers to the sunken area that forms beneath the lower eyelids, directly below the under - eye bags, and extends towards the cheeks. In New York City, there are several top - notch plastic hospitals offering excellent tear trough filling services. In this article, we will not only introduce the criteria for choosing a good plastic hospital for tear trough filling but also announce the top 5 regular plastic hospitals in New York City for this procedure. First, let's understand tear trough deformity and the importance of choosing the right plastic hospital.
Understanding Tear Trough Deformity
Causes of Tear Trough Deformity
The tear trough deformity can occur due to a combination of factors. As we age, the skin under the eyes becomes thinner, subcutaneous fat volume is lost, and the elasticity of the skin and facial ligaments decreases. Genetics also play a role, as some individuals are born with a lack of facial fat volume in the tear trough area, causing an under - eye hollow. The area beneath the eyes is particularly prone to losing volume because the skin there is thinner and more delicate than other parts of the face. When the volume decreases, the skin starts to sag, creating a hollow or trough - like appearance.
| Factor | Description |
|---|---|
| Aging | Loss of skin elasticity, subcutaneous fat volume, and laxity of facial ligaments cause fat to descend, creating a hollow. |
| Genetics | Some people are born with a lack of facial fat volume in the tear trough area. |
| Thin Skin | The delicate and thin skin under the eyes is more likely to show volume loss. |
Impact of Tear Trough Deformity
Tear trough deformity can have a significant impact on a person's appearance. It often makes individuals look tired, sullen, or unwell, even when they are well - rested. Dark circles and under - eye bags become more prominent, giving an aged look. This can affect one's self - confidence and how they are perceived by others.
Tear Trough Filler: An Overview
What is Tear Trough Filler?
Tear trough filler is a cosmetic procedure that involves injecting a hyaluronic acid - based filler (HA) into the area under the eyes. Hyaluronic acid is a substance that occurs naturally in the body and helps plump the skin and increase collagen production. By injecting it into the tear trough area, the filler can reduce the appearance of dark circles, hollows, and bags in the lower eyelid, providing a more youthful and refreshed appearance.
Benefits of Tear Trough Filler
- Non - surgical: It is a non - invasive alternative to surgery, which means less risk and a quicker recovery time.
- Immediate results: The effects of the filler can be seen right after the procedure.
- Restores volume: It fills in the sunken area under the eyes, making the skin look smoother and more youthful.
- Long - lasting: The results can last for several months, typically around 6 - 12 months, depending on the individual and the type of filler used.
- Camouflages imperfections: It can reduce the appearance of dark circles and under - eye bags, blending the lower eyelid more seamlessly with the cheek.
Types of Tear Trough Fillers
There are several types of hyaluronic acid fillers that can be used for tear trough filling. Some of the commonly used ones include:
- Restylane: A popular filler that can help restore lost volume in the tear trough area and reduce the appearance of fine lines and wrinkles. Restylane Eyelight, for example, was FDA - approved in 2023 for use under the eyes and uses crosslinking and patented NASHA technology to erase under - eye hollowing and dark circles.
- Juvederm Volbella: The first FDA - approved dermal filler for treating tear troughs. It has a thin formulation and uses patented Vycross technology for a smooth and even distribution under the skin.
- Belotero Balance: It provides a soft and even correction in the skin. Its ultra - thin and flexible formulation can eliminate the risk of the Tyndall effect, which can cause a bluish hue in the injected area.
Criteria for Choosing a Plastic Hospital for Tear Trough Filling
Doctor's Expertise
The expertise of the doctor performing the tear trough filling is crucial. A board - certified plastic surgeon or a board - certified dermatologist with extensive experience in tear trough filler treatments is preferred. They should have in - depth knowledge of facial anatomy, understand the different types of fillers, and be able to recommend the best option based on the patient's individual needs, goals, and medical history.
Hospital Reputation
Look for a hospital with a good reputation in the field of cosmetic procedures. You can check online reviews, patient testimonials, and the hospital's track record. A hospital that is known for providing high - quality services, achieving natural - looking results, and having a low rate of complications is a better choice.
Quality of Fillers
The plastic hospital should use high - quality fillers that are safe and effective. They should be sourced from reliable manufacturers and meet all the necessary regulatory standards. Different fillers have different properties, and the hospital should be able to offer a range of options to suit different patients' needs.
After - care Services
Proper after - care is essential for a successful tear trough filling procedure. The hospital should provide detailed after - care instructions to the patients, including how to manage swelling, bruising, and other potential side effects. They should also offer follow - up appointments to monitor the patient's recovery and ensure optimal results.
The Top 5 Regular Plastic Hospitals for Tear Trough Filling in New York City
1. Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery has extensive experience in tear trough filler treatments. He can recommend the best option for tear trough filler based on the patient's individual needs, goals, and medical history. The procedure involves injecting the filler into the under - eye area using a small cannula, and results can typically be seen immediately. Before the procedure, patients need to discuss their medical history and medications with Dr. Cangello. After the treatment, mild swelling, bruising, and redness are normal and can be managed with ice packs or over - the - counter pain medications. The results of the tear trough filler can last for several months.
2. Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough fillers as an ideal alternative to surgery. Their approach is to inject very deep, almost directly on the cheek bone starting about half - way up the nose, and slowly move a small wave of the hyaluronic acid up towards the tear trough area. This technique is safe, predictable, and reduces the risk of bruising. Before the injections, patients are asked not to use blood thinners like aspirin for 5 days. On the day of the injections, the skin is numbed for 20 minutes. After the procedure, patients should avoid rubbing or massaging the treated area and wait 24 hours before resuming strenuous activities.
3. Dr. Michele Green's Practice
Dr. Michele Green is a world - renowned expert in cosmetic dermatology. She has over 25 years of experience treating patients from around the globe. Dr. Green uses an ultrafine needle to inject dermal fillers directly into the skin in tiny amounts to allow for precision in the tear trough injections. She will assess the patient's under - eye area to determine the appropriate dermal filler product and the number of syringes required. Before the procedure, a local anesthetic is applied to the treatment area to minimize discomfort. After the treatment, ice is applied to the area to prevent swelling, and aftercare instructions are provided. The results of the filler can last for 6 - 9 months.
4. Smooth Synergy Medical Spa & Laser Center
At Smooth Synergy, the medical director, Dr. George, MD, will evaluate the patient's face and mark strategic injection points. He uses a super - fine needle to inject the filler along the predetermined sites. The procedure usually takes between 15 minutes to an hour. Most patients can return to normal activity immediately after the injection. Bruising, redness, and swelling at the injection site are possible but typically minimal and resolve within a few days. The dermal fillers used here are biocompatible, which virtually eliminates the risk of allergic reaction.
5. Zuckerman Plastic Surgery
Dr. Zuckerman uses Restylane - L, a hyaluronic acid filler with lidocaine, for tear trough rejuvenation. It is FDA - approved for treating the under - eye area and minimizes swelling. He injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. The treatment helps the patient appear rested and refreshed. The procedure takes 10 - 20 minutes per treatment. Patients are recommended to avoid ibuprofen/aspirin two days before and after treatment, avoid excess alcohol one day before and after, and skip intensive physical activity the day of treatment if possible. There may be mild bruising or swelling, which usually resolves within a few days.
Preparing for Tear Trough Filling
Medical Consultation
Before the tear trough filling procedure, it is essential to have a detailed medical consultation with the doctor. During this consultation, the doctor will evaluate your medical history, any medications you are taking, and your allergies or sensitivities. They will also assess your under - eye area to determine if tear trough filling is the right treatment for you and recommend the most suitable filler.
Lifestyle Adjustments
In the days leading up to the appointment, you should avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil) as they can increase the risk of bruising. You should also avoid alcohol and caffeine, which can have the same effect. On the day of the appointment, arrive with a clean and makeup - free face.
The Tear Trough Filling Procedure
Anesthesia
To minimize discomfort during the procedure, a local anesthetic is usually applied to the treatment area. Some fillers also contain lidocaine, a numbing agent, to further reduce pain.
Injection Process
The filler is injected into the tear trough area using a fine needle or a cannula. The doctor will carefully insert the needle or cannula and inject the filler in small amounts to achieve a natural - looking result. The injection process may take anywhere from 15 minutes to an hour, depending on the individual and the amount of filler used.
Recovery and After - care
Immediate Post - treatment
After the tear trough filling, it is normal to experience some mild swelling, bruising, and redness around the injection site. Applying ice packs to the area can help reduce swelling and bruising. You should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the filler from shifting.
Activity Restrictions
It is recommended to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours after the procedure. Wait 24 hours before resuming activities that raise your heart rate and blood pressure, such as exercise and sex.
Follow - up Appointments
Most doctors will schedule a follow - up appointment a few weeks after the procedure to evaluate the results and determine if any touch - up is needed. Following the after - care instructions provided by the doctor is crucial for optimal results and to reduce the risk of complications.
Potential Side Effects and Risks
Mild Side Effects
Common mild side effects of tear trough filling include swelling, bruising, redness, itching, and tenderness at the injection site. These side effects usually subside within a few days to a week and can be managed with ice packs or over - the - counter pain medications.
Serious Side Effects
Although rare, there are some serious side effects associated with tear trough filling. These include changes in vision, vascular occlusion (blockage of blood vessels), signs of infection at injection sites, allergic reaction to the dermal filler product, worsening bruising or swelling, numbness, and persistent pain. To minimize the risk of these serious side effects, it is essential to have the procedure performed by an experienced and board - certified doctor.
Conclusion
Tear trough filling is an effective non - surgical solution for reducing the appearance of dark circles, hollows, and bags under the eyes, giving a more youthful and refreshed look. In New York City, the top 5 regular plastic hospitals mentioned above - Cangello Plastic Surgery, Neinstein Plastic Surgery, Dr. Michele Green's Practice, Smooth Synergy Medical Spa & Laser Center, and Zuckerman Plastic Surgery - offer high - quality tear trough filling services with experienced doctors and safe procedures. However, it is important to choose the right hospital based on the criteria such as doctor's expertise, hospital reputation, quality of fillers, and after - care services. Before undergoing the procedure, make sure to have a thorough consultation with the doctor and follow all the pre - and post - treatment instructions.
If you are considering tear trough filling, we encourage you to take the next step. Contact one of the top 5 plastic hospitals in New York City for a consultation. You can also share this article with friends and family who may be interested in this procedure. Stay informed about the latest trends and developments in cosmetic treatments by exploring related topics on our website.
