Introduction
In New York City, many individuals are bothered by the appearance of tear troughs, which can make them look tired and older than their actual age. Hyaluronic acid filling of tear troughs has become a popular non - surgical cosmetic solution. In this article, we will explore the ranking of hospitals that offer this procedure and provide a price list, along with detailed information about tear trough fillers.
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 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.
How Tear Trough Fillers Work
Tear trough fillers are a non - invasive cosmetic treatment option for rejuvenation of the under - eye area. The best types of filler for the under - eye area are hyaluronic acid fillers, such as Juvederm, Restylane, or Belotero. These fillers are injected 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. Hyaluronic acid is a component that is naturally produced by the body and helps plump the skin and increase collagen production, resulting in a more youthful - looking complexion.
Top Hospitals for Hyaluronic Acid Filling of Tear Troughs in New York City
1. Dr. Michele Green's Practice
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology, with over 25 years spent 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. At her private dermatology office in Manhattan’s Upper East Side neighborhood, she offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. Dr. Green often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. She will assess the patient's under - eye hollows to choose the right filler and develop a customized treatment plan.
2. Dr. David Cangello's Plastic Surgery Practice
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 the patient's individual needs, goals, and medical history. The tear trough filler procedure here involves injecting the filler into the under - eye area using a small cannula, and results can typically be seen immediately. The effects of tear trough filler can last for several months, although this can vary depending on the individual and the type of filler used.
3. Neinstein Plastic Surgery
Tear trough fillers at Neinstein Plastic Surgery are an ideal alternative to surgery for many patients. Their approach 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 safe, predictable and dramatically reduces the risk of bruising in the area. After the injections, ice is placed on the eyes for 5 minutes and the patient takes a one - time dose of steroids to reduce swelling.
4. Dr. Darren M. Smith's Practice
Dr. Darren M. Smith is a board - certified plastic surgeon with an artistic eye for aesthetics and over 18 years of experience. He is considered one of the leading specialists in enhancing and rejuvenating the delicate eye region. Dr. Smith offers tear trough fillers as a targeted solution for revitalizing the under eye area. He uses advanced techniques like small injection amounts and cannulas to minimize trauma and reduce the chances of extensive bruising.
5. Dr. Zuckerman's Plastic Surgery Practice
Dr. Zuckerman can help patients reduce dark circles with under - eye dermal filler injections. For this sensitive area, he 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 (absorbs the least amount of water) of hyaluronic acid fillers, and therefore minimizes swelling. Dr. Zuckerman injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye.
Comparison of the Top Hospitals
| Hospital | Specialist | Filler Options | Technique | After - care |
|---|---|---|---|---|
| Dr. Michele Green's Practice | Dr. Michele Green | Juvederm Volbella, Restylane, Restylane Eye Light, Belotero Balance | Uses ultrafine needle for precision | Two - week follow - up, provides aftercare instructions |
| Dr. David Cangello's Plastic Surgery Practice | Dr. David Cangello | Restylane, Belotero | Uses small cannula for injection | Manage swelling and bruising with ice packs and over - the - counter pain medications, follow aftercare instructions |
| Neinstein Plastic Surgery | Neinstein Plastic Surgery Team | Hyaluronic acid fillers | Inject deep near the cheek bone and move slowly up | Place ice, take steroids, avoid rubbing, wait 24 hours for strenuous activities |
| Dr. Darren M. Smith's Practice | Dr. Darren M. Smith | Juvederm, Restylane | Uses small injection amounts and cannulas | Avoid strenuous activity for 24 hours, manage side effects with ice packs |
| Dr. Zuckerman's Plastic Surgery Practice | Dr. Zuckerman | Restylane - L | Inject deep near the bone | Minimize bruising with techniques and icing, return to work after treatment, mild side effects resolve in a few days |
Product Price List for Hyaluronic Acid Filling of Tear Troughs
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. Here is a rough price list:
| Filler Product | Approximate Price per Syringe |
|---|---|
| Juvederm Volbella | $1000 - $1500 |
| Restylane | $1000 - $1500 |
| Restylane Eye Light | $1200 - $1600 |
| Belotero Balance | $1100 - $1400 |
| Restylane - L | $1100 - $1500 |
Ideal Candidates for Tear Trough Fillers
The best candidate for dermal filler injections in the tear trough is a healthy individual with noted volume loss in the under - eye area. If there is excessive wrinkling or skin under the eyes with fat deposition, tear trough fillers may not be the best course of treatment. Good candidates should also have realistic expectations about the results and understand that the treatment can provide improvement but not perfection. Patients typically between the ages of 20 and 60 can be suitable candidates, but the best way to determine eligibility is by consulting with an expert in cosmetic dermatology or plastic surgery.
