Introduction
In the bustling city of New York, the quest for a youthful and refreshed appearance is ever - present. One common concern among many individuals is the appearance of tear troughs. The tear trough is the sunken area beneath the lower eyelids, which can cause dark circles, hollows, and make a person look tired or older than they are. Tear trough filling has emerged as a popular cosmetic solution to address this issue. In this article, we will explore the top - ranked plastic hospitals for eye tear trough filling in New York City, the treatment itself, and related aspects.
Understanding Tear Troughs
What are Tear Troughs?
The tear trough refers to the anatomic area of the face, specifically the hollow between the upper cheek and the lower eyelid region. As we age, several factors contribute to the prominence of tear troughs. Firstly, the skin under the eyes becomes thinner, and subcutaneous fat volume is lost. The loss of facial fat, reduction in skin elasticity, and laxity of facial ligaments due to aging cause the fat that normally covers the tear trough area to descend, creating a hollow. Some individuals are also born with a congenital lack of facial fat volume in this area, resulting in an under - eye hollow from birth.
Why Tear Troughs are a Concern
Tear troughs can cast a shadow and create the appearance of a darkened under - eye area, making one look tired or prematurely aged. It can be a common cosmetic concern that affects a person's self - confidence. Many people wish to correct this issue to achieve a more youthful and refreshed look.
Tear Trough Filling: An Overview
What is Tear Trough Filler?
Tear trough filler is a cosmetic procedure that involves injecting a hyaluronic acid - based filler (HA) into the area under the eyes. This treatment aims to reduce the appearance of dark circles, hollows, and bags in the lower eyelid. Hyaluronic acid is a substance that occurs naturally in the body and helps plump the skin and increase collagen production, resulting in a more youthful - looking complexion. There are several types of tear trough fillers available, and the choice depends on individual needs, goals, skin type, and anatomy.
Benefits of Tear Trough Filler
- Reduces Appearance of Dark Circles: By filling the hollow under the eyes, the shadowing effect that causes dark circles is minimized.
- Camouflages Under - Eye Bags: Filling the depression below the eye bags (the tear trough) helps the lower eyelid blend more seamlessly with the cheek, reducing the prominence of bags and puffiness.
- Restores Volume: It replenishes the lost volume in the under - eye area, giving a more youthful appearance.
- Non - Surgical: Unlike surgical procedures like blepharoplasty, tear trough filler is a non - invasive option.
- Little to No Downtime: Patients can usually resume their normal activities immediately after the procedure, with only mild swelling, bruising, or redness that subsides within a few days to a week.
- Quick Results: Results are typically visible immediately after the injection.
- Long - Lasting: The effects can last for several months, usually around 6 - 12 months, depending on the individual and the type of filler used.
Candidates for Tear Trough Filler
Good candidates for tear trough filler are typically individuals who are bothered by the appearance of under - eye hollows or dark circles and are seeking a non - surgical solution. They should have healthy skin and no underlying medical conditions that could increase the risk of complications. Realistic expectations are also important, as the treatment can provide improvement but not perfection. Filler is mainly useful for dark circles caused by volume loss in the tear trough area. Those with severe skin laxity, excess skin, or fat in the under - eye area may be better suited to surgical options like eyelid surgery (blepharoplasty).
Preparing for Tear Trough Filler
Before the procedure, patients should discuss their medical history, any medications they are taking, and any allergies or sensitivities with their doctor. In the days leading up to the appointment, they should avoid taking blood - thinning medications or supplements such as NSAIDs (e.g., ibuprofen, aspirin) and fish oil, as these can increase the risk of bruising. It is also recommended to avoid alcohol and caffeine. On the day of the appointment, patients should arrive with a clean and makeup - free face.
Tear Trough Filler Procedure
This cosmetic procedure typically involves injecting the filler into the under - eye area using a small cannula. Results can usually be seen immediately. The effects of tear trough filler can last for several months, but this can vary depending on the individual and the type of filler used. The procedure time is generally about 15 to 30 minutes, depending on the individual and the amount of filler used.
Tear Trough Filler Recovery
After getting tear trough filler, 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. Patients can manage these symptoms with ice packs or over - the - counter pain medications such as ibuprofen. They should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the filler from shifting. It is also recommended to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours. The full effects may take a few days to be visible as the swelling and bruising subside.
