Ranking of Doctors and Surgical Case Pictures for Tear Trough Depression Filling in New York City 2025

Introduction

Tear trough depression is a common cosmetic concern that can make individuals look tired, aged, and haggard. It is a crease or hollow that runs from the inner corner of the eye towards the cheekbone. In New York City, there are numerous doctors offering tear trough filling treatments, and many patients are interested in finding the best ones along with seeing surgical case pictures to gauge the results. This article will provide a comprehensive overview of tear trough filling, rank some well - known doctors in New York City, and discuss the significance of surgical case pictures.

Understanding Tear Trough Depression

What are 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 (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Impact on Appearance

The presence of prominent tear troughs can have a significant impact on a person's appearance. It can give the impression of constant fatigue, even if the individual is well - rested. The shadow created by the tear troughs can also make the under - eye area look darker, which may contribute to a less youthful and vibrant look. For many people in New York City, where a youthful and energetic appearance is often highly valued, tear trough filling becomes an appealing solution.

Tear Trough Filling: An Overview

How Tear Trough Fillers Work

Tear trough fillers are a non - invasive cosmetic treatment option for rejuvenation of the under - eye area. Tear trough 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. The preferred dermal fillers for this treatment area are composed of hyaluronic acid gel and have a small particle size. 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 (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Types of Fillers Used

• Juvederm Volbella: It is the first FDA - approved dermal filler for treating tear troughs and contains the thinnest formulation of the Juvederm family. Its patented Vycross technology allows for the dermal filler to have a smooth and even distribution under the skin.
• Restylane Eyelight: Commonly used to improve the look of hollowing and under - eye bags. It can help restore lost volume in the tear trough area and reduce the appearance of fine lines and wrinkles in the treatment area. It was FDA - approved in 2023 for use under the eyes and uses crosslinking and patented NASHA technology to erase under - eye hollowing and dark circles caused by lost volume.
• Belotero Balance: Provides a soft and even correction in the skin, making it a highly effective filler option for tear troughs. It has an ultra - thin and flexible formulation that can eliminate the risk of developing the Tyndall effect, which can create a bluish hue in the injected area due to the reflection of light off of particles suspended in the filler (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Benefits of Tear Trough Filling

Top Doctors for Tear Trough Filling in New York City

Dr. Michele Green

Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology. With over 25 years spent treating the most discerning patients from around the globe for a myriad of skin concerns, such as dark under - eyes, sun damage, fine lines and wrinkles, hyperpigmentation, acne, and acne scars. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times due to her expertise and dedication to her patients. Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She uses a “less - is - more” approach to dermal fillers and is extremely careful not to overfill the delicate under - eye area. During a consultation, she will assess the patient's under - eye hollows to choose the right filler and develop a customized treatment plan (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Dr. Cameron Rokhsar

Dr. Cameron Rokhsar is a double - board certified dermatologist and laser skin surgeon. He can help patients with a non - surgical eye lift in New York. On his website, there are multiple before - and - after photos of tear trough filler patients, which can give potential patients a clear idea of the results he can achieve. These photos show the transformation in the under - eye area, including reduced dark circles and improved volume (Source: Tear Trough Filler Before and After Photos • Dr. Cameron Rokhsar).

Dr. David Cangello

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 and will work with them to develop a customized treatment plan to achieve the desired results. He uses a small cannula for the injection process, and patients report that the procedure is relatively comfortable. After getting tear trough filler from Dr. Cangello, the normal post - procedure symptoms like mild swelling, bruising, and redness usually subside within a few days to a week (Source: Tear Trough Filler New York City NYC Manhattan).

Dr. Neal Goldberg

Dr. Neal Goldberg is an extensively trained aesthetic plastic surgeon. He offers tear trough filler treatment with Restylane - L® to provide patients with effective and natural - looking results of the highest quality. The treatment takes place during a convenient in - office visit, and the Restylane - L® formula includes a local anesthesia (lidocaine) to increase patient comfort during injections. Rejuvenation can be visible soon after injections, but it can take two to four weeks to realize the full results, which typically last between six months and one year (Source: Tear Trough Filler Westchester County NYC NY).

Dr. W. Matthew White

Dr. W. Matthew White has employed innovative techniques with injectables to restore fullness to the tear trough, giving patients a more youthful appearance. For more severe cases, he is able to combine these newer techniques with surgery to ensure that the tear trough treatment can produce the results in keeping with the patient's needs. He tailors the treatment to the unique requirements and desires of each patient through the consultation process (Source: Tear Trough Manhattan New York City - NYC Tear Trough Fillers).

