Introduction
Tear trough augmentation has become a popular cosmetic procedure in New York City, addressing concerns such as dark circles, hollows, and a tired appearance under the eyes. As the demand for this treatment grows, choosing the right hospital is crucial for achieving safe and satisfactory results. In this article, we will explore three well - done hospitals in New York City that offer tear trough augmentation services, along with an in - depth look at tear trough filler procedures in general.
Understanding Tear Troughs and Their Treatment
What are Tear Troughs?
A tear trough is an anatomic area of the face, the hollow located between the upper cheek and the lower eyelid region. Tear troughs can cast a shadow and create the appearance of a darkened under - eye area, making one look tired or prematurely aged. They 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.
Tear Trough Deformity
The tear trough deformity can occur due to a combination of factors such as aging, genetics, loss of facial fat, loss of skin elasticity, and laxity of facial ligaments which occurs with aging, causing the fat which normally covers the tear trough area to descend, thus creating a hollow in the position that it was once in. The area beneath the eyes is particularly prone to losing volume, as the skin there is thinner and more delicate than other parts of the face. As the volume decreases, the skin can start to sag, creating a hollow or trough - like appearance.
Treatment Options
Treatments for tear trough deformity include dermal fillers, which are injected into the area to plump up the skin and restore volume loss. Other treatments may include fat transfer, or if the under - eye hollows are accompanied by under - eye bags, the fat causing the bags can be transposed into the under - eye hollow with a lower eyelid blepharoplasty procedure.
Three Well - done Hospitals for Tear Trough Augmentation in New York City
Doctor Lanna
Doctor Lanna offers tear trough fillers in multiple locations across New York and New Jersey. Their New York City location is at 140 W 58th St Suite A, New York, NY 10019. They also have a location in Marlboro, NJ at 8 S Main St, Marlboro, NJ 07746 and in Staten Island, NY at 16 Sylvia St, Staten Island, NY 10312.
Contact information for their New York City location is 929 - 565 - 7539, for Marlboro, NJ it's 848 - 279 - 4853, and for Staten Island, NY it's also 848 - 279 - 4853. The hospital focuses on using dermal fillers to help patients get rid of eye bags and achieve incredible results. The fillers they use are likely to be hyaluronic acid - based, which are common in tear trough augmentation due to their safety and effectiveness.
David Cangello Plastic Surgery
Expertise and Services
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 individual needs, goals, and medical history and will work with patients to develop a customized treatment plan to achieve their desired results.
Tear trough filler at this hospital is a cosmetic procedure that involves injecting a hyaluronic acid - based filler (HA) into the area under the eyes to reduce the appearance of dark circles, hollows, and bags in the lower eyelid. Hyaluronic acid fillers, such as Restylane® or Belotero, are commonly used as they are safe, effective, and provide natural - looking results.
Treatment Process
Before the procedure, patients should discuss their medical history and any medications they are taking with Dr. Cangello, as well as any allergies or sensitivities they may have. In the days leading up to the appointment, patients should avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil), as this can increase the risk of bruising. Additionally, it is recommended that patients avoid alcohol and caffeine in the days leading up to the appointment.
On the day of the appointment, patients should arrive 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 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 and can be managed with ice packs or over - the - counter pain medications such as ibuprofen.
