Introduction
The appearance of dark circles and hollows under the eyes can significantly affect one's overall look, making a person seem tired and older. Tear trough filling has emerged as a popular cosmetic solution to address these concerns, especially in a bustling city like New York. In this article, we'll explore the world of tear trough filling in NYC, discuss some well - known plastic surgery hospitals and experts, and provide comprehensive information about the procedure, its benefits, and considerations.
What are Tear Troughs and Why Fill Them?
Understanding Tear Troughs
Tear troughs are the creases that run from the inner corner of the eyes towards the cheeks. They can be a result of various factors such as aging, genetics, loss of facial fat, and reduced skin elasticity. As we age, the skin under the eyes becomes thinner, and the fat that normally provides cushioning and fullness may atrophy or shift. This leads to the appearance of dark circles, hollows, and a tired - looking expression. Some individuals are born with a congenital lack of facial fat volume in the tear trough area, which also contributes to the formation of under - eye hollows.
Benefits of Tear Trough Filling
- Reduction of Dark Circles: Tear trough fillers can help minimize the appearance of dark circles by filling in the hollows. Shadows are reduced, giving the under - eye area a more even tone.
- Camouflaging Under - Eye Bags: By adding volume to the tear trough area, under - eye bags and puffiness are masked. The lower eyelid blends more seamlessly with the cheek, creating a smoother and more youthful appearance.
- Restoring Volume: Fillers replenish the lost volume in the under - eye area, restoring a natural and refreshed look. This helps to counteract the effects of aging and genetics on the under - eye region.
- Non - Surgical and Quick Results: Unlike surgical procedures, tear trough filling is non - invasive and requires little to no downtime. Results are often visible immediately after the procedure, and patients can return to their normal activities shortly after.
- Long - Lasting: The effects of tear trough fillers can last for several months to a year, depending on the type of filler used and individual factors such as metabolism.
Types of Fillers Used for Tear Troughs
The most commonly used fillers for tear troughs are hyaluronic acid (HA) fillers. Hyaluronic acid is a naturally occurring substance in the body that helps to retain moisture and plump the skin. Some popular HA fillers for tear troughs include:
| Filler Name | Features |
|---|---|
| Juvederm Volbella | It is the first FDA - approved dermal filler for treating tear troughs. It has the thinnest formulation in the Juvederm family and uses patented Vycross technology for a smooth and even distribution under the skin. |
| Restylane Eyelight | FDA - approved in 2023 for use under the eyes. It uses crosslinking and patented NASHA technology to erase under - eye hollowing and dark circles caused by lost volume. |
| Belotero Balance | It provides a soft and even correction in the skin. Its ultra - thin and flexible formulation eliminates the risk of the Tyndall effect, which can cause a bluish hue in the injected area. |
| Restylane - L | Used by Dr. Zuckerman for tear trough rejuvenation. It is a hyaluronic acid filler with lidocaine, is FDA - approved for the under - eye area, and is the least hydrophilic among HA fillers, minimizing swelling. |
Top Plastic Surgeons and Hospitals for Tear Trough Filling in NYC
Dr. Zuckerman's Practice
Dr. Zuckerman offers tear trough rejuvenation using Restylane - L. He injects deep into the tissues near the bone and can inject up to 1 cc + of filler per eye. The treatment helps patients appear rested and refreshed, whether the face is at rest or animated. Most patients require one treatment per year to maintain the effect. The procedure takes 10 - 20 minutes, and patients are advised to follow certain pre - treatment and post - treatment guidelines, such as avoiding ibuprofen/aspirin, excess alcohol, and intensive physical activity. Although the treatment is generally safe, there are some risks such as swelling, bruising, and lumps, which are rare in the hands of an expert like Dr. Zuckerman.
Dr. Michele Green's Clinic
Dr. Michele Green, a world - renowned expert in cosmetic dermatology, offers tear trough fillers at her private dermatology office in Manhattan's upper east side. She has over 25 years of experience treating patients from around the globe. Dr. Green uses a variety of hyaluronic acid fillers, including Juvederm Volbella, Restylane, Restylane Eyelight, and Belotero Balance. During the consultation, she assesses the patient's under - eye hollows to choose the most appropriate filler. The procedure involves applying a local anesthetic, injecting the filler with an ultrafine needle, and providing aftercare instructions. She also offers a two - week follow - up to ensure satisfactory results and determine if any touch - up is needed.
Neinstein Plastic Surgery
Neinstein Plastic Surgery provides tear trough filler injections. Their approach is to inject very deep almost directly on the cheekbone starting about half - way up the nose and then slowly move the hyaluronic acid up towards the tear trough area. This technique is considered safe and predictable and reduces the risk of bruising. Before the procedure, patients are asked not to use blood thinners like aspirin for 5 days. After the injections, ice is applied, and patients take a one - time dose of steroids to reduce swelling. They also offer led light therapy devices for patients to bring home to speed up healing.