The Significance of Surgical Case Pictures

Realistic Expectations

Surgical case pictures, such as before - and - after photos of tear trough filling, are extremely valuable for patients. They allow patients to have realistic expectations about the results they can achieve. By looking at these pictures, patients can see the actual transformation in the under - eye area, including how the dark circles are reduced, the volume is restored, and the overall appearance is rejuvenated. For example, on Dr. Cameron Rokhsar's website, the multiple before - and - after photos of tear trough filler patients clearly show the changes in the under - eye region (Source: Tear Trough Filler Before and After Photos • Dr. Cameron Rokhsar).

Evaluating Doctor's Skills

Case pictures also help patients evaluate the skills of the doctor. A skilled doctor will be able to achieve natural - looking results with minimal visible signs of treatment. By examining the pictures, patients can look for signs of symmetry, smoothness, and overall aesthetic appeal. If the after - pictures show well - balanced and natural - looking under - eye areas, it indicates that the doctor has the necessary expertise to perform the procedure successfully.

Comparing Different Doctors

Patients can use surgical case pictures to compare different doctors. They can look at the results achieved by various doctors in New York City and choose the one whose style and results align with their preferences. For instance, if a patient prefers a more subtle improvement, they can look for doctors whose case pictures show less dramatic but still effective changes in the under - eye area.

Preparing for Tear Trough Filling

Consultation

The first step in preparing for tear trough filling is to schedule a consultation with a qualified doctor. During the consultation, the doctor will evaluate the patient's under - eye area, including the depth of the tear troughs, the condition of the skin, and any underlying medical conditions. The doctor will also discuss the patient's goals and expectations and recommend the most suitable filler and treatment plan. For example, Dr. Michele Green assesses the patient's under - eye hollows to choose the right filler and develop a customized treatment plan during the consultation (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Medical History and Medications

Patients should be prepared to discuss their medical history and any medications they are taking with the doctor. Certain medications, such as blood - thinning medications or supplements, can increase the risk of bruising during the procedure. For example, patients should avoid taking NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil) in the days leading up to the appointment. Additionally, patients should inform the doctor of any allergies or sensitivities they may have (Source: Tear Trough Filler New York City NYC Manhattan).

Lifestyle Changes

In the days leading up to the tear trough filling procedure, patients are recommended to avoid alcohol and caffeine as they can increase the risk of bruising. On the day of the appointment, it is best to arrive with a clean and makeup - free face.

The Tear Trough Filling Procedure

Anesthesia

To ensure the patient's comfort during the procedure, a local anesthetic is usually applied to the treatment area. For example, Dr. Michele Green applies a local anesthetic to the entire treatment area one hour before performing any injections. Additionally, the dermal fillers used for the under - eye area are often compounded with lidocaine, further minimizing pain (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Injection Process

The doctor will inject the filler into the under - eye area using an ultrafine needle or a cannula. Some doctors, like Dr. Michele Green, prefer using an ultrafine needle to allow for precision in the tear trough injections, while Dr. David Cangello uses a small cannula. The filler is injected deep into the tear troughs to smooth out the hollows and restore volume (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area, Tear Trough Filler New York City NYC Manhattan).

Immediate Aftercare

Immediately upon completion of the procedure, ice will be applied to the treatment area to help prevent any swelling that may occur. The doctor will also provide aftercare instructions, which may include avoiding rubbing or massaging the area for at least 24 hours, avoiding strenuous exercise, alcohol, and blood - thinning medications or supplements for a certain period. Patients may experience mild swelling, bruising, and redness around the injection site, which usually subside within a few days to a week (Source: Tear Trough Filler New York City NYC Manhattan).

Potential Side Effects and Risks

Mild Side Effects

There are some common mild side effects associated with tear trough filling. Swelling and redness at the injection site are normal and can be minimized by applying ice immediately after the procedure. Bruising is also a potential side effect, and patients can reduce the risk by discontinuing blood - thinning medications before the treatment. Additionally, some patients may be prone to bruising and can take arnica forte, an herbal supplement, to help prevent and heal bruises faster (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Serious Side Effects

Although rare, there are some more serious side effects. The Tyndall effect, which leads to the development of a bluish discoloration after some hyaluronic acid fillers are injected, can occur if the filler is injected too superficially. This color change can last several months in the treated area and can be reversed with hyaluronidase to dissolve the dermal filler. Other rare but 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 serious side effects, it is crucial to have the tear trough filler injections performed by an expert, board - certified injector (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).

Cost of Tear Trough Filling in New York City

The total cost of tear - trough filler treatment in New York City depends on several factors. These include 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, depending on the exact filler. For example, the cost of tear trough correction with Restylane - L® at Dr. Neal Goldberg's practice is approximately $95