Introduction
Hyaluronic acid eye socket filling has emerged as a popular non - invasive cosmetic procedure in New York City. This treatment can effectively address issues such as tear troughs, dark circles, and eye bags, offering patients a more youthful and refreshed appearance. In this article, we will explore the top doctors in New York City for hyaluronic acid eye socket filling, along with some plastic surgery cases for reference.
Understanding Hyaluronic Acid Eye Socket Filling
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 (source: https://www.michelegreenmd.com/tear - trough - fillers).
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. Fillers made of hyaluronic acid, such as Belotero, Restylane, and Juvederm, help correct this tear trough deformity. 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. 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: https://www.michelegreenmd.com/tear - trough - fillers).
Top Doctors for Hyaluronic Acid Eye Socket 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, including dark under - eyes, she is highly skilled in tear trough filler treatments. She offers a host of non - invasive cosmetic procedures at her private dermatology office in Manhattan’s upper east side neighborhood. Dr. Green uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. She works with patients to develop a customized treatment plan based on their unique skin care concerns and aesthetic goals. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times (source: https://www.michelegreenmd.com/tear - trough - fillers).
Dr. Brett Kotlus
As a cosmetic oculoplastic surgeon in NYC, Dr. Brett Kotlus has extensive experience in under - eye filler treatments. He is an expert in choosing the right filler for patients. He recommends cross - linked hyaluronic acid (HA) gel fillers for the under - eyes as they are soft, pliable, and reversible. He still considers Restylane - L as the best under - eye filler due to its great behavior profile, with the right balance of stiffness, cohesivity, and duration of effect. He also provides advice on how to correct unwanted results from under - eye fillers (source: https://www.drkotlus.com/best - tear - trough - eye - filler/).
Dr. Aviva Preminger
Dr. Aviva Preminger is a top NYC plastic surgeon who offers under - eye filler treatment at her clinic on the upper east side in Manhattan. She is highly respected and has extensive expertise using dermal fillers to create beautiful, natural results. Her under - eye filler treatment can be performed in less than a half - hour, with instant results and few to no side effects. The results can last from several months to well over a year, depending on the type of filler used (source: https://premingermd.com/under - eye - filler/).
Criteria for Choosing the Right Doctor
Experience
Look for doctors with a significant amount of experience in hyaluronic acid eye socket filling. Doctors like Dr. Michele Green with over 25 years of experience in the field have likely treated a wide range of patients and can handle different cases effectively.
Reputation
Check the doctor’s reputation through patient reviews, ratings from reliable sources such as Castle Connolly, Super Doctors, and magazine rankings. For example, Dr. Andrew Jacono has been named one of the best facial plastic surgeons by New York Magazine, which is a strong indication of his high - quality work (source: https://www.newyorkfacialplasticsurgery.com/about - dr - jacono/dr - jacono - reviews - and - news/best - plastic - surgeon - nyc).
Certification
Ensure that the doctor is board - certified. Board - certified doctors have met certain standards of education, training, and ethical practice. For instance, many of the top plastic surgeons in New York are board - certified by relevant medical boards (source: multiple references like https://health.usnews.com/doctors/plastic - surgeons/new - york).
Plastic Surgery Cases for Reference
Case 1: Restylane Filler for Tear Troughs
A patient came to Dr. Michele Green with noticeable tear troughs and dark circles under the eyes. After a thorough consultation, Dr. Green recommended Restylane filler. She injected the filler into the tear trough area using an ultrafine needle for precision. Immediately after the procedure, ice was applied to the treatment area to prevent swelling. Two weeks later, the patient returned for a follow - up. The tear troughs were significantly reduced, and the dark circles were less prominent. The patient was very satisfied with the natural - looking results, which made them look more refreshed and youthful (source: https://www.michelegreenmd.com/tear - trough - fillers).
Case 2: Combination Treatment with Filler and Botox
Another patient visited Dr. Green with concerns about both tear troughs and crow’s feet. Dr. Green decided to use a combination treatment. She injected hyaluronic acid filler into the tear troughs to restore volume and Botox into the orbicularis - oculi muscle to relax the muscle and soften the appearance of crow’s feet. The patient reported that the overall effect was remarkable, with a more rejuvenated eye area and a reduction in the signs of aging (source: https://www.michelegreenmd.com/tear - trough - fillers).
