Introduction
In the bustling city of New York in 2025, there is a growing demand for aesthetic treatments, especially when it comes to addressing the signs of aging around the eyes. The tear - trough area, which refers to the sunken region beneath the lower eyelids, can make individuals look tired and older than their actual age. Fat filling for tear - trough removal has emerged as a popular and effective solution. In this article, we will explore four plastic surgery departments in New York City that have earned a good reputation in this particular field.
Understanding Tear - Trough Deformity and Fat Filling
What is Tear - Trough Deformity?
As we age, the skin under the eyes becomes thinner, and subcutaneous fat volume is lost. This, combined with factors such as genetics, loss of skin elasticity, and laxity of facial ligaments, can cause the tear trough area to become more prominent. Some individuals are born with a lack of facial fat volume in the tear trough area, resulting in an under - eye hollow. The tear trough is the sunken area beneath the lower eyelids, below the under - eye bags, and extending towards the cheeks. It can cast shadows, creating the appearance of dark circles and making a person look tired or aged (Tear Trough Filler New York City NYC Manhattan).
How Fat Filling Works for Tear - Trough Removal
Fat filling, also known as fat transfer, involves removing fat from one part of the body (usually areas with excess fat like the abdomen, thighs, or flanks) through liposuction. The extracted fat is then purified and injected into the tear - trough area. This restores volume, fills in the hollow, and reduces the appearance of dark circles and under - eye bags. It provides a more natural and long - lasting solution compared to some other non - surgical treatments.
Four Reputable Plastic Surgery Departments in New York City
1. Dr. David Cangello's Plastic Surgery
Experience and Expertise
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He has a deep understanding of the facial anatomy and uses his expertise to develop customized treatment plans for each patient. His approach is based on achieving beautiful and natural results. For example, when dealing with tear - trough deformities, he carefully assesses the patient's individual situation, taking into account factors such as skin type, fat distribution, and the severity of the trough.
Treatment Process
Before the procedure, patients have a consultation with Dr. Cangello, during which they discuss their medical history, expectations, and any concerns. He will determine the best treatment approach, which may involve fat transfer. If fat transfer is chosen, the procedure involves the removal of fat from a donor site and its injection into the tear - trough area. The results can typically be seen immediately, and the effects can last for a relatively long time. After the procedure, Dr. Cangello provides detailed aftercare instructions to ensure optimal results and minimize the risk of complications (Tear Trough Filler New York City NYC Manhattan).
Patient Reviews
Patients have praised Dr. Cangello for his professionalism, patience, and ability to make them feel comfortable. 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. Dr. Neal Goldberg's Aesthetic Practice
Use of Quality Fillers
Dr. Neal Goldberg 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 and other depleted features. It is a safe and effective option that provides natural - looking results. Since it is not derived from animal products, there is no need for allergy testing before treatment (Tear Trough Filler Westchester County NYC NY).
Patient Assessment and Customization
Dr. Goldberg or his aesthetic nurse injectors evaluate each patient's tear troughs on an individual basis. They consider factors such as the patient's skin thickness, the presence of sagging or excess skin, and the desired outcome. Based on this assessment, they determine if Restylane - L® can provide the desired results or if a combination of injections with a more long - term treatment, like lower blepharoplasty, is advised. This personalized approach ensures that patients receive the most appropriate treatment for their specific needs.
Treatment Experience and Results
The treatment with tear trough fillers takes place in the office. A local anesthesia (lidocaine) is included in the Restylane - L® formula to increase patient comfort during injections, and an additional numbing agent can be applied if desired. Swelling and redness may occur after injections but usually subside naturally. Rejuvenation can be visible soon after the procedure, but it may take two to four weeks to see the full results. Patients typically report excellent results that last between six months and one year (Tear Trough Filler Westchester County NYC NY).
3. Neinstein Plastic Surgery
Specialized Injection Technique
At Neinstein Plastic Surgery, the approach to tear trough filler injections is unique. They 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 considered safe, predictable, and dramatically reduces the risk of bruising in the area. They also use cannulas instead of needles under the skin, which means less trauma to the tissues (Tear Trough Fillers Injections NYC - Neinstein Plastic Surgery).
Patient Preparation and Aftercare
Before the injections, patients are asked to avoid using blood thinners like aspirin for 5 days. On the day of the injections, makeup is removed, and the skin is numbed for 20 minutes. After the procedure, patients are advised not to rub or massage the treated area immediately. They should wait 24 hours before resuming strenuous activities. Bruising at the treatment site may occur, but it can be managed with cool compresses. Temporary, minimal to moderate swelling may also be expected, and patients may take acetaminophen/tylenol if they experience any mild tenderness or discomfort. Neinstein Plastic Surgery also has led light therapy devices available for patients to bring home to speed up healing and incorporation of the product into the skin (Tear Trough Fillers Injections NYC - Neinstein Plastic Surgery).
