Introduction
In New York City, the demand for tear trough filling plastic surgery has been on the rise. Many individuals are looking to rejuvenate their under - eye area and reduce the appearance of dark circles and hollows. This article aims to unveil an authoritative ranking list of tear trough filling plastic surgery hospitals in New York City, while also providing in - depth knowledge about tear trough fillers, the procedure, and associated aspects.
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 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.
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, dermal fillers work to reduce the appearance of dark circles and shadowing under the eyes.
The Best Fillers for Tear Troughs
- Juvederm Volbella: The first FDA - approved dermal filler for treating tear troughs and contains the thinnest formulation of the Juvederm family. Its patented Vycross technology allows for the dermal filler to have a smooth and even distribution under the skin.
- Restylane Eyelight: Commonly used to improve the look of hollowing and under - eye bags. It can help restore lost volume in the tear trough area and reduce the appearance of fine lines and wrinkles in the treatment area. It was FDA - approved in 2023 for use under the eyes and uses crosslinking and patented NASHA technology to erase under - eye hollowing and dark circles caused by lost volume.
- Belotero Balance: Provides a soft and even correction in the skin, making it a highly effective filler option for tear troughs. It has an ultra - thin and flexible formulation that can eliminate the risk of developing the Tyndall effect, which can create a bluish hue in the injected area due to the reflection of light off of particles suspended in the filler.
Plastic Surgeons in New York Specialized in Tear Trough Filling
According to US News, there are many plastic surgeons in New York. Here are some of them:
| Name | Specialty | Location | Years of Experience | Affiliated Hospitals |
|---|---|---|---|---|
| Dr. Ernest S. Chiu MD | Plastic surgery (general plastic surgery, facial plastic and reconstructive surgery, plastic & reconstructive microsurgery, wound healing) | 240 East 38th Street, New York, NY, 10016 | 21+ | - |
| Dr. Jarrod T. Bogue MD | Plastic surgery (burn, plastic & reconstructive microsurgery, breast reconstruction, general plastic surgery) | 161 Fort Washington Avenue, New York, NY, 10032 | 6 - 10 | New York - Presbyterian Hospital - Columbia and Cornell |
| Dr. David L. Abramson MD | Plastic surgery (aesthetic / cosmetic plastic surgery, breast reconstruction, facial plastic and reconstructive surgery) | 42a E 74th St, New York, NY, 10021 | 21+ | Lenox Hill Hospital at Northwell Health |
Leading Hospitals for Tear Trough Filling in New York City
New York - Presbyterian/Columbia University Irving Medical Center
It is ranked as one of the top hospitals in New York and No. 4 in the nation by U.S. News & World Report’s Best Hospitals. It ranks nationally in 15 adult specialties and 8 pediatric specialties. Its surgical excellence includes adult specialties such as heart surgery, GI surgery, lung surgery, and children’s specialties like pediatric heart surgery, pediatric GI surgery, and pediatric lung surgery. Although not specifically focused on tear trough filling, it has a strong reputation for overall surgical care and the availability of highly - trained plastic surgeons.
Mount Sinai - New York
The plastic surgery practice at Mount Sinai offers natural - looking improvements that enhance looks and strengthen self - assurance. The board - certified plastic surgeons are faculty members of the Icahn School of Medicine at Mount Sinai, with many having undergone further specialized training. They offer a full range of options in both aesthetic (cosmetic) and reconstructive (restorative) plastic surgery, along with an array of non - invasive enhancing treatments. The newly designed plastic surgery suite provides a comfortable and advanced environment for patients.
The Tear Trough Filling Procedure
Consultation
The first step for having under - eye dermal fillers is to consult with a medical professional. For example, at Dr. Michele Green's office on the upper east side of Manhattan, she will evaluate the targeted treatment area and the skin’s elasticity, confirm the patient is a good candidate for tear trough fillers, and determine the appropriate dermal filler product and the number of syringes required to produce the best results.
