Share with You the Ranking of Regular Doctors for Filling Tear Troughs with One's Own Fat in New York City!

Introduction

The appearance of tear troughs can make individuals look tired and older. In New York City, filling tear troughs with one's own fat has become a popular cosmetic procedure. This article will not only explain the tear trough issue and fat - filling treatment but also introduce a ranking of regular doctors proficient in this treatment.

Understanding Tear Troughs

What are Tear Troughs?

Tear troughs are the sunken areas that form beneath the lower eyelids, directly below the under - eye bags and extend towards the cheeks. They can be a congenital condition where individuals are born with a lack of facial fat volume in this area, or they can develop due to various factors related to aging. As we age, the skin under the eyes becomes thinner, subcutaneous fat volume is lost, skin elasticity decreases, and facial ligaments become lax. This causes the fat that normally covers the tear trough area to descend, creating a hollow or trough - like appearance. This is a common cosmetic concern as it can make people look perpetually tired or older than their actual age.

Causes of Tear Trough Deformity

• Aging: Over time, the natural aging process leads to a loss of collagen and elastin in the skin. The under - eye area is particularly sensitive to these changes, resulting in thinner and less elastic skin. As the supporting structures weaken, the fat pads shift, creating the tear trough deformity.
• Genetics: Some people inherit facial features that predispose them to having prominent tear troughs. If your parents or close relatives have noticeable tear troughs, you are more likely to develop them as well.
• Loss of Facial Fat: As we age, the fat deposits in our face, especially around the eyes, tend to diminish. This loss of volume can make the tear troughs more visible.
• Loss of Skin Elasticity: The elasticity of the skin decreases with age, which can cause the skin to sag and form depressions in the tear trough area.
• Laxity of Facial Ligaments: The ligaments that support the facial tissues become looser over time, allowing the fat to descend and creating the characteristic hollow look of the tear troughs.

Treatments for Tear Troughs

Dermal Fillers

Dermal fillers are a common non - surgical treatment for tear troughs. They are typically made of hyaluronic acid (HA), a substance that occurs naturally in the body. HA fillers work by adding volume to the area, plumping up the skin and reducing the appearance of dark circles, hollows, and bags in the lower eyelid. Some popular HA fillers used for tear troughs include Restylane®, Belotero, and Juvederm Volbella. The choice of filler depends on the patient's specific needs, skin type, and facial anatomy. The procedure involves injecting the filler into the under - eye area using a small cannula or ultrafine needle. Results are usually visible immediately, and the effects can last for several months, typically around 6 - 12 months.

Fat Transfer

Filling tear troughs with one's own fat is a more permanent solution compared to dermal fillers. The procedure involves extracting fat from another part of the body, such as the abdomen or thighs, through liposuction. The extracted fat is then purified and processed before being injected into the tear trough area. This method has the advantage of using the patient's own tissue, which reduces the risk of allergic reactions. The results can be more natural - looking and long - lasting. However, not all of the transferred fat will survive, and sometimes multiple sessions may be required to achieve the desired results.

Blepharoplasty

If the under - eye hollows are accompanied by under - eye bags, a lower eyelid blepharoplasty procedure may be recommended. This surgical option involves making small incisions in the eyelid area and removing the excess skin and fat. In some cases, the fat causing the bags can be transposed into the under - eye hollow to improve the appearance of the tear troughs. Blepharoplasty is a more invasive procedure with a longer recovery time compared to dermal fillers or fat transfer.

Benefits and Considerations of Fat Transfer for Tear Troughs

Benefits

• Natural Results: Since the fat is taken from the patient's own body, the results tend to look and feel more natural compared to synthetic fillers.
• Long - Lasting: Unlike dermal fillers that typically last for several months, the fat that survives the transfer can provide more permanent results. Over time, the transferred fat integrates with the surrounding tissue, creating a stable improvement in the tear trough area.
• Low Risk of Allergic Reactions: Using the patient's own fat significantly reduces the risk of allergic reactions or adverse immune responses that can occur with synthetic fillers.

