Introduction
The under - eye area is often the first to show signs of aging, with tear troughs being a common concern. Tear troughs can give a person a tired, worn - out appearance. In New York City, there are several top - notch plastic surgery hospitals and experts specializing in tear trough filling. This article will review the top three options available for those seeking to rejuvenate their under - eye area through tear trough filling.
Understanding Tear Troughs and 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 develop due to the natural loss of collagen 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.
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. With various hyaluronic dermal fillers, such as Belotero, Restylane, and Juvederm, they 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.
Top Plastic Surgery Hospitals/Experts in New York City for Tear Trough Filling
Dr. Michele Green
Expertise and Reputation
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 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.
Treatment Approach
Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. These fillers have a soft formulation to enhance the natural appearance for a rejuvenated look. During the consultation, Dr. Green will assess the patient's under - eye hollows to choose the right tear trough filler and develop a customized treatment plan that caters to the patient's unique skin care concerns and aesthetic goals.
Procedure and Aftercare
The first step for having under - eye dermal fillers is to consult with Dr. Green in her office on the upper east side of Manhattan. A local anesthetic will be applied to the treatment area one hour before performing any injections, and the dermal fillers used by Dr. Green are compounded with lidocaine. She injects 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. Dr. Green will see the patient for 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.
Dr. Adam R. Kolker
Expertise and Reputation
Skilled in all nuances and techniques in rejuvenation of the eye area and blepharoplasty, New York City plastic surgeon Adam R. Kolker, M.D., brings vast experience, technical finesse, meticulous attention to detail, and artistry to achieve the most beautiful results. His patients have provided numerous positive testimonials about his surgical skills and the personalized care they receive.
Treatment Options
For eyelid rejuvenation, Dr. Kolker offers a variety of options including traditional blepharoplasty and non - surgical lower eyelid rejuvenation with injectable facial fillers to restore volume to the tear trough. When performing tear trough filling, he has an in - depth understanding of facial anatomy and can precisely inject fillers to achieve natural - looking results. He also offers other complementary treatments such as laser resurfacing and fat grafting in combination with tear trough filling to enhance the overall rejuvenation effect of the eye area.
Patient Experience
From the first visit through the perioperative process and recovery, patients experience the thoroughness, attention to detail, and warmth with which Dr. Kolker and his team welcome and care for them. He takes the time to understand each patient's unique physical attributes and desires, and formulates a customized eyelid rejuvenation treatment strategy tailored to the patient's requirements.
Dr. David Zuckerman
Expertise and Reputation
Dr. Zuckerman is a board - certified plastic surgeon who is very familiar with the anatomy of the face. He can help patients reduce dark circles with under - eye dermal filler injections. His expertise in this area has earned him a good reputation among patients seeking tear trough rejuvenation in New York City.
Treatment Approach
For the sensitive under - eye area, Dr. Zuckerman 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 of hyaluronic acid fillers, and therefore minimizes swelling. He injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. This treatment helps a patient appear rested and refreshed when the face is at rest and while smiling or otherwise facially animating.
Procedure and Aftercare
The treatment time for tear trough rejuvenation with Dr. Zuckerman is 10 - 20 minutes per treatment. He recommends that patients avoid ibuprofen/aspirin two days before and after treatment, avoid excess alcohol one day before and after, and skip intensive physical activity the day of treatment if possible. There may be mild bruising or swelling, which in some cases can last up to a week, but more often, these post - treatment effects resolve within a few days. Dr. Zuckerman is also able to minimize bruising using his techniques and by icing the affected area post - treatment.
Comparison of the Three Experts
| Expert | Main Treatment Type | Preferred Fillers | Treatment Duration | Aftercare and Downtime |
|---|---|---|---|---|
| Dr. Michele Green | Non - invasive dermal filler injections | Juvederm Volbella, Restylane, Restylane Eye Light, Belotero Balance | Procedure time depends on individual case, followed by a two - week follow - up | Mild swelling and bruising possible, aftercare includes icing and follow - up. Most patients can resume normal activities with little downtime. |
| Dr. Adam R. Kolker | Combination of surgical (blepharoplasty) and non - surgical (injectable fillers) for eyelid rejuvenation | Various injectable hyaluronic acid fillers | For blepharoplasty, procedure can range from 45 minutes to 2 hours. For non - surgical filler, shorter time | For blepharoplasty, swelling and bruising may take about a week to resolve. More limited non - surgical maneuvers may have shorter recovery. Regular follow - up for both surgical and non - surgical cases. |
| Dr. David Zuckerman | Under - eye dermal filler injections | Restylane - L | 10 - 20 minutes per treatment | Mild bruising or swelling, which may last up to a week but usually resolves in a few days. Makeup can be applied if needed after treatment. |
Factors to Consider When Choosing a Provider
Expertise and Experience
Look for a provider with extensive experience in tear trough filling and a good understanding of facial anatomy. Surgeons or dermatologists who have been in practice for many years and have a proven track record of successful treatments are more likely to deliver satisfactory results. Check their before - and - after photos and patient testimonials to gauge their skill level.
Reputation
A provider's reputation is crucial. Consider reviews from previous patients, ratings from professional organizations, and media coverage. Reputable providers are more likely to follow best practices and prioritize patient safety and satisfaction.
Treatment Approach
Find out what treatment approach the provider uses. Some may focus on non - invasive dermal fillers, while others may offer a combination of surgical and non - surgical options. Choose a provider whose approach aligns with your preferences and aesthetic goals.
Cost
The cost of tear trough filling can vary depending on the provider, the type of filler used, and the amount of filler required. While cost should not be the only determining factor, it is important to have a clear understanding of the pricing structure and any additional fees involved.
Potential Risks and Side Effects of Tear Trough Filling
Common Side Effects
Common side effects of tear trough filling include swelling, bruising, redness at the injection site. Swelling and redness are common immediate reactions, and icing the treated area immediately after injections can minimize these. Bruising is another potential side effect, and patients can take steps such as discontinuing blood thinners before the procedure to reduce the risk.
Rare but Serious Side Effects
Although rare, more serious side effects can occur, 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. To prevent these serious side effects, it is crucial to have the tear trough filler injections performed by an expert, board - certified injector.
Conclusion
In New York City, Dr. Michele Green, Dr. Adam R. Kolker, and Dr. David Zuckerman are among the top experts for tear trough filling. Each has their own unique expertise, treatment approach, and patient care philosophy. Whether you prefer a non - invasive approach with dermal fillers or a combination of surgical and non - surgical options, these experts can provide personalized solutions to address your under - eye concerns. However, it is important to thoroughly research and consider various factors before choosing a provider to ensure a safe and successful tear trough filling treatment.
If you are considering tear trough filling, we encourage you to schedule a consultation with one of these experts. Discuss your aesthetic goals, ask questions about the procedure and potential risks, and make an informed decision. Share this article with others who may be interested in tear trough filling and stay informed about the latest advancements in under - eye rejuvenation treatments.