Pre - procedure Preparation
Patients should discuss their medical history and any medications they are taking with the doctor, as well as any allergies or sensitivities. In the days leading up to the appointment, they should avoid taking blood - thinning medications or supplements such as NSAIDs, alcohol, and caffeine to reduce the risk of bruising. On the day of the appointment, it is best to arrive with a clean and makeup - free face.
The Injection Process
A local anesthetic is usually applied to the entire treatment area one hour before performing any injections to ensure comfort. 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. Some providers may prefer using a cannula. For instance, Dr. Green uses an ultrafine needle to allow for precision in the tear trough injections.
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. Aftercare instructions will be provided, which may include 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. It can take up to two weeks for the under - eye filler to settle in the treatment area, and a follow - up appointment is usually scheduled to evaluate the treatment and determine if any touch - up is required.
Advantages and Considerations of Tear Trough Filling
Advantages
- Non - surgical: It is a non - invasive alternative to surgical procedures like blepharoplasty, which involves less downtime and fewer risks.
- Quick Results: The effects of tear trough filler can usually be seen immediately, and patients can achieve a more youthful and refreshed appearance without a long recovery period.
- Customizable: Different fillers can be selected based on the patient's facial anatomy, skin concerns, and cosmetic goals.
Considerations
- Side Effects: There may be mild side effects such as swelling, bruising, redness, itching, and in rare cases, more serious side effects like 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 minimize these risks, it is crucial to have the procedure performed by an experienced and board - certified injector.
- Duration of Results: Dermal fillers typically last for six to twelve months, depending on the exact filler used and individual factors such as metabolism. Repeat treatments may be required to maintain the desired results.
- Cost: 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. Fillers can cost $1000 or more per syringe.
Complementary Treatments for Facial Rejuvenation
Tear trough filler can be combined with other treatments for more comprehensive facial rejuvenation:
Botox
It is popularly used to treat the outer canthal lines (crow’s feet) that appear as a result of smiling, squinting, and other repeated expressive movements. Botox injections into the orbicularis - oculi muscle, or the ring - shaped muscle surrounding the eye, work to relax the muscle, soften the appearance of wrinkles, and prevent the formation of fine lines.
Microneedling
It uses a tool with tiny surgical - grade needles embedded in the tip to create microscopic wounds on the surface layer of the skin. Through the natural wound - healing process of the skin, new, healthier skin cells grow, and new collagen and elastin are produced, which helps to plump and firm skin, diminish signs of aging, and minimize the overall appearance of dark circles.
Thermage
It is the gold standard in facial skin tightening. It uses radiofrequency energy to stimulate collagen production in the skin and can improve skin elasticity in the delicate under - eye area. Skin - tightening results can last up to two years in a single treatment, and most patients choose annual maintenance treatment sessions.
Chemical Peels
They can revitalize baggy or sagging skin under the eyes by removing dead skin cells along the superficial top layer of the skin. This allows healthy new skin cells to be exposed, which can help make the skin firmer and reduce fine lines, discoloration, pigment, and other visible signs of aging on the skin.
Non - ablative Laser Resurfacing Treatments
Such as Fraxel and eMatrix can be used to tighten and firm wrinkly skin under the eyes, as well as diminish the appearance of pigment discoloration in the eye area. The eMatrix laser was developed with a special tip to treat the delicate under - eye area and can increase collagen production.
Conclusion
Tear trough filling plastic surgery is a popular and effective way to rejuvenate the under - eye area in New York City. There are several excellent hospitals and plastic surgeons specialized in this field, offering high - quality services. Understanding the tear trough filler procedure, its advantages, considerations, and complementary treatments is essential for anyone considering this cosmetic treatment. By choosing a reputable hospital and an experienced injector, patients can achieve natural - looking and long - lasting results.
If you are interested in tear trough filling plastic surgery, we encourage you to do further research, read patient reviews, and schedule a consultation with a board - certified plastic surgeon or dermatologist in New York City. Don't hesitate to ask questions and clarify any concerns you may have before making a decision.