Considerations

• Survival Rate of Fat: Not all of the transferred fat will survive. The survival rate can vary depending on factors such as the patient's age, health, and the skill of the surgeon. In some cases, a second or third session may be required to achieve the desired level of volume correction.
• Recovery Time: Fat transfer is a more invasive procedure compared to dermal filler injections. There is usually some swelling, bruising, and discomfort at both the donor and recipient sites. The recovery period can take a few weeks, during which the patient may need to avoid strenuous activities and follow specific aftercare instructions.
• Cost: Fat transfer for tear troughs can be more expensive than dermal fillers. The cost includes the liposuction procedure at the donor site, the processing of the fat, and the injection into the tear trough area. Additionally, if multiple sessions are required, the cost will increase accordingly.

Ranking of Regular Doctors for Filling Tear Troughs with One's Own Fat in New York City

Dr. David Cangello

Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He can offer fat transfer for tear troughs and recommend the best treatment approach based on the patient's individual needs, goals, and medical history. He will work with patients to develop a customized treatment plan to achieve beautiful and natural results. During the consultation, he carefully assesses the patient's condition, explains the procedure in detail, and addresses any concerns. His patients often praise his patience, professionalism, and the quality of his work. For example, one patient said, “He is amazing! Made me feel super comfortable as soon as I met him. He has a lot of patience, explains every little detail and is a great listener. Not to mention his work is absolutely amazing. Got fillers and I can tell he was very experienced and made the effort to make me feel good and look fantastic!”

Dr. Michele Green

Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology. With over 25 years of experience, she has treated a wide range of skin concerns for patients from around the globe. Although she is well - known for her expertise in dermal fillers, she also has the knowledge and skills to perform fat transfer for tear troughs. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. When treating patients, she takes a holistic approach, considering the patient's overall skin condition and aesthetic goals. She is an expert injector who can ensure that the fat transfer is performed safely and effectively, providing natural - looking and long - lasting results.

Dr. Neal Goldberg

Dr. Neal Goldberg is an extensively trained aesthetic plastic surgeon who offers tear trough filler treatment with Restylane - L® and also has experience in fat transfer for tear troughs. He uses high - quality techniques to provide patients with effective and natural - looking results of the highest quality. His team evaluates each patient on an individual basis to determine if fat transfer is the right option. They consider factors such as the patient's skin thickness, the degree of volume loss, and the patient's expectations. Dr. Goldberg and his aesthetic nurse injectors provide detailed pre - and post - operative care instructions to ensure the best possible outcome for the patient.

What to Look for in a Doctor for Tear Trough Fat Transfer

Credentials and Experience

Ensure that the doctor is board - certified in plastic surgery or a relevant specialty. Board certification indicates that the doctor has met the rigorous standards of education, training, and ethical practice. Look for a doctor with extensive experience in performing fat transfer for tear troughs. A doctor who has performed a large number of these procedures is more likely to have the skills and expertise to achieve optimal results and handle any potential complications.

Patient Reviews and Testimonials

Read patient reviews and testimonials to get an idea of the doctor's reputation and the quality of their work. Positive reviews from satisfied patients can give you confidence in the doctor's abilities. Look for reviews that specifically mention tear trough fat transfer or other related procedures. You can also ask the doctor for before - and - after photos of their previous patients to see the actual results they have achieved.

Communication and Bedside Manner

A good doctor should be able to communicate effectively with you. They should listen to your concerns, answer your questions clearly, and explain the procedure and its potential risks and benefits in a way that you can understand. A doctor with a good bedside manner will make you feel comfortable and at ease during the consultation and throughout the treatment process. They should show empathy and respect for your feelings and preferences.

Technology and Facilities

Find out if the doctor uses the latest technology and equipment for fat transfer. Advanced techniques can improve the safety and effectiveness of the procedure. Also, consider the quality of the facilities where the procedure will be performed. A clean, modern, and well - equipped facility is more likely to provide a safe and comfortable environment for the treatment.

Preparing for Tear Trough Fat Transfer

Consultation

The first step is to schedule a consultation with the doctor. During the consultation, the doctor will evaluate your tear trough area, your overall health, and your aesthetic goals. They will discuss the fat transfer procedure in detail, including the expected results, the potential risks and complications, and the recovery process. You should also discuss any medications you are taking, any allergies or sensitivities you have, and your medical history. This information will help the doctor determine if you are a suitable candidate for the procedure and develop a personalized treatment plan for you.

