Introduction to Tear Trough Filling Plastic Surgery in New York City

Tear trough filling plastic surgery has become an increasingly popular cosmetic procedure in New York City. As people age, the area under the eyes often shows signs of wear and tear, such as dark circles, hollows, and bags. Tear trough filler treatments can help address these concerns and provide a more youthful and refreshed appearance. In this article, we will explore the concept of tear trough filling, the top - level public hospitals in New York City that offer this service, and other related information.

Understanding Tear Troughs and Filler Treatments

What are Tear Troughs?

The tear trough refers to the sunken area that forms beneath the lower eyelids, directly below the under - eye bags, and extends towards the cheeks. This area can become more prominent due to a variety of factors. As we age, the skin under the eyes becomes thinner, and subcutaneous fat volume is lost. This can lead to a tear trough deformity. Some individuals may also be born with a lack of facial fat volume in this area, resulting in an under - eye hollow (cangelloplasticsurgery.com). The tear trough can make people look tired or older than they actually are, and it is a common cosmetic concern.

Causes of Tear Trough Deformity

The development of tear trough deformity is often a combination of multiple factors. Aging is a significant factor, as the natural aging process leads to the loss of facial fat, skin elasticity, and laxity of facial ligaments. This causes the fat that normally covers the tear trough area to descend, creating a hollow. Genetics also play a role; some people may have a genetic predisposition to have more prominent tear troughs. Additionally, factors like lifestyle, such as lack of sleep, excessive sun exposure, and smoking, can exacerbate the appearance of tear troughs.

Benefits of Tear Trough Filler

Tear trough filler is a non - surgical cosmetic procedure that offers several benefits. Firstly, it can reduce the appearance of dark circles under the eyes. By filling out the depression in the tear trough area, it camouflages under - eye bags and puffiness, making the lower eyelid blend more seamlessly with the cheek. It restores volume to the under - eye area, giving a more youthful look. The procedure is non - surgical, which means it requires little to no downtime. Results are usually visible immediately, and they can last for several months, typically around 6 - 12 months, depending on the individual and the type of filler used (cangelloplasticsurgery.com).

Top Public Hospitals in New York City for Tear Trough Filling

Columbia University - Plastic & Reconstructive Surgery

Columbia University's plastic and reconstructive surgery department is one of the top programs in New York City. It is part of one of the world's top medical centers. The plastic surgeons on the clinical staff are proficient in multiple areas of specialization, including both routine non - surgical cosmetic procedures and complex reconstructive operations. They offer a variety of cosmetic care services such as ear and eyelid lifts, breast augmentation, and tummy tucks. In the context of tear trough filling, their experienced surgeons can provide personalized treatment plans based on each patient's needs. The department is also at the forefront of clinical and laboratory research in plastic surgery, which means patients can benefit from the latest advancements in the field. To get in touch with one of their plastic surgeons, patients can call (212) 305 - 3103 or request an appointment online (columbiasurgery.org).

Mount Sinai - Injectable Fillers

Mount Sinai's highly skilled facial plastic and reconstructive surgery team is well - known for its expertise in injectable fillers. They use only fillers that have been approved by the Food and Drug Administration (FDA), such as Juvéderm™, Restylane™, Radiesse™, and Sculptra Aesthetic™. These fillers can be used to treat various areas of the face, including the tear trough area. The board - certified facial plastic surgeons at Mount Sinai have an in - depth understanding of facial anatomy, which is crucial for achieving the safest and most aesthetically pleasing results. They will conduct an extensive consultation with patients, identify areas of concern, review goals, and develop an individually tailored treatment plan. The procedure usually takes about 20 minutes, and patients can see instant results. Some minor bruising may occur, and the fillers can last from six months to four years depending on the substance used and the area injected (mountsinai.org).

Weill Cornell Plastic and Reconstructive Surgery

Weill Cornell provides high - quality care in the full spectrum of plastic, reconstructive, and aesthetic surgery. Their clinical expertise covers cosmetic and reconstructive surgery of the face, neck, eyes, and other areas. In terms of tear trough filling, they have the knowledge and skills to handle this procedure effectively. The program encourages patients to actively participate in their treatment plan. Before elective surgeries, they provide extensive information about the procedure, including potential risks and complications, as well as realistic expectations of results. Most procedures are performed on an ambulatory basis, and their surgeons use the latest regional anesthetics and medications to allow for quicker recovery and healing. Their locations on the upper east side offer convenient access for patients in New York City, and they can be contacted at (646) 962 - 4210 (weillcornell.org).

NewYork - Presbyterian Hospital

The expert team of plastic surgeons at NewYork - Presbyterian Hospital is dedicated to improving patients’ quality of life through various cosmetic and reconstructive surgeries. They have specialists with a wide range of expertise in aesthetic procedures, including those related to the face. For tear trough filling, their surgeons can offer professional advice and treatment. The surgical departments at both NewYork - Presbyterian Hospital/Columbia University Medical Center and NewYork - Presbyterian Hospital/Weill Cornell Medical Center offer extensive reconstructive and aesthetic surgery services. Additionally, the plastic surgery divisions in the departments of otolaryngology offer expert surgical care specifically for the head and neck. To contact the division of plastic and reconstructive surgery at NewYork - Presbyterian/Weill Cornell, patients can call 646 - 962 - 4210 (nyp.org).

Types of Tear Trough Fillers

Hyaluronic Acid Fillers

Hyaluronic acid (HA) fillers are the most commonly used type of fillers for tear trough filling. HA is a substance that occurs naturally in the body and helps plump the skin and increase collagen production. Brands like Restylane®, Belotero, Juvederm Volbella, and Restylane Eye Light are popular choices. Restylane Eye Light, for example, was 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 has an ultra - thin and flexible formulation that can eliminate the risk of the Tyndall effect, which can cause a bluish hue in the injected area (michelegreenmd.com).

