New Release of the Ranking of Public Plastic Surgeries for Eye Tear - Trough Filling in New York City 2025!
In 2025, the demand for plastic surgeries related to eye tear - trough filling in New York City has been on the rise. This area of plastic surgery aims to rejuvenate the under - eye area, which is often a significant concern for many individuals. The following is a comprehensive exploration of this growing trend, including the procedures, best fillers, and top surgeons in the city.
Understanding 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. 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.
Common Procedures for Tear Trough Treatment
Tear Trough Fillers
Tear trough fillers are a non - invasive cosmetic treatment option for rejuvenation of the under - eye area. These filler injections are placed between the lower eyelid and upper cheek to replenish volume and smooth out the under - eye hollows that can cast a shadow and result in the appearance of dark circles.
One of the main advantages of tear trough fillers is that they are a non - surgical treatment option that provides natural - looking, long - lasting rejuvenation results with zero downtime and few potential side effects. However, it is crucial to have the procedure performed by an experienced medical professional to guarantee safety, efficacy, and optimal results.
Fat Injections
Fat injection, also known as fat transfer or fat grafting, is a permanent filler option that uses your own fat cells to add volume, similar to injectable synthetic fillers. Surgeons often perform under - eye fat grafting in conjunction with cosmetic eyelid surgery to blend and provide volume support to the areas around the eyes, such as the temples, under the brows, under - eye hollows, and cheeks.
Although fat grafting can be a safe and effective option, it is less predictable than filler because some of the cells being injected will not survive. However, even at a 50% survival rate, the benefits can be very worthwhile.
Tear Trough Implants
Tear trough implants are a long - term procedure for under eye hollowing. These implants are made of silicone, a soft, rubber - like material, and are inserted through a small incision and placed over the bone mass under the eyelid for a fuller, more youthful appearance.
An oculoplastic surgeon may use 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. However, tear trough implants may not fit with time as facial dimensions change with aging.
Best Fillers for Tear Troughs
Currently, the best fillers for the under - eyes for the vast majority of people are made of cross - linked hyaluronic acid (HA) gel. They are soft, pliable, and most importantly, reversible. If there is a problem with a lump, bulge, discoloration (tyndall effect), or bubble from the filler, it can be taken away with an enzyme injection that dissolves the filler.
| Filler Name | Characteristics | Advantages | Disadvantages |
|---|---|---|---|
| Restylane | Has the right balance of stiffness, cohesivity, about a year of effect under the eyes, and relatively low swelling. Can be fine - tailored for deep or shallow injections by modifying the filler through hydration. | Good overall performance for under - eye filling. | None significant compared to others. |
| Belotero Balance | Very forgiving for the injector, not very stiff, and tends not to lump up or cause discoloration. | Less likely to cause problems during injection. | Doesn't provide great lift if there is a deep tear trough. |
| Juvederm Volbella | Softer, first FDA - approved dermal filler for treating tear troughs, with a patented Vycross technology for smooth and even distribution under the skin. | Good for shallow injections under the eyes. | A low incidence of inflammatory nodules (bumps) has been reported to occur after 4 months. |
| Juvederm Vollure | Stiffer, causes less swelling than the older variety of Juvederm products. | Good for deeper injections under the eyes. | None significant compared to other Juvederm products. |
| Restylane Refyne and Restylane Defyne | Have a different type of cross - linking than regular Restylane, making them more “flexible”. | Benefit in areas with a lot of facial movement around the mouth. | No shown benefit over regular Restylane for the under - eyes so far. |
| Restylane Silk | The thinnest, softest version of Restylane with the highest swelling capacity. | None significant for under - eye area. | Not suitable for the thin under - eye skin which doesn't take well to significant swelling. |
| Juvederm Ultra and Juvederm Ultra Plus | Tend to swell more and are more likely to spread out. | None significant for under - eye area. | Treatment may be less accurate, and the product may end up in a different place than where it was meant to be injected. |
| Juvederm Voluma | A thicker version of Juvederm. | Good for cheeks. | Not great for under - eyes, tends to look lumpy, can create long - term swelling, and is resistant to dissolving with hyaluronidase. |
Top Surgeons in New York City for Tear Trough Filling
Dr. Brett Kotlus
Dr. Brett Kotlus is a Cosmetic Oculoplastic Surgeon in NYC. With his extensive experience and specialized training in oculoplastic and cosmetic surgery, he is well - known for his expertise in under - eye filler treatments. He has a deep understanding of different types of fillers and can select the most appropriate filler or combination of fillers based on the patient's specific condition.