Lifestyle Changes

In the days leading up to the procedure, you may need to make some lifestyle changes. You should avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil) as these can increase the risk of bruising. Additionally, it is recommended that you avoid alcohol and caffeine, as they can also contribute to bruising. You should also try to get enough rest and eat a healthy diet to prepare your body for the procedure.

Pre - operative Instructions

The doctor will provide you with specific pre - operative instructions. These may include instructions on skin preparation, such as cleansing your face thoroughly before the procedure. You may also be asked to avoid wearing makeup or using certain skincare products on the day of the procedure. Follow these instructions carefully to ensure the success of the fat transfer.

The Tear Trough Fat Transfer Procedure

Anesthesia

The doctor will determine the most appropriate type of anesthesia for the fat transfer procedure based on your individual needs and the extent of the treatment. It can be local anesthesia, which numbs only the treatment area, or general anesthesia, which makes you unconscious during the procedure. Local anesthesia is often used for minor fat transfer procedures in the tear trough area, as it reduces the risk associated with general anesthesia and allows for a quicker recovery.

Fat Extraction

The first step of the fat transfer is to extract fat from the donor site. Common donor sites include the abdomen, thighs, or hips. The doctor will make a small incision at the donor site and use a cannula to suction out the fat. The fat is then carefully processed to remove any impurities, blood, or excess fluid. This ensures that only healthy and viable fat cells are used for the injection into the tear trough area.

Fat Injection

Once the fat has been processed, the doctor will use a fine needle or cannula to inject the fat into the tear trough area. The injection is done in multiple small amounts to ensure an even distribution of the fat and a natural - looking result. The doctor will carefully monitor the volume and placement of the fat to achieve the desired level of volume correction and symmetry.

Recovery after Tear Trough Fat Transfer

Immediate Post - operative Period

After the procedure, you can expect some swelling, bruising, and mild discomfort at both the donor and recipient sites. The doctor may apply a cold compress to the tear trough area to reduce swelling and pain. You will be given specific aftercare instructions, which may include taking over - the - counter pain medications, if needed, and keeping the treatment area clean and dry. You should avoid touching or rubbing the tear trough area for at least 24 hours to prevent the fat from shifting.

Swelling and Bruising

Swelling and bruising are normal side effects of tear trough fat transfer. The swelling usually peaks within the first few days after the procedure and gradually subsides over the next week or two. Bruising may take a little longer to fade, typically within 1 - 2 weeks. Applying cold compresses as directed and following the doctor's instructions can help minimize these symptoms.

Follow - up Appointments

You will need to schedule follow - up appointments with the doctor to monitor your recovery. At these appointments, the doctor will check the healing process, evaluate the results of the fat transfer, and determine if any touch - up injections are needed. The first follow - up appointment is usually scheduled within a week or two after the procedure, and additional appointments may be scheduled over the next few months to ensure the best long - term results.

Return to Normal Activities

Most patients can return to work and normal activities within a few days to a week after the tear trough fat transfer, depending on the extent of the swelling and bruising. However, you should avoid strenuous exercise, heavy lifting, and activities that may increase blood pressure for at least 1 - 2 weeks. You should also protect the treatment area from direct sunlight and use sunscreen to prevent pigmentation changes.

Conclusion

Filling tear troughs with one's own fat is an effective way to address the issue of under - eye hollows and achieve a more youthful and refreshed appearance. In New York City, there are several highly qualified doctors who specialize in this procedure, such as Dr. David Cangello, Dr. Michele Green, and Dr. Neal Goldberg. When choosing a doctor, it is important to consider their credentials, experience, patient reviews, communication skills, and the quality of their facilities. By following the pre - operative and post - operative instructions carefully, you can ensure a successful fat transfer procedure and enjoy long - lasting results. If you are interested in tear trough fat transfer, we encourage you to schedule a consultation with a qualified doctor to discuss your options and take the first step towards a more youthful look.