Understanding Tear Troughs and the Need for Fat Filling

The area under the eyes is a delicate and prominent part of the face. As we age, the skin under the eyes can become thinner, and subcutaneous fat volume is lost. This leads to the tear trough area becoming more prominent, causing a tear trough deformity. Some individuals are even born with a lack of facial fat volume in the tear trough area, resulting in under - eye hollows. The tear trough is the sunken area beneath the lower eyelids, below the under - eye bags, and extending towards the cheeks. This common cosmetic concern can make people look tired or older than their actual age.

The factors contributing to tear trough deformity are diverse. Aging is a significant factor, as it causes the loss of facial fat, skin elasticity, and laxity of facial ligaments. The fat that normally covers the tear trough area descends, creating a hollow. Genetics also play a role, as some people are predisposed to having less fat in this area from birth. The skin under the eyes is thinner and more delicate than other parts of the face, making it more prone to losing volume. As the volume decreases, the skin sags, creating a hollow or trough - like appearance.

Treatment Options for Tear Troughs

There are several treatment options available for tear trough deformity. Dermal fillers, such as hyaluronic acid - based fillers, are a popular choice. These fillers are injected into the area to plump up the skin and restore volume loss. Fat transfer is another option, where fat from other parts of the body is removed and injected into the tear trough area. In cases where under - eye hollows are accompanied by under - eye bags, a lower eyelid blepharoplasty procedure can be used to transpose the fat causing the bags into the under - eye hollow.

Introducing the 5 Reputable Doctors for Fat Filling to Remove Tear Troughs in New York City

Dr. David Cangello

Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He understands the unique anatomy of the tear trough area and the best approaches to achieve beautiful and natural results.

Expertise in Tear Trough Filler

He is well - versed in using hyaluronic acid - based fillers, such as Restylane® or Belotero, which are safe, effective, and provide natural - looking results. Dr. Cangello will recommend the best option for tear trough filler based on an individual's specific needs, goals, and medical history. He works closely with patients to develop a customized treatment plan to achieve their desired results.

Patient - Centered Approach

During the consultation, Dr. Cangello takes the time to understand the patient's concerns and expectations. He provides detailed information about the procedure, including the benefits, potential risks, and aftercare. This patient - centered approach ensures that patients are well - informed and comfortable throughout the treatment process.

Procedure and Aftercare

The tear trough filler procedure with Dr. Cangello involves injecting the filler into the under - eye area using a small cannula, and results can typically be seen immediately. After the procedure, it is normal to experience some mild swelling, bruising, and redness around the injection site. Dr. Cangello provides clear aftercare instructions, such as avoiding rubbing or massaging the area for at least 24 hours, avoiding strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours. Following these instructions will ensure optimal results and reduce the risk of complications.

Neinstein Plastic Surgery

Neinstein Plastic Surgery offers tear trough filler injections as an ideal alternative to surgery for many patients. Their goal is to blend the eyelid with the cheek to give a rested and youthful appearance.

Preparation for Injections

Prior to the appointment, patients are asked to avoid using blood thinners like aspirin for 5 days before the procedure. On the day of the injections, makeup is removed, and the skin is numbed for 20 minutes.

Injection Process

The approach at Neinstein Plastic Surgery 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. Once the injections are complete, ice is placed on the eyes for 5 minutes, and the patient takes a one - time dose of steroids to reduce swelling. Since the skin is numbed and the injections have some numbing material, patients only experience mild discomfort. They also use cannulas (no needles under the skin), which means less trauma to the tissues.

Recovery and Aftercare

After the treatment, patients are advised not to rub or massage the treated area immediately. When cleansing the face or applying makeup, gentle, sweeping motions should be used to avoid excessive mobility of the area. Patients should wait 24 hours before resuming strenuous activities. Bruising at the treatment site may occur, and temporary, minimal to moderate swelling can be expected. Cool compresses can be applied to the area treated (avoiding pressure). If there is any mild tenderness or discomfort, acetaminophen/tylenol can be taken. It is recommended to wait a minimum of four weeks before receiving any laser treatments. The clinic also has led light therapy devices available for patients to bring home to speed healing and incorporation of the product into the skin.

Dr. Neal Goldberg

Dr. Neal Goldberg is an extensively trained aesthetic plastic surgeon who offers tear trough filler treatment with Restylane - L® to provide patients with effective and natural - looking results of the highest quality.

Tear Trough Filler Details

Tear trough filler with Dr. Goldberg is typically made from hyaluronic acid, a naturally occurring substance in the body. Restylane - L® is a clear hyaluronic acid - based dermal filler that can add volume to the tear troughs. Since it is not derived from animal products, there is no need for allergy testing before treatment.

Candidate Assessment

Dr. Goldberg or his aesthetic nurse injectors evaluate each patient on an individual basis. Those who would benefit from a tear trough filler generally include patients who seek a fuller, smoother look under the lower eyelids, less pronounced tear troughs, reduced puffiness and dark circles under the eyes, and a more energetic and youthful appearance. A tear trough filler often provides the best results when the lower eyelid skin is relatively thick with minimal sagging and/or excess skin.

