Introduction

The area under the eyes is a sensitive and visible part of our face. As we age, the tear trough area, which is the sunken area beneath the lower eyelids, can become more prominent. This not only makes us look tired but also adds years to our appearance. Hyaluronic acid filling of the tear troughs has emerged as a popular and effective non - surgical solution to address this issue in New York City. In this article, we will explore the top 4 plastic institutions in New York City that excel in this procedure.

Understanding Tear Troughs and Hyaluronic Acid Filling

What are Tear Troughs?

The tear trough refers to the hollow area that forms beneath the lower eyelids, directly below the under - eye bags, and extends towards the cheeks. It can be a result of various factors such as aging, genetics, loss of facial fat, and reduced skin elasticity. As the skin under the eyes becomes thinner and subcutaneous fat volume is lost, the tear trough area becomes more pronounced, causing dark circles and a tired appearance. According to some research, aging and genetics play significant roles in the development of tear trough deformities. For example, a congenital lack of facial fat volume in the tear trough area can lead to an under - eye hollow from birth. And as we age, the loss of skin elasticity and laxity of facial ligaments cause the fat that normally covers the tear trough area to descend, creating a hollow.

Benefits of Hyaluronic Acid Filling for Tear Troughs

Hyaluronic acid (HA) is a substance that occurs naturally in the body and helps plump the skin and increase collagen production. When used as a filler for the tear troughs, it offers several benefits:

• Reduction of Dark Circles: By filling in the hollows, it reduces the shadowing effect that causes dark circles under the eyes.
• Camouflage of Under - Eye Bags: It fills out the depression below the under - eye bags, making the lower eyelid blend more seamlessly with the cheek.
• Restoration of Volume: It restores the lost volume in the under - eye area, giving a more youthful and refreshed appearance.
• Non - Surgical: It is a non - invasive alternative to surgical procedures like blepharoplasty.
• Quick Results: The results are visible immediately after the procedure.
• Long - Lasting: The effects can last for several months, typically around 6 - 12 months, depending on the individual and the type of filler used.

Types of Hyaluronic Acid Fillers

There are several types of hyaluronic acid fillers that can be used for tear trough filling. Some of the commonly used ones include:

Top 4 Plastic Institutions in New York City for Hyaluronic Acid Filling of Tear Troughs

1. Cangello Plastic Surgery

Expertise and Experience

Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He has a deep understanding of the anatomy of the under - eye area and can recommend the best option for tear trough filler based on the patient's individual needs, goals, and medical history. For instance, some patients may have specific skin types or underlying medical conditions that need to be considered when choosing a filler. Dr. Cangello takes all these factors into account and develops a customized treatment plan for each patient to achieve beautiful and natural results.

Treatment Process

Before the procedure, patients are required to discuss their medical history and any medications they are taking with Dr. Cangello. In the days leading up to the appointment, they should avoid taking blood - thinning medications or supplements, as well as alcohol and caffeine, to reduce the risk of bruising. On the day of the appointment, the patient arrives with a clean and makeup - free face. The procedure involves injecting the filler into the under - eye area using a small cannula, and results can typically be seen immediately. After the treatment, it is normal to experience some mild swelling, bruising, and redness around the injection site, which usually subside within a few days to a week.

Patient Testimonials

Patients have praised Dr. Cangello for his professionalism and the excellent results he has achieved. One patient said, “He is amazing! Made me feel super comfortable as soon as I met him. He has a lot of patience, explains every little detail and is a great listener. Not to mention his work is absolutely amazing. Got fillers and I can tell he was very experienced and made the effort to make me feel good and look fantastic!”

2. Neinstein Plastic Surgery

Treatment Approach

Neinstein Plastic Surgery offers tear trough fillers as an ideal alternative to surgery for many patients. Their goal is to blend the eyelid with the cheek to give a rested and youthful appearance. Prior to the appointment, patients are asked to not use blood thinners like aspirin for 5 days before the procedure. On the day of the injections, they remove any makeup and numb the skin for 20 minutes. Their approach to injection is to inject very deep (almost directly on the cheekbone 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 dramatically reduces the risk of bruising in the area.

Recovery and Aftercare

After the treatment, patients are advised not to rub or massage the treated area immediately. When cleansing their face or applying makeup, they should use gentle, sweeping motions. They should wait 24 hours before resuming strenuous activities that raise their heart rate and blood pressure. Bruising at the treatment site may occur, and they can apply cool compresses to the area. Temporary, minimal to moderate swelling may be expected, and they can take acetaminophen/Tylenol if they experience any mild tenderness or discomfort. The volume change is immediate, but full tissue integration and settling takes about a week.