Procedure and After - care
Procedure
- Consultation: The doctor will evaluate the targeted treatment area, the skin’s elasticity, confirm the patient is a good candidate, and determine the appropriate filler product and the number of syringes required.
- Anesthesia: A local anesthetic is usually applied to the entire treatment area one hour before performing any injections to ensure comfort. Some fillers are also compounded with lidocaine.
- Injection: The doctor will inject the dermal fillers directly into the skin in tiny amounts using an ultrafine needle or a cannula.
- Post - injection: Ice is applied to the treatment area to help prevent swelling, and aftercare instructions are provided.
After - care
- Swelling and bruising: Mild swelling and bruising are common side effects. Swelling usually resolves within a week, and bruising can typically resolve within one week. Ice packs can be used to mitigate swelling, and patients should avoid excessive heat (such as saunas or hot tubs) for 48 hours after treatment.
- Activity: Patients should avoid rubbing or massaging the area for at least 24 hours after the procedure. Strenuous exercise, alcohol, and blood - thinning medications or supplements should be avoided for at least 24 hours. Normal activities can usually be resumed immediately, but strenuous activities that raise the heart rate and blood pressure should be delayed for 24 hours.
- Follow - up: A two - week follow - up appointment is often scheduled to evaluate the treatment and determine if any touch - up is required.
Potential Side Effects
- Common side effects: Swelling, redness, and bruising at the injection site are common and usually mild and temporary. They can be managed with ice packs or over - the - counter pain medications.
- Tyndall effect: A rare side effect that leads to the development of a bluish discoloration after some hyaluronic acid fillers are injected. It can be reversed with hyaluronidase to dissolve the dermal filler.
- Serious side effects: 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 prevent these, it is important to have the procedure performed by an experienced, board - certified injector.
Complementary Treatments
Tear trough fillers can be combined with other cosmetic treatments for better facial rejuvenation results:
- Botox: Can soften the appearance of fine lines and wrinkles, including around the eyes, such as crow’s feet.
- Microneedling: Can improve under - eye dark circles and wrinkles. When combined with platelet - rich plasma (PRP), the effects can be further enhanced.
- Thermage: Can improve skin elasticity in the under - eye area using radiofrequency energy to stimulate collagen production.
- Chemical peels: Can revitalize baggy or sagging skin under the eyes by removing dead skin cells and allowing healthy new skin cells to be exposed.
- Non - ablative laser resurfacing treatments: Such as Fraxel and Ematrix, can be used to tighten and firm wrinkly skin under the eyes and diminish the appearance of pigment discoloration.
Conclusion
Hyaluronic acid filling of tear troughs is a popular and effective non - surgical option for rejuvenating the under - eye area in New York City. By choosing a reputable hospital and an experienced injector, patients can achieve natural - looking and long - lasting results. The top hospitals mentioned in this article, such as Dr. Michele Green's Practice, Dr. David Cangello's Plastic Surgery Practice, and others, offer high - quality services and a variety of filler options. However, it is important for patients to have realistic expectations, understand the potential side effects, and follow the after - care instructions. If you are interested in this procedure, don't hesitate to schedule a consultation with one of these experts to explore your options and achieve a more youthful appearance.