Treatment Process

The treatment takes place during a convenient in - office treatment. A local anesthesia known as lidocaine is included in the Restylane - L® formula to help increase patient comfort during injections, but an additional numbing agent can be applied to the skin beforehand if desired. An ultra - fine needle is used to deliver Restylane - L® into the tear troughs and plump the skin. Swelling and redness may occur but should subside naturally after injections. Patients are advised to avoid anti - inflammatory pain relievers and certain other medications, as they can increase bruising after the treatment. Rejuvenation can be visible soon after injections, but it can take two to four weeks to realize the full results of Restylane - L®, and the results typically last between six months and one year.

Dr. Robert Schwarcz

Dr. Robert Schwarcz is a highly accomplished oculoplastic and facial cosmetic surgeon. He is known as a fat injection expert and is particularly good at fixing fat grafting problems, especially under the eyes. He has even created a special surgical tool to remove fat lumps.

Experience in Fat Grafting

Facial fat transfer, also known as fat grafting, has gained popularity in the last 10 years, and Dr. Schwarcz has extensive experience in this area. He understands the potential complications that can result from fat grafting, such as lumps, over - filling, and contour irregularities, but has found these to be extremely rare (less than 1%) when done with careful fat collection, processing, and placement.

Patient Trust

Dr. Brett Kotlus, a well - known cosmetic oculoplastic surgeon, even says he would send his family to see Dr. Schwarcz if they needed facial cosmetic or reconstructive work done in NY when he couldn't do it himself. This speaks volumes about Dr. Schwarcz's reputation and the trust he has earned in the medical community.

Details from Other Relevant Practices

There are other clinics and doctors in New York City who offer related services. For example, in New City, NY, Blissful Me Med Spa offers tear trough fillers treatment. Their aestheticians use hyaluronic acid (HA) to inject the correct amount of volume to smooth away the tear trough. They apply the latest anesthetic before the injections and customize the treatment for each patient's desired results.

They claim that the tear trough fillers treatment is a beneficial and efficient choice for patients with tear trough hollows and under - eye bags. It helps in normalizing and harmonizing facial edges around the lid - cheek junction and prevents the need for surgery. The treatment is painless as they use the latest numbing solution, and the results look natural. Patients can expect instant results, a shining and fleshy under - eye area, and an overall more youthful, less exhausted - looking under - eye area.

Comparing Different Treatment Approaches

Fat Transfer vs. Hyaluronic Acid Fillers

Fat transfer involves removing fat from one part of the body, processing it, and then injecting it into the tear trough area. This approach uses the patient's own fat, which can provide a more natural - looking and longer - lasting result. However, it has some drawbacks. The fat survival rate after purification of the liposuctioned fat is typically only 30%. Surgeons may need to perform multiple sessions to achieve the desired volume, and there is a risk of over - injection and uneven results. Additionally, there is a concern about the handling of the fat, such as freezing and defrosting, which can further reduce the survival rate.

Hyaluronic acid fillers, on the other hand, are a popular non - surgical option. They are easy to administer, and the results are immediate. They can be adjusted if the patient is not satisfied, as they can be dissolved using hyaluronidase. The recovery time is minimal, and the risk of complications is relatively low. However, the effects are temporary and typically last between 6 - 12 months.

Preparing for Tear Trough Fat Filling

Preparing for a tear trough fat filling appointment is crucial to ensure a smooth and successful procedure. Patients should have a detailed consultation with their chosen doctor to discuss their medical history, any medications they are taking, and any allergies or sensitivities they may have. It is important to disclose all relevant information to avoid any potential complications.

In the days leading up to the appointment, patients should 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, alcohol and caffeine should be avoided, as they can also increase the risk of bruising. On the day of the appointment, it is best to arrive with a clean and makeup - free face.

Recovery and Aftercare

After getting tear trough fat filling, it is normal to experience some mild swelling, bruising, and redness around the injection site. These symptoms usually subside within a few days to a week and can be managed with ice packs or over - the - counter pain medications such as ibuprofen.

Patients should avoid rubbing or massaging the area for at least 24 hours after the procedure, as this can cause the filler or fat to shift or become dislodged. Strenuous exercise, alcohol, and blood - thinning medications or supplements should be avoided for at least 24 hours. While the results of the treatment are often immediate, it may take a few days for the full effects to be visible as any swelling or bruising subsides. Following the aftercare instructions provided by the doctor will ensure optimal results and reduce the risk of complications.

Cost Considerations

The cost of tear trough fat filling or filler treatments can vary depending on several factors. These include the type and amount of filler or fat needed, the reputation and experience of the doctor, and the location of the clinic. For example, the cost of tear trough correction with Dr. Neal Goldberg is approximately $950 per injection, but this can vary based on individual needs. At Blissful Me Med Spa in New City, NY, the tear trough fillers treatment costs $775. Some clinics may also offer financing options to make the treatment more affordable for patients.

Conclusion

Removing tear troughs through fat filling or filler treatments is a popular cosmetic option in New York City. With the expertise of doctors like Dr. David Cangello, Neinstein Plastic Surgery, Dr. Neal Goldberg, Dr. Robert Schwarcz, and the services offered by clinics such as Blissful Me Med Spa, patients have a range of choices. Each doctor and clinic has its own unique approach, advantages, and patient - centered services. It is important for patients to carefully consider their options, consult with the doctors, and understand the risks and benefits before making a decision.

If you are considering tear trough fat filling or filler treatments, take the time to research these 5 reputable doctors in New York City. Contact them for a consultation, and discuss your goals and concerns. This will help you make an informed decision and achieve the best possible results for a more youthful and refreshed appearance. Don't let tear troughs make you look tired; take action and explore these excellent treatment options today!