3. Dr. Michele Green's Practice

Expertise in Cosmetic Dermatology

Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology, with over 25 years of experience treating patients from around the globe for various skin concerns, including dark under - eyes. She is consistently rated as a top NYC dermatologist by multiple reputed organizations such as Castle Connolly, Super Doctors, New York Magazine, and The New York Times. She can work with patients to ensure that they are good candidates for tear trough fillers and develop a customized treatment plan that caters to their unique skin care concerns and aesthetic goals.

Treatment Procedure

The first step is a consultation with Dr. Green in her office on the upper east side of Manhattan. She evaluates the targeted treatment area and the skin’s elasticity, confirms the patient is a good candidate for tear trough fillers, and determines the appropriate dermal filler product and the number of syringes required. A local anesthetic is applied to the entire treatment area one hour before performing any injections, and the dermal fillers used for the under - eye area are compounded with lidocaine to ensure a painless procedure. Dr. Green injects the dermal fillers directly into the skin in tiny amounts using an ultrafine needle. Immediately upon completion of the procedure, ice is applied to the treatment area to help prevent any swelling, and aftercare instructions are provided. She also schedules a two - week follow - up to ensure that the treatment was satisfactory and determine whether any touch - up is needed.

Combination Treatments

Dr. Green often combines tear trough fillers with other treatments such as Botox, microneedling, platelet - rich plasma (PRP), thermage, chemical peels, and non - ablative laser resurfacing treatments for more comprehensive facial rejuvenation. For example, Botox can be used to treat the outer canthal lines (crow’s feet) around the eyes, while microneedling can improve under - eye dark circles and wrinkles.

4. Dr. Zuckerman's Practice

Choice of Filler

Dr. Zuckerman uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for treating the under - eye area. It is also the least hydrophilic of hyaluronic acid fillers, which means it absorbs the least amount of water and therefore minimizes swelling. He injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. This treatment helps patients appear rested and refreshed when the face is at rest and while smiling or otherwise facially animating.

Treatment Details

The treatment is visible immediately, but it takes approximately one week to ten days to set in. It lasts up to one year, and the results will vary depending on how much product Dr. Zuckerman injects and how quickly the patient metabolizes hyaluronic acid. The procedure takes 10 - 20 minutes per treatment. Dr. Zuckerman recommends that patients 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. Most patients can return to work immediately after a daytime appointment, and there may be mild bruising or swelling, which usually resolves within a few days.

Factors to Consider When Choosing a Plastic Institution

Doctor's Expertise and Experience

The expertise and experience of the doctor are crucial factors. Look for a doctor who is board - certified and has extensive experience in performing hyaluronic acid filling of tear troughs. A well - trained doctor will have a better understanding of the anatomy of the under - eye area and can handle any potential complications. For example, a doctor with years of experience will be more proficient in choosing the right filler and injection technique to achieve natural - looking results.

Patient Reviews and Testimonials

Reading patient reviews and testimonials can give you an insight into the quality of service and the results achieved by the plastic institution. Positive reviews from satisfied patients are a good indication of the institution's reliability. You can look for reviews on the institution's website, third - party review sites, or ask the institution for patient testimonials directly.

Cost and Treatment Plan

The cost of the treatment can vary depending on the type of filler used, the amount of filler needed, and the reputation of the plastic institution. It is important to have a clear understanding of the cost before undergoing the treatment. Additionally, a personalized treatment plan that takes into account your specific needs and goals is essential for achieving the best results. A good plastic institution will offer a consultation to assess your situation and develop a customized treatment plan.

Conclusion

Hyaluronic acid filling of tear troughs is an effective non - surgical solution for rejuvenating the under - eye area. The top 4 plastic institutions in New York City - Cangello Plastic Surgery, Neinstein Plastic Surgery, Dr. Michele Green's Practice, and Dr. Zuckerman's Practice - offer high - quality treatments with experienced doctors and customized treatment plans. When choosing a plastic institution, consider factors such as the doctor's expertise, patient reviews, and cost. By making an informed decision, you can achieve a more youthful and refreshed appearance. If you are considering hyaluronic acid filling of tear troughs, we encourage you to schedule a consultation with one of these top institutions to learn more about the procedure and how it can benefit you. Don't let tired - looking eyes make you look older than you are - take the first step towards a more vibrant you today!