Introduction
In the bustling city of New York in 2025, eye tear trough filling has emerged as a popular cosmetic procedure. Many individuals are looking to enhance their under - eye area, reduce the appearance of dark circles and eye bags, and achieve a more youthful and refreshed look. However, finding the right doctor for this procedure is crucial for a successful outcome. In this article, we will explore the top doctors for eye tear trough filling in New York City, discuss the prices associated with the procedure, and even touch on some relevant aspects like freckle - removal cases for a more comprehensive understanding of the eye - related aesthetic treatments available.
Understanding Tear Trough Filling
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).
What Does Tear - Trough Filler Do?
Tear trough fillers restore lost volume in the crease below the eye and improve the appearance of dark circles and under - eye bags. They typically use various hyaluronic dermal fillers, such as Belotero, Restylane, and Juvederm. These dermal fillers are designed to restore collagen production and replenish lost volume in the treatment area. When injected into the tear trough area, they work to reduce the appearance of dark circles and shadowing under the eyes. 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).
Top Doctors for Eye 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 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 a top choice for tear trough filling. 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 at her private dermatology office in Manhattan’s Upper East Side neighborhood, including under - eye fillers. She uses hyaluronic acid fillers like Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance, and is an expert injector who can develop a customized treatment plan based on the patient's unique skin care concerns and aesthetic goals (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
Dr. Brett Kotlus
Dr. Brett Kotlus is a Cosmetic Oculoplastic Surgeon in NYC. He has extensive experience and specialized training in oculoplastic and cosmetic surgery. Dr. Kotlus has a good understanding of the different types of fillers and their suitability for the under - eye area. He recommends cross - linked hyaluronic acid (HA) gel fillers for the under - eyes as they are soft, pliable, and reversible. He still chooses Restylane - L as the best under - eye filler because of its great behavior profile, which includes the right balance of stiffness, cohesivity, duration of effect, and relatively low swelling (Source: The Best Tear Trough and Under - Eye Filler | Dr. Brett Kotlus, Cosmetic Oculoplastic Surgeon, NYC).
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 individual's needs, goals, and medical history. He will work with the patient to develop a customized treatment plan to achieve the desired results. Dr. Cangello uses a cannula for the injection of the filler, which he claims causes no pain during the procedure. His office in New York City is where the tear trough filler appointments take place (Source: Tear Trough Filler New York City NYC Manhattan).
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. 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. His treatment helps patients appear rested and refreshed when the face is at rest and while smiling or otherwise facially animating (Source: 🥇 NYC Under Eye Filler Treatment | UES Tear Trough Filler).
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. During the treatment, a local anesthesia known as lidocaine is included in the Restylane - L ® formula to help increase patient comfort during injections. Dr. Goldberg or his aesthetic nurse injectors can evaluate the patient's tear troughs to determine if Restylane - L ® can provide the desired results or if combining injections with a more long - term treatment is advised (Source: Tear Trough Filler Westchester County NYC NY).
Comparing the Doctors
| Doctor | Specialty | Preferred Filler | Notable Features |
|---|---|---|---|
| Dr. Michele Green | Cosmetic Dermatology | Juvederm Volbella, Restylane, Restylane Eye Light, Belotero Balance | World - renowned, extensive experience in treating various skin concerns, customized treatment plans |
| Dr. Brett Kotlus | Cosmetic Oculoplastic Surgery | Restylane - L | Specialized training in oculoplastic and cosmetic surgery, in - depth knowledge of under - eye fillers |
| Dr. David Cangello | Plastic Surgery | Hyaluronic acid - based fillers | Customized treatment based on individual needs, uses cannula for injection |
| Dr. Zuckerman | Plastic Surgery | Restylane - L | FDA - approved filler, deep injection near the bone, minimizes swelling |
| Dr. Neal Goldberg | Aesthetic Plastic Surgery | Restylane - L ® | Anesthesia in filler formula for comfort, evaluation for best treatment approach |
Price Factors for Eye Tear Trough Filling
The total cost of tear - trough filler treatment depends on several factors:
- Medical Professional: More experienced and well - known doctors like Dr. Michele Green may charge a higher fee due to their expertise and reputation. While it may be more costly, it is important to be very selective about the provider to ensure that unwanted side effects are avoided (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
- Geographic Location: The price can vary depending on the location of the office in New York City. Areas with a higher cost of living or greater demand for cosmetic procedures may have higher prices.