Dr. David Cangello's Practice
Dr. David Cangello, a plastic surgeon with extensive experience in tear trough filler treatments, recommends the best filler option based on the patient's individual needs, goals, and medical history. The tear trough filler procedure involves injecting the filler into the under - eye area using a small cannula, and results are usually visible immediately. After the treatment, patients may experience mild swelling, bruising, and redness, which typically subside within a few days to a week. Dr. Cangello provides aftercare instructions to ensure optimal results and reduce the risk of complications.
Timeless Med Spa NYC
At Timeless Med Spa NYC, under the leadership of plastic surgeon Dr. Shteynberg, non - surgical eyelid treatments using facial fillers are offered. They use only FDA - approved facial fillers and the best techniques. Facial fillers can be used to plump the tear troughs, reduce dark circles, and lift the tissue under the eyes, minimizing the appearance of eye bags for a rejuvenated look.
Procedure and Recovery
Pre - Procedure Preparations
Before a tear trough filler procedure, patients typically need to have a consultation with the doctor. During this consultation, the doctor will assess the patient's medical history, any medications they are taking, and their skin type and condition. Patients are usually advised to avoid blood - thinning medications such as NSAIDs (ibuprofen, aspirin), fish oil, and alcohol in the days leading up to the appointment, as these can increase the risk of bruising. On the day of the procedure, it is recommended to arrive with a clean and makeup - free face.
The Procedure
The tear trough filler procedure usually involves applying a local anesthetic to the treatment area to minimize discomfort. The filler is then injected into the tear troughs using a fine needle or a cannula. The doctor will carefully control the amount and placement of the filler to achieve natural - looking results. The entire procedure typically takes about 15 - 30 minutes, depending on the individual and the amount of filler used.
Recovery and Aftercare
After the tear trough filler procedure, it is normal to experience some mild swelling, bruising, and redness around the injection site. Ice packs can be used to reduce swelling, and over - the - counter pain medications may be taken to relieve any discomfort. Patients should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the filler from shifting. Strenuous exercise, alcohol, and blood - thinning medications or supplements should also be avoided for at least 24 hours. Most patients can resume their normal activities immediately after the procedure, but it may take a few days for the full effects to be visible as any swelling or bruising subsides.
Cost Considerations
The cost of tear trough filler injections can vary depending on several factors. These include the type and amount of filler used, the medical professional performing the procedure, and the geographic location of the office. Typically, fillers cost $1000 or more per syringe. For example, in a more experienced and well - reputed clinic, the cost may be higher, but it also reduces the risk of unwanted side effects. During the consultation, the doctor will assess the patient's needs and goals and be able to recommend the total number of syringes needed and the cost of treatment.
Risks and Side Effects
While tear trough filler treatment is generally considered safe, there are some potential risks and side effects:
- Swelling and Bruising: These are common side effects that usually subside within a few days to a week. Icing the treated area immediately after the injections can help minimize swelling, and patients may take arnica forte to reduce bruising.
- Tyndall Effect: A rare side effect where a bluish discoloration appears in the injected area. This can occur if the hyaluronic acid filler is injected too superficially and can be reversed with hyaluronidase.
- Changes in Vision: Although extremely rare, there is a small risk of changes in vision. It is crucial to have the procedure performed by an experienced and board - certified professional to minimize this risk.
- Vascular Occlusion: This is a serious but rare complication where the filler blocks a blood vessel, which can lead to tissue damage. An experienced injector can reduce the risk of this occurring.
- Infection: There is a slight risk of infection at the injection site. Proper sterilization and aftercare can help prevent this.
Conclusion
Tear trough filling is an effective non - surgical option for rejuvenating the under - eye area, reducing the appearance of dark circles, hollows, and under - eye bags. In New York City, there are many reputable plastic surgeons and clinics that offer high - quality tear trough filler treatments. From Dr. Zuckerman's expertise with Restylane - L to Dr. Michele Green's personalized approach using a variety of fillers, patients have multiple options to choose from. However, it is essential to do thorough research, choose a board - certified professional, and have a detailed consultation before undergoing the procedure. By understanding the procedure, recovery process, and potential risks, patients can make an informed decision and achieve the desired results for a more youthful and refreshed appearance.
If you're considering tear trough filling in New York City, take the time to reach out to the recommended doctors and clinics. Schedule consultations to discuss your goals and concerns. Share this article with friends or family who may also be interested in this cosmetic treatment, and explore related topics such as other non - surgical facial rejuvenation procedures for a more comprehensive approach to enhancing your appearance.