Cost and Accessibility
The clinic aims to price their tear trough filler injections to make the procedure accessible to a wide range of patients. They provide pricing information on their injections pricing page, allowing patients to have a clear understanding of the costs involved. This transparency and affordability make Neinstein Plastic Surgery an attractive option for many individuals seeking tear - trough treatments.
4. Dr. Michele Green's Dermatology Office
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. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. Her expertise in the under - eye area makes her a trusted choice for tear trough filler treatments. She can work with patients to ensure that they are good candidates for the procedure and develop a customized treatment plan that caters to their unique skin care concerns and aesthetic goals (Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
Choice of Fillers
Dr. Green often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance for tear trough treatments. These fillers have soft formulations that can enhance the natural appearance and correct tired - looking eyes and under - eye bags. For example, Juvederm Volbella is the first FDA - approved dermal filler for treating tear troughs and has a thin formulation for smooth and even distribution under the skin. Restylane Eye Light uses crosslinking and patented nasha technology to erase under - eye hollowing and dark circles caused by lost volume (Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
Procedure and Safety
The first step is a consultation where Dr. Green evaluates the targeted treatment area and the skin's elasticity. A local anesthetic is applied to the treatment area one hour before injections, and the dermal fillers used are compounded with lidocaine to minimize pain. She uses an ultrafine needle for precision in the tear trough injections. After the procedure, ice is applied to the treatment area to prevent swelling, and detailed aftercare instructions are provided. There are typically no major side effects associated with the treatment, but some mild swelling or bruising may occur. To minimize these risks, Dr. Green recommends discontinuing blood thinners and taking herbal supplements if the patient is prone to bruising (Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
Comparing the Four Plastic Surgery Departments
| Plastic Surgery Department | Expertise | Treatment Process | Fillers Used | Patient Experience | Cost Considerations |
|---|---|---|---|---|---|
| Dr. David Cangello's Plastic Surgery | Extensive experience in tear trough filler treatments, customized plans based on individual needs | Comprehensive consultation, fat transfer or other appropriate treatments, detailed aftercare | Appropriate fillers selected based on patient needs | Highly praised for professionalism and comfort | Cost depends on the treatment approach |
| Dr. Neal Goldberg's Aesthetic Practice | Use of Restylane - L®, personalized patient assessment | In - office treatment with local anesthesia, potential combination with other treatments | Restylane - L® | Good results reported with visible rejuvenation | Approximately $950 per injection, final cost based on individual needs |
| Neinstein Plastic Surgery | Specialized injection technique to reduce bruising, use of cannulas | Patient preparation before injection, specific aftercare with light therapy option | Hyaluronic acid gel injections | Emphasis on safety and reduced trauma | Pricing on injections pricing page |
| Dr. Michele Green's Dermatology Office | World - renowned in cosmetic dermatology, customized filler selection | Thorough consultation, use of local anesthesia and ultrafine needles, post - procedure care | Juvederm Volbella, Restylane, Restylane Eye Light, Belotero Balance | Trusted by many due to long - standing expertise | Cost depends on filler type and amount |
Benefits and Risks of Fat Filling for Tear - Trough Removal
Benefits
- Natural - looking Results: Fat transfer uses the patient's own fat, which provides a more natural look and feel compared to some synthetic fillers. The fat integrates with the surrounding tissue, and the results can appear more seamless.
- Long - lasting: Once the transferred fat cells have established a blood supply, the results can be relatively long - lasting. This is in contrast to some non - permanent fillers that may require more frequent touch - ups.
- Volume Restoration: It effectively restores volume in the tear - trough area, reducing the appearance of dark circles and under - eye bags. This can give the patient a more refreshed and youthful appearance.
Risks
- Bruising and Swelling: As with any injection or surgical procedure, there is a risk of bruising and swelling at the injection site. This is usually temporary and can be managed with appropriate aftercare.
- Uneven Results: There is a possibility of uneven distribution of the transferred fat, which may require additional treatments to correct. This can depend on factors such as the skill of the surgeon and the patient's healing process.
- Fat Absorption: Some of the transferred fat may be absorbed by the body over time. The amount of absorption can vary from patient to patient, and it may require touch - up procedures to maintain the desired results.
Conclusion
Fat filling for tear - trough removal is a popular and effective aesthetic treatment in New York City in 2025. The four plastic surgery departments mentioned in this article - Dr. David Cangello's Plastic Surgery, Dr. Neal Goldberg's Aesthetic Practice, Neinstein Plastic Surgery, and Dr. Michele Green's Dermatology Office - have all built good reputations in this field. Each offers unique expertise, treatment processes, and filler options. Whether you are looking for a highly experienced plastic surgeon, a practice that uses specific quality fillers, or a dermatologist with a long - standing reputation, these departments can provide viable solutions.
If you are considering fat filling for tear - trough removal, it is important to do thorough research, schedule consultations with these practices, and discuss your goals and concerns in detail. By making an informed decision, you can achieve the best possible results and enhance your appearance. Take the first step towards a more refreshed and youthful look by reaching out to one of these reputable plastic surgery departments today!