- Type of Filler: Different types of fillers have different costs. For example, some high - end or newly developed fillers may be more expensive than others. Hyaluronic acid fillers like Juvederm Volbella, Restylane, and Belotero Balance each have their own price ranges (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
- Amount of Filler Needed: The number of syringes required for the procedure depends on the patient's facial anatomy and aesthetic goals. Usually, 1 - 2 syringes of tear trough filler may be needed for complete under - eye rejuvenation, and each syringe can cost $1000 or more depending on the exact filler (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
Freckle - Removal Cases Appreciation
While the main focus of this article is on eye tear trough filling, some of the doctors mentioned also offer services related to freckle removal. For instance, Dr. Michele Green, with her vast experience in treating various skin concerns, including hyperpigmentation, may have successful freckle - removal cases. Hyperpigmentation can include freckles, and she can use treatments such as laser therapies or chemical peels to address these issues. Chemical peels, like the Mesopeel Periocular ®, which she recommends for certain under - eye pigmentation issues, can also be used in the treatment of facial freckles. These treatments work by removing the outer layers of the skin, which contain the pigmented cells, and stimulating the growth of new, healthier skin cells (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
Preparing for Tear Trough Filling
Before undergoing tear trough filling, patients need to take certain steps:
- Consultation: Schedule a consultation with the chosen doctor. During this consultation, the doctor will evaluate the targeted treatment area, the skin’s elasticity, and confirm if the patient is a good candidate for tear trough fillers. They will also determine the appropriate dermal filler product and the number of syringes required to produce the best results (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
- Medical History and Medications: Discuss your medical history and any medications you are taking with the doctor, as well as any allergies or sensitivities you may have. In the days leading up to the appointment, 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 to avoid alcohol and caffeine in the days leading up to the appointment, as they can also increase the risk of bruising (Source: Tear Trough Filler New York City NYC Manhattan).
- Arrival on the Day: On the day of the appointment, arrive with a clean and makeup - free face.
The Tear Trough Filling Procedure
The general steps of the tear trough filling procedure are as follows:
- Anesthesia: A local anesthetic will be generously applied to the entire treatment area one hour before performing any injections to ensure that the procedure is as comfortable as possible. Additionally, the dermal fillers used for the under - eye area are often compounded with lidocaine, helping to guarantee that the procedure is as painless as possible (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
- Injection: The doctor will inject the dermal fillers directly into the skin in tiny amounts using an ultrafine needle. Some doctors, like Dr. Green, prefer using an ultrafine needle to allow for precision in the tear trough injections (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
- Post - Procedure Care: Immediately upon completion of the procedure, ice will be applied to the treatment area to help prevent any swelling that may occur, and aftercare instructions will be provided. After initial treatment, the doctor will usually schedule a two - week follow - up to ensure that the treatment was satisfactory and determine whether any touch - up of the hyaluronic acid dermal filler is needed (Source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
Side Effects and Safety
While tear trough filler treatment is generally considered safe, there are some potential side effects:
- Mild Side Effects: It is possible to develop a mild amount of swelling or bruising at or around the injection sites. Swelling and redness are common side effects at the site of injection, and icing the treated area immediately after the injections will minimize this reaction. Bruising can also occur, and to decrease bruising, patients are recommended to discontinue any blood thinners as well as NSAIDs such as Advil, aspirin, ibuprofen, or Aleve. Additionally, patients prone to bruising 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).
- Rare Side Effects: Tyndall effect is a rare side effect that leads to the development of a bluish discoloration after some hyaluronic acid fillers are injected. This can happen if the filler is injected too superficially. 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 prevent any serious or adverse side effects from developing, it is important 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).
Conclusion
In 2025, New York City offers a range of excellent doctors for eye tear trough filling. Doctors like Dr. Michele Green, Dr. Brett Kotlus, Dr. David Cangello, Dr. Zuckerman, and Dr. Neal Goldberg bring their unique expertise and experience to the table. When considering tear trough filling, it is essential to carefully evaluate the doctor based on their specialty, preferred fillers, and patient reviews. Additionally, understanding the price factors and being aware of the preparation steps, procedure details, and potential side effects is crucial for a successful and satisfying experience. Some of these doctors also have the capabilities to handle related skin concerns like freckle removal, providing a more comprehensive approach to facial aesthetics.
If you are interested in eye tear trough filling or other related treatments in New York City, we encourage you to reach out to these doctors for consultations. Learn more about the procedures, ask questions about your specific concerns, and make an informed decision that will help you achieve your desired aesthetic goals. Share this article with others who may be interested in these topics to spread the valuable information.
