Introduction
The under - eye area is a crucial part of our face, and tear troughs can make us look tired and older. Hyaluronic acid collagen tear - trough filling has become a popular cosmetic procedure in New York City. In this article, we will introduce you to the top ten plastic surgery hospitals for this procedure, along with in - depth information about tear troughs, the filling process, and related considerations.
What are Tear Troughs?
A tear trough is an anatomic area of the face, specifically the hollow located between the upper cheek and the lower eyelid region. It can cast a shadow and create the appearance of a darkened under - eye area, making one look tired or prematurely aged. Tear troughs can be genetic, but they may also present due to the natural loss of collagen that occurs as we age. Reduced collagen levels in the under - eye area lead to transparent, thin skin, increasing the visibility of underlying blood vessels and creating a darkened under - eye area.
Benefits of Hyaluronic Acid Collagen Tear - Trough Filling
- Reduce the appearance of dark circles: Tear trough fillers can restore lost volume in the crease below the eye, thus improving the appearance of dark circles and under - eye bags.
- Camouflage under - eye bags and puffiness: By filling out the depression in the tear trough area, the lower eyelid blends more seamlessly with the cheek, reducing the prominence of under - eye bags and puffiness.
- Restore volume: The procedure replenishes the lost volume in the under - eye area, giving a more youthful and refreshed appearance.
- Non - surgical and quick results: It is a non - invasive cosmetic treatment option with little to no downtime, and results can usually be seen immediately.
- Long - lasting: The effects of the filler typically last from six to twelve months, depending on the type of filler used and individual factors.
Top Ten Plastic Surgery Hospitals for Hyaluronic Acid Collagen Tear - Trough Filling in New York City
1. Dr. Michele Green's Practice
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology. With over 25 years of experience, she has treated discerning patients from around the globe for various skin concerns, including dark under - eyes. At her private dermatology office in Manhattan’s upper east side neighborhood, she offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance for tear - trough filling. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times due to her expertise and dedication to her patients.
2. Dr. David Cangello's Practice
Dr. David Cangello is a plastic surgeon with 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. He will develop a customized treatment plan to achieve the desired results. His practice offers dermal fillers, which are injected into the tear trough area to plump up the skin and restore volume loss. Other treatments may also be considered depending on the patient's condition, such as fat transfer or blepharoplasty.
3. Smooth Synergy Medical Spa & Laser Center
This medical spa offers a tear trough filler treatment that is highly effective for restoring a refreshed look to tired or sunken eyes. Their medical director, Dr. George Liakeas, MD, will evaluate the patient's face and mark strategic injection points for placement. Using a super - fine needle, he will inject the hyaluronic acid filler along these predetermined sites. The procedure is simple and usually takes between 15 minutes to an hour. They offer a complete line of non - surgical facial treatments and can help patients decide which filler product will most effectively address their tear trough concerns.
4. Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough filler injections as an ideal alternative to surgery for many patients. 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 said to be safe, predictable, and dramatically reduces the risk of bruising in the area. They use cannulas (no needles under the skin) to reduce trauma to the tissues. After the injections, they provide detailed after - care instructions to ensure proper recovery.
5. Dr. Neal Goldberg's Practice
Dr. Neal Goldberg, an extensively trained aesthetic plastic surgeon, offers tear trough filler treatment with Restylane - L®. Restylane - L® is a clear hyaluronic acid - based dermal filler that can add volume to the tear troughs. He can evaluate the patient's tear troughs to determine if Restylane - L® can provide the desired results, or if combining injections with a more long - term treatment, like lower blepharoplasty, is advised. The cost of tear trough correction at his practice is approximately $950 per injection, depending on various factors.
6. Columbia Surgery
Columbia University's plastic & reconstructive surgery division is one of New York’s best hospitals and a world - class medical center. Their plastic surgeons are proficient in multiple areas of specialization, including non - surgical cosmetic procedures. They can offer comprehensive advice and treatment options for tear trough filling. The team consists of highly skilled surgeons such as Christine Rohde, MD, Jeffrey A. Ascherman, MD, and others, who have extensive experience and numerous publications in the field of plastic surgery.
7. Dr. Darren M. Smith's Practice
Dr. Darren M. Smith is a board - certified plastic surgeon with an artistic eye for aesthetics. With over 18 years of experience, he is considered one of the leading specialists in enhancing and rejuvenating the delicate eye region. He offers tear trough fillers as a targeted solution for revitalizing the under - eye area. He uses advanced techniques like small injection amounts and cannulas to minimize trauma and reduce the chances of extensive bruising. He stays on the cutting edge of the latest treatments and techniques to optimize the patient's experience and results.
8. Dr. Mesa Cosmetic Plastic Surgery
Dr. Mesa is a board - certified plastic surgeon with a practice focused on cosmetic procedures of the face, neck, breast, and body. He has extensive training at Harvard University and other top institutions. He regularly performs tear trough correction with meticulous care to achieve results that appear refreshed, youthful, and natural. He can inject hyaluronic acid - based dermal fillers to smooth the sunken look of tear troughs. The procedure has minimal downtime, and most people can return to work in two to three days.