Benefits and FAQs
The benefits of tear trough filler at this hospital include reducing the appearance of dark circles, camouflaging under - eye bags and puffiness, restoring volume to the under - eye area, being non - surgical, requiring little to no downtime, providing quick results, and being long - lasting. Some frequently asked questions and their answers are as follows:
| Question | Answer |
|---|---|
| What are dermal fillers? | Dermal fillers are a type of injectable cosmetic treatment that is used for facial enhancement, like adding volume and smoothing out wrinkles, and contouring facial features. They can be used on many areas of the face and are made from a variety of materials, including HA fillers, a type of filler that can be dissolved with hyaluronidase. Dermal fillers are typically injected into the skin using a fine needle. |
| How long does the tear trough filler procedure take? | The procedure typically takes about 15 to 30 minutes, depending on the individual and the amount of filler used. |
| Is the tear trough filler procedure painful? | The level of discomfort experienced during a tear trough filler treatment can vary depending on pain tolerance and the technique used by the injector. Since the skin is prepped with a numbing agent, most people describe the procedure as being relatively comfortable with only minor discomfort. Since Dr. Cangello uses a cannula for injection, no pain is felt. |
| What is the recovery time for tear trough filler? | There is usually little to no downtime associated with tear trough filler, and patients can typically resume their normal activities immediately after the procedure. Some mild swelling, bruising, or redness around the injection site may occur but usually subsides within a few days to a week. |
| How long do the results of tear trough filler last? | The results of tear trough filler can last for several months, typically around 6 - 12 months. The duration of the results can vary depending on the individual, the type of filler used, and other factors such as lifestyle, genetics, and age. |
| Does tear trough filler have any side effects? | While tear trough filler treatment is considered safe, it does, as with any cosmetic procedure, carry some potential risks and side effects which may include but are not limited to: 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. |
| What is the cost of tear trough filler? | The cost of tear trough filler injections can vary depending on several factors, including the type and amount of filler used. It is important to note that multiple syringes may be needed to achieve the desired results, and the number of syringes required will depend on specific needs and goals. |
| Can I combine other treatments with tear trough filler? | Yes, many patients choose to combine tear trough filler with other injectables such as Botox® for more comprehensive non - surgical facial rejuvenation. |
Neinstein Plastic Surgery
Tear Trough Filler Services
Tear trough fillers at Neinstein Plastic Surgery are hyaluronic acid gel injections that address facial volume loss. The goal of these injections is to blend the eyelid with the cheek to give a rested and youthful appearance. However, fillers are not ideal for patients with very thin skin that looks and feels like it is almost attached or stuck to the cheek bone, and pregnant or breast - feeding patients are deferred for safety concerns.
Preparation and Procedure
Prior to their appointment, patients are asked to not use blood thinners like aspirin for 5 days before the procedure. On the day of the injections, makeup is removed and the skin is numbed for 20 minutes. The approach at this hospital 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.
Once the injections are complete, ice is placed on the eyes for 5 minutes and the patient takes a one - time dose of steroids to reduce swelling. Since the skin is numbed and the injections have some numbing material as well, patients should only experience some mild discomfort. Only cannulas (no needles under the skin) are used, which means less trauma to the tissues.
Recovery and Aftercare
After the treatment, patients should not rub or massage the treated area immediately. When cleansing the face or applying makeup, they should use gentle, sweeping motions to avoid excessive mobility of the area. Patients should wait 24 hours before resuming strenuous activities that raise their heart rate and blood pressure, such as exercise and sex. Bruising at the treatment site may occur, and temporary, minimal to moderate swelling may be expected. Cool compresses can be applied to the area treated (avoiding pressure). It may be normal to experience some tenderness at the treatment site that can last for a few hours or, at times, a couple of days. Acetaminophen/Tylenol can be taken if there is any mild tenderness or discomfort. Patients should wait a minimum of four weeks before receiving any laser treatments. Neinstein Plastic Surgery has led light therapy devices available for patients to bring home to speed healing and incorporation of the product into the skin.
Other Relevant Information about Tear Trough Augmentation
Tear Trough Implants
Tear trough implants are a long - term procedure for under - eye hollowing, but may not fit with time as facial dimensions change with aging. They are used in a procedure done to correct a condition known as tear trough deformity and/or to eliminate dark circles under the eyes. In a majority of older patients, the protruding eyelid skin and fat of their lower eyelids cast shadows that accentuate dark circles under their eyes.
Tear trough implants are made of silicone, which is a soft, rubber - like material. The implant is inserted through a small incision, then placed over the bone mass under the eyelid for a fuller, more youthful appearance. Oculoplastic surgeon Dr. Amiya Prasad uses a transconjunctival method of surgically inserting implants through a small laser incision in the inside of the eyelid. This advanced surgical technique leaves no visible signs of surgery or scars since no incision is made on the outside of the eyelid. Transconjunctival tear trough implant surgery has a faster post - operative healing time than other less effective surgical techniques due to the surgery being done with local anesthesia with lite ™ IV sedation rather than general anesthesia. Tear trough implant surgery does not change the shape of the lower eyelid.