Case 3: Dr. Andrew Jacono’s Celebrity Patient
Marc Jacobs, a well - known figure, underwent an extended deep - plane facelift with Dr. Andrew Jacono in July 2021. Before the surgery, he was unhappy with his sagging neck skin and the lines and wrinkles on his face. After the procedure, he looked just like himself but with a defined jawline and no neck laxity. Dr. Jacono thought that Jacobs appeared between 15 and 20 years younger. This case showcases Dr. Jacono’s skill in performing complex facial plastic surgeries (source: https://www.newyorkfacialplasticsurgery.com/about - dr - jacono/dr - jacono - reviews - and - news/best - plastic - surgeon - nyc).
Comparison of Hyaluronic Acid Fillers
| Filler Name | Advantages | Disadvantages | Recommended Doctor’s Opinion |
|---|---|---|---|
| Restylane | Good balance of stiffness, cohesivity, about a year of effect under the eyes, relatively low swelling, can be fine - tailored for deep or shallow injections | None significant when used appropriately | Dr. Brett Kotlus still chooses Restylane - L as the best under - eye filler |
| Belotero Balance | Very forgiving for the injector, less likely to lump up or cause discoloration | Doesn’t provide great lift if there is a deep tear trough | Dr. Brett Kotlus thinks it is an acceptable choice but less versatile than Restylane |
| Juvederm Volbella | Soft, causes less swelling than older Juvederm products, good for shallow injections under the eyes | A low incidence of inflammatory nodules (bumps) have been reported to occur after 4 months | Dr. Brett Kotlus has a slight hesitation in giving it the highest rating due to the reported nodules |
| Juvederm Vollure | Stiffer, good for deeper injections under the eyes, causes less swelling than older Juvederm products | None significant when used appropriately | Considered a good option for specific cases by Dr. Brett Kotlus |
Procedure and Aftercare
Procedure
The first step for having under - eye dermal fillers is to consult with a doctor, such as Dr. Michele Green in her office on the upper east side of Manhattan. The doctor will evaluate the targeted treatment area and the skin’s elasticity, confirm if the patient is a good candidate for tear trough fillers, and determine the appropriate dermal filler product and the number of syringes required. A local anesthetic will be applied to the entire treatment area one hour before performing any injections. The dermal fillers used for the under - eye area are often compounded with lidocaine. The doctor will inject the dermal fillers directly into the skin in tiny amounts using an ultrafine needle. After the procedure, ice will be applied to the treatment area to help prevent swelling, and aftercare instructions will be provided (source: https://www.michelegreenmd.com/tear - trough - fillers).
Aftercare
Mild swelling and bruising are common side effects after under - eye filler injections. Swelling typically resolves on its own within a week, although some mild swelling may take a few weeks to resolve completely. An ice pack can be applied immediately after the procedure to mitigate swelling. Patients should also avoid excessive heat, such as saunas or hot tubs, for 48 hours after treatment. Bruising can typically resolve within one week. Doctors may recommend ceasing any blood - thinning medications for two weeks before the treatment to reduce the risk of bruising. Patients prone to bruising can take arnica forte, an herbal supplement, to prevent and heal bruises faster (source: https://www.michelegreenmd.com/tear - trough - fillers).
Cost of Hyaluronic Acid Eye Socket Filling
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. For example, when consulting with Dr. Michele Green, she will assess the patient’s tear trough, cosmetic concerns, and goals to choose the best - suited dermal filler product and recommend the total number of syringes needed and the cost of treatment (source: https://www.michelegreenmd.com/tear - trough - fillers).
Conclusion
In New York City, there are several highly skilled doctors who excel in hyaluronic acid eye socket filling. Doctors like Dr. Michele Green, Dr. Brett Kotlus, and Dr. Aviva Preminger have the experience, reputation, and expertise to provide excellent results. By considering the criteria for choosing a doctor, understanding the procedure and aftercare, and looking at real - life plastic surgery cases, patients can make an informed decision. Hyaluronic acid eye socket filling can be a great option for those looking to rejuvenate their under - eye area and achieve a more youthful appearance.
If you are interested in hyaluronic acid eye socket filling, we encourage you to do further research, schedule consultations with top doctors in New York City, and discuss your goals and concerns to find the best treatment for you.