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Filler Types Commonly Used for Tear - Trough Filling
| Filler Name | Characteristics | Benefits |
|---|---|---|
| Juvederm Volbella | It is the first FDA - approved dermal filler for treating tear troughs and contains the thinnest formulation of the Juvederm family. Its patented Vycross technology allows for a smooth and even distribution under the skin. | Provides natural - looking results, suitable for the delicate under - eye area. |
| Restylane | A well - established brand in the field of dermal fillers. Restylane Eyelight, for example, is a newer dermal filler that was FDA - approved in 2023 for use under the eyes. It uses cross - linking and patented NASHA technology to erase under - eye hollowing and dark circles caused by lost volume. | Can restore lost volume, reduce the appearance of fine lines and wrinkles in the treatment area. |
| Belotero Balance | It has an ultra - thin and flexible formulation that can eliminate the risk of developing the Tyndall effect. The Tyndall effect can create a bluish hue in the injected area due to the reflection of light off of particles suspended in the filler, but there are no suspended particles in Belotero. | Provides a soft and even correction in the skin, making it a highly effective filler option for tear troughs. |
Procedure Process
Consultation
Before the treatment, a consultation with a qualified doctor is essential. The doctor will evaluate the targeted treatment area, the skin’s elasticity, and confirm if the patient is a good candidate for tear trough fillers. They will also determine the appropriate dermal filler product and the number of syringes required to produce the best results. For example, Dr. Michele Green will assess the patient's under - eye hollows to choose the right tear trough filler and develop a customized treatment plan that caters to the patient's unique skin care concerns and aesthetic goals.
Preparation
Patients are usually advised to avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil) in the days leading up to the appointment, as this can increase the risk of bruising. It is also recommended to avoid alcohol and caffeine. On the day of the appointment, patients should arrive with a clean and makeup - free face. Some doctors may apply a local anesthetic to the entire treatment area one hour before performing any injections to ensure that the procedure is as comfortable as possible.
Injection
The filler is injected into the tear trough area using an ultrafine needle or a cannula. Some doctors prefer a cannula as it can provide more controlled product distribution and reduce bruising risks. For instance, at Neinstein Plastic Surgery, they inject very deep, almost directly on the cheek bone starting about half - way up the nose and slowly move the hyaluronic acid up towards the tear trough area. The entire procedure usually takes about 15 to 30 minutes, depending on the individual and the amount of filler used.
After - care
Immediately upon completion of the procedure, ice is often applied to the treatment area to help prevent any swelling that may occur. Patients are advised not to rub or massage the area for at least 24 hours after the procedure to avoid the filler shifting or becoming dislodged. They should also avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours. Mild swelling, bruising, and redness around the injection site are normal and usually subside within a few days to a week. A follow - up appointment is usually scheduled about two weeks after the procedure to evaluate the treatment and determine if any touch - up of the dermal filler is needed.
Who is a Good Candidate for Tear - Trough Filling?
The best candidate for dermal filler injections in the tear trough is a healthy individual with noted volume loss in the under - eye area. Good candidates typically have realistic expectations about the results. However, if there is excessive wrinkling or skin under the eyes with fat deposition, or if the dark under - eye circles are due to skin pigmentation rather than volume loss, tear trough fillers may not be the best course of treatment. In such cases, the doctor may recommend other procedures such as a chemical peel or refer the patient to a plastic surgeon for a surgical consultation.
Side Effects and Risks
- Mild swelling and bruising: These are common side effects at the site of injection. Icing the treated area immediately after the injections can minimize this reaction. Bruising can be reduced by discontinuing blood thinners and NSAIDs before the procedure. Patients prone to bruising can take Arnica Forte, an herbal supplement, to help prevent and heal bruises faster.
- Tyndall effect: This is a rare side effect that leads to the development of a bluish discoloration after some hyaluronic acid fillers are injected. It can occur if the hyaluronic acid filler is injected too superficially. The color change can last several months in the treated area and can be reversed with hyaluronidase to dissolve the dermal filler.
- More serious side effects: Although rare, these can include changes in vision, vascular occlusion, signs of infection at injection sites, allergic reaction to the dermal filler product, worsening bruising or swelling, numbness, and persistent pain. To prevent these, it is crucial to have the tear trough filler injections performed by an experienced, board - certified injector.
Cost Considerations
The total cost of tear - trough filler treatment depends on several factors, such as the medical professional performing the procedure, the geographic location of the office, the type of filler used, and the amount of filler needed. Typically, fillers cost $1000 or more per syringe. For example, at Dr. Neal Goldberg's practice, the cost of tear trough correction is approximately $950 per injection, but this can vary depending on individual needs. It is important to be selective about the provider to ensure that unwanted side effects are avoided, even though a more experienced, board - certified dermatologist or plastic surgeon may charge more.
Conclusion
Hyaluronic acid collagen tear - trough filling is a popular and effective non - surgical option for rejuvenating the under - eye area. The top ten plastic surgery hospitals in New York City mentioned in this article offer high - quality services, with experienced doctors who can provide customized treatment plans. However, it is crucial for patients to do thorough research, have a detailed consultation with the doctor, and understand the procedure, potential side effects, and costs before making a decision. Whether you are looking to reduce the appearance of dark circles, under - eye bags, or simply achieve a more youthful and refreshed look, tear - trough filling can be a viable solution.
If you are interested in hyaluronic acid collagen tear - trough filling, we encourage you to schedule a consultation with one of the top hospitals in New York City. Read more patient reviews, learn about the latest techniques, and take the first step towards enhancing your appearance and boosting your confidence. Don't forget to share this article with friends and family who may also be interested in this cosmetic procedure!