Complementary Treatments
Several complementary treatments can be performed with tear trough fillers for facial rejuvenation:
- Botox: It is one of the most popular cosmetic treatments in the United States because of its outstanding ability to soften the appearance of fine lines and wrinkles, including around the eyes. Botox is popularly used to treat the outer canthal lines (crow’s feet) that appear as a result of smiling, squinting, and other repeated expressive movements. Botox injections into the orbicularis - oculi muscle, or the ring - shaped muscle surrounding the eye, work to relax the muscle, soften the appearance of wrinkles, and prevent the formation of fine lines.
- Microneedling: Under - eye dark circles and wrinkles can be improved through microneedling. Microneedling® uses a tool with tiny surgical - grade needles embedded in the tip to create microscopic wounds on the surface layer of the skin (the epidermis). Through the natural wound - healing process of the skin, these micro - injuries are repaired as new, healthier skin cells grow, and new collagen and elastin are produced. This helps to plump and firm skin, diminish signs of aging, and minimize the overall appearance of dark circles.
- Platelet - Rich Plasma (PRP) with Microneedling: The effects of microneedling can be further enhanced by combining the treatment with PRP. PRP employs the cytokines and growth factors in plasma derived from a sample of the patient’s blood to boost the effects of microneedling. The solution penetrates the skin more readily through the newly created micro - channels made by microneedles, helping to speed up the healing process and promote even more regeneration at the cellular level to rejuvenate the skin.
- Thermage: It is the gold standard in facial skin tightening. Thermage can improve skin elasticity in many body areas, including the delicate under - eye area. Thermage uses radiofrequency energy to stimulate collagen production in the skin. Thermage can produce skin - tightening results that last up to two years in a single treatment. Most patients choose to engage in annual maintenance treatment sessions to keep up the best results. There is zero downtime involved with Thermage, meaning patients can resume their normal daily activities immediately after the procedure and easily schedule their treatment sessions.
- Chemical Peels: A chemical peel can revitalize baggy or sagging skin under the eyes by removing dead skin cells along the superficial top layer of the skin. This then allows healthy new skin cells to be exposed, which can help make the skin firmer and reduce fine lines, discoloration, pigment, and other visible signs of aging on the skin. Custom formulations are often used to incorporate the best nourishing serums and skin care treatments for each patient.
- Non - Ablative Laser Resurfacing Treatments: Such as Fraxel and eMatrix, can be used to tighten and firm, wrinkly skin under the eyes, as well as diminish the appearance of pigment discoloration in the eye area. The amount of collagen production that laser resurfacing activates can lead to lasting improvement in under - eye bags with virtually no recovery time. The eMatrix laser was developed with a special tip to treat the delicate under - eye area. Through radiofrequency technology, the eMatrix can tighten the skin around the delicate under - eye, remove fine lines, decrease pigmentation, and increase collagen production.
Conclusion
In conclusion, tear trough augmentation is a valuable cosmetic procedure for those looking to improve the appearance of the under - eye area. The three hospitals in New York City - Doctor Lanna, David Cangello Plastic Surgery, and Neinstein Plastic Surgery - offer high - quality tear trough augmentation services with different approaches and areas of expertise. Doctor Lanna has multiple locations and focuses on using dermal fillers for effective results. David Cangello Plastic Surgery provides personalized treatment plans and has a wealth of experience in tear trough filler treatments, addressing various patient concerns and questions. Neinstein Plastic Surgery uses a specific injection technique to reduce the risk of bruising and offers comprehensive aftercare options.
Other treatment options like tear trough implants and complementary treatments also provide additional choices for patients seeking more comprehensive facial rejuvenation. If you are considering tear trough augmentation, it is essential to consult with a qualified medical professional at one of these hospitals to determine the best treatment plan for your individual needs and goals. Don't hesitate to reach out and schedule a consultation to start your journey towards a more youthful and refreshed appearance. Share this article with others who may be interested in tear trough augmentation and encourage them to explore these excellent hospitals in New York City.