Dr. Kotlus is cautious about the use of certain fillers, especially permanent or semi - permanent injectable fillers under the eyes, as they can cause problems such as lumps and bumps that are difficult to correct. He strongly recommends cross - linked hyaluronic acid (HA) gel fillers for the under - eyes due to their reversibility and safety.
Dr. Michele Green
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology. With over 25 years of experience, she has treated patients from around the globe for a myriad of skin concerns, including dark under - eyes. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times.
Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She carefully assesses each patient's under - eye hollows to choose the right tear trough filler, taking into account the patient's facial anatomy, skin concerns, and cosmetic goals. Her personalized treatment plans help patients achieve natural - looking, long - lasting cosmetic results.
Dr. David Cangello
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He understands the causes of tear trough deformity, such as aging, genetics, loss of facial fat, loss of skin elasticity, and laxity of facial ligaments.
Dr. Cangello determines the best treatment approach for each patient based on their individual needs, goals, and medical history. He uses a customized treatment plan to achieve beautiful and natural results, whether it's through dermal fillers, fat transfer, or other procedures.
Dr. Zuckerman
Dr. Zuckerman can help patients reduce dark circles with under - eye dermal filler injections. He uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for treating the under - eye area. This filler is the least hydrophilic of hyaluronic acid fillers, minimizing swelling.
Dr. Zuckerman injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. His treatment helps patients appear rested and refreshed both when the face is at rest and during facial animation.
Considerations Before Choosing a Procedure
Candidate Suitability
The best candidate for dermal filler injections in the tear trough is a healthy individual with noted volume loss in the under - eye area. However, if there is excessive wrinkling or skin under the eyes with fat deposition, tear trough fillers may not be the best course of treatment. Similarly, for those with severe skin laxity, excess skin, or fat in the under - eye area, surgical options like blepharoplasty may be more suitable.
Side Effects and Risks
Although tear trough filler treatments are generally safe, there are potential side effects and risks. Mild swelling, bruising, and redness around the injection site are common and usually subside within a few days to a week. However, more serious side effects such as 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 can occur, although they are rare.
To minimize these risks, it is crucial to have the procedure performed by an expert, board - certified injector. For example, Dr. Green recommends discontinuing any blood thinners and NSAIDs such as Advil, aspirin, ibuprofen, or Aleve before the treatment to decrease bruising. Patients prone to bruising can also take Arnica Forte, an herbal supplement, to help prevent and heal bruises faster.
Cost and Duration
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. The procedure usually takes about 15 to 30 minutes, and the results can last for several months, typically around 6 - 12 months, depending on the individual, the type of filler used, and other factors such as lifestyle, genetics, and age.
Complementary Treatments
Tear trough fillers can be combined with other treatments for more comprehensive facial rejuvenation. Some of these complementary treatments include:
- Botox: 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. Dr. Green often treats patients for tear troughs and crow’s feet in the same visit, using dermal filler and Botox to achieve total rejuvenation of the eye area.
- 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. Through the natural wound - healing process of the skin, 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): The effects of microneedling can be further enhanced by combining it 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, promoting more regeneration at the cellular level to rejuvenate the skin.
- Thermage: Thermage is the gold standard in facial skin tightening. It uses radiofrequency energy to stimulate collagen production in the skin. Thermage can improve skin elasticity in the delicate under - eye area, and its results can last up to two years in a single treatment.
- 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 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.
- 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. These treatments can lead to lasting improvement in under - eye bags with virtually no recovery time.
Conclusion
In 2025, the plastic surgeries for eye tear - trough filling in New York City offer a range of options for individuals looking to rejuvenate their under - eye area. Tear trough fillers, fat injections, and tear trough implants are some of the common procedures, each with its own advantages and considerations. Choosing the right filler, surgeon, and complementary treatments is crucial for achieving the desired results while minimizing risks and side effects.
If you are considering tear trough filling or related treatments, it is highly recommended to schedule a consultation with an experienced and board - certified medical professional. They can assess your specific condition, answer your questions, and develop a personalized treatment plan that meets your needs and goals. Take the first step towards a more youthful and refreshed appearance by reaching out to a top surgeon in New York City today.