Other Fillers

While hyaluronic acid fillers are dominant, other fillers may also be used in some cases. For example, Radiesse™, which is made from calcium hydroxyapatite gel microspheres that occur naturally in the human body, can be used for facial volume restoration. However, hyaluronic acid fillers are generally preferred for the delicate under - eye area due to their safety profile and natural - looking results.

Choosing the Right Hospital and Surgeon

Experience and Expertise

When choosing a hospital and surgeon for tear trough filling, experience and expertise are crucial. Look for surgeons who have a proven track record in performing tear trough filler treatments. They should have in - depth knowledge of facial anatomy and be able to handle potential complications. For example, surgeons at top - level hospitals like Columbia University and Mount Sinai have extensive experience in cosmetic and reconstructive surgery, which gives them an edge in performing tear trough filler procedures safely and effectively.

Reviews and Patient Testimonials

Reading reviews and patient testimonials can provide valuable insights into the quality of service and results offered by a hospital or surgeon. You can find reviews on hospital websites, online review platforms, and social media. Positive reviews from satisfied patients are a good indication that the hospital and surgeon can meet your expectations. For instance, some patients may share their experiences of how a particular surgeon made them feel comfortable during the procedure and achieved excellent results.

Cost and Insurance

The cost of tear trough filling can vary depending on factors such as the type and amount of filler used, the hospital, and the surgeon's fees. It's important to have a clear understanding of the cost before undergoing the procedure. Insurance generally does not cover purely cosmetic procedures like tear trough filling, but some hospitals may offer financing options to make the treatment more affordable. For example, Dr. Neal Goldberg's practice accepts patient financing via Care Credit® and Alphaeon™ credit, which can provide patients with more manageable payment plans (doctorgoldberg.com).

Preparing for Tear Trough Filler Treatment

Consultation

A consultation with the surgeon is the first step in the process. During the consultation, the surgeon will evaluate your under - eye area, assess your skin type and elasticity, and discuss your goals and expectations. They will also review your medical history, including any medications you are taking, allergies, or sensitivities. This information is crucial for determining the best treatment approach and ensuring your safety during the procedure. For example, if you are taking blood - thinning medications, the surgeon may advise you to stop taking them for a certain period before the treatment to reduce the risk of bruising (cangelloplasticsurgery.com).

Lifestyle Adjustments

In the days leading up to your appointment, you should make some lifestyle adjustments. Avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications like ibuprofen and aspirin), and fish oil. Also, it is recommended to avoid alcohol and caffeine, as they can increase the risk of bruising. On the day of your appointment, arrive with a clean and makeup - free face.

The Tear Trough Filler Procedure

Anesthesia

To ensure patient comfort during the tear trough filler procedure, a local anesthetic is usually applied. Some fillers are also compounded with lidocaine to further minimize discomfort. For example, the Restylane - L® formula used by Dr. Neal Goldberg includes lidocaine to help increase patient comfort during injections. In some cases, an additional numbing agent can be applied to the skin beforehand if desired (doctorgoldberg.com).

Injection Process

The procedure typically involves injecting the filler into the under - eye area using a small cannula or an ultrafine needle. Different surgeons may have their preferred methods. Dr. Michele Green uses an ultrafine needle to allow for precision in the tear trough injections. Results can usually be seen immediately after the procedure, although it may take a few days for the full effects to be visible as any swelling or bruising subsides. The entire procedure usually takes about 15 to 30 minutes, depending on the individual and the amount of filler used (cangelloplasticsurgery.com, michelegreenmd.com).

Recovery and Aftercare

Immediate Aftermath

After getting tear trough filler, it is normal to experience some mild swelling, bruising, and redness around the injection site. These symptoms usually subside within a few days to a week. Applying ice packs can help reduce swelling, and over - the - counter pain medications such as ibuprofen can be used to manage any discomfort. You should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the filler from shifting or becoming dislodged (cangelloplasticsurgery.com).

Long - term Aftercare

It is also recommended to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours after the procedure. Follow the aftercare instructions provided by your surgeon carefully to ensure optimal results and reduce the risk of complications. For example, you may need to schedule a follow - up appointment a few weeks after the procedure to evaluate the results and determine if any touch - up is needed.

Potential Risks and Side Effects

Common Side Effects

While tear trough filler treatment is generally considered safe, there are some potential side effects. Common side effects include swelling, bruising, redness, itching, and infection. These side effects are usually mild and temporary and can be managed with ice packs or over - the - counter pain medications. The Tyndall effect is a rare side effect that can cause a bluish discoloration in the injected area if the hyaluronic acid filler is injected too superficially. This can be reversed with hyaluronidase to dissolve the dermal filler (michelegreenmd.com).

Serious Side Effects

Some rare but more serious side effects 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 minimize the risk of these serious side effects, it is crucial to have your tear trough filler injections performed by an experienced and board - certified injector.

Conclusion

Tear trough filling plastic surgery is a popular and effective way to address under - eye concerns and achieve a more youthful appearance. New York City is home to several top - level public hospitals that offer high - quality tear trough filler treatments. When considering this procedure, it is important to understand the tear trough condition, choose the right hospital and surgeon, prepare well for the treatment, and follow the aftercare instructions. By doing so, you can increase the chances of a successful outcome and enjoy the benefits of a refreshed and rejuvenated under - eye area.

If you are interested in tear trough filling plastic surgery, we encourage you to consult with one of the top hospitals mentioned in this article. Contact them to schedule a consultation and discuss your goals and concerns. You can also do further research on your own to make an informed decision. Share this article with friends and family who may also be interested in learning about tear trough filling plastic surgery in New York City.