Types of Tear Trough Fillers
Hyaluronic Acid Fillers
Hyaluronic acid fillers are the most commonly used for tear trough filling. They are safe, effective, and provide natural - looking results. Some popular hyaluronic acid fillers include:
| Filler Name | Features |
|---|---|
| Restylane - L | FDA - approved for treating the under - eye area. It is the least hydrophilic among hyaluronic acid fillers, minimizing swelling. Dr. Zuckerman uses it and injects deep into the tissues near the bone. It can last up to 1 year. |
| Juvederm Volbella | The first FDA - approved dermal filler for treating tear troughs. It has the thinnest formulation of the Juvederm family and uses patented Vycross technology for a smooth and even distribution under the skin. |
| Restylane Eyelight | Newer dermal filler, FDA - approved in 2023 for use under the eyes. It 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. It has an ultra - thin and flexible formulation that can eliminate the risk of the Tyndall effect (a bluish hue in the injected area due to light reflection off particles in the filler) as there are no suspended particles in it. |
Other Fillers
Some doctors may also consider fat injection, also known as fat transfer or fat grafting. It is a permanent filler that uses the patient's own fat cells to add volume. However, it is less predictable than filler as some of the injected cells may not survive. Surgeons need to use a specific technique, such as processing the fat in a sterile, closed system and placing conservative amounts of fat in the deepest level with very small fat parcels in each location.
Ranked Plastic Hospitals for Eye Tear Trough Filling in New York City
1. Cangello Plastic Surgery
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He can recommend the best option for tear trough filler based on individual needs, goals, and medical history. During the consultation, he determines the best treatment approach to achieve beautiful and natural results. Patients can have their tear trough filler appointments at his New York City office.
2. Zuckerman Plastic Surgery
Dr. Zuckerman can help reduce dark circles with under - eye dermal filler injections. He uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for the under - eye area. The treatment helps patients appear rested and refreshed. The procedure takes 10 - 20 minutes per treatment, and most patients can return to work immediately after. Dr. Zuckerman is also able to minimize bruising using his techniques.
3. Michele Green MD
Dr. Michele Green is a world - renowned expert in cosmetic dermatology. She has over 25 years of experience treating various skin concerns. She offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. Dr. Green can work with patients to ensure they are good candidates for tear trough fillers and develop a customized treatment plan. She uses an ultrafine needle for precision in the tear trough injections and provides detailed aftercare instructions.
4. Kotlus Cosmetic Oculoplastic Surgery
Dr. Brett Kotlus is a cosmetic oculoplastic surgeon. He has specialized training in this field. He can help patients choose the best filler for the under - eyes and tear troughs. He advises against using permanent or semi - permanent injectable fillers under the eyes, such as BelaFill, Radiesse, silicone, and Sculptra. Instead, he recommends cross - linked hyaluronic acid (HA) gel fillers, with Restylane - L being his top choice for the under - eyes.
5. Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough filler injections. Their approach is to inject very deep and slowly move the hyaluronic acid up towards the tear trough area, which is safe, predictable, and reduces the risk of bruising. They use cannulas instead of needles, causing less trauma to the tissues. After the procedure, they provide clear recovery and after - care instructions.
6. Dr. Neal Goldberg's Practice
Dr. Neal Goldberg, an extensively trained aesthetic plastic surgeon, offers tear trough filler treatment with Restylane - L ®. His team evaluates patients to determine if this treatment can provide the desired results or if a combination with a more long - term treatment is advised. They also provide a cost estimate based on the patient's needs and goals and offer patient financing options.
Comparing the Hospitals
| Hospital | Expertise | Fillers Used | Procedure Features | After - Care |
|---|---|---|---|---|
| Cangello Plastic Surgery | Extensive experience in tear trough filler treatments | Recommended based on individual needs | Customized treatment approach determined during consultation | Follow - up advice for optimal results |
| Zuckerman Plastic Surgery | Skilled in using Restylane - L for under - eye filler | Restylane - L | Minimizes bruising; quick procedure time | General post - treatment care instructions |
| Michele Green MD | World - renowned in cosmetic dermatology | Juvederm Volbella, Restylane, etc. | Ultrafine needle for precision; two - week follow - up | Detailed after - care and potential touch - up guidance |
| Kotlus Cosmetic Oculoplastic Surgery | Specialized in oculoplastic and cosmetic surgery | Restylane - L and other HA gel fillers | Expert advice on filler selection | Addressing potential issues related to fillers |
| Neinstein Plastic Surgery | Specific injection technique for tear trough filling | Hyaluronic acid gel | Deep injection to reduce bruising; use of cannulas | Clear recovery and after - care instructions |
| Dr. Neal Goldberg's Practice | Experienced aesthetic plastic surgeon | Restylane - L ® | Patient evaluation for best treatment option | Cost estimate and financing options |
FAQs about Tear Trough Filling in New York City
Is tear trough filler painful?
The level of discomfort varies depending on pain tolerance and the technique used. Since the skin is prepped with a numbing agent and the filler may contain lidocaine, most people describe the procedure as relatively comfortable with only minor discomfort. Some doctors, like Dr. Cangello, use a cannula for injection, which can make the process even less painful.
How long does the tear trough filler procedure take?
The procedure typically takes about 15 to 30 minutes, but it can vary depending on the individual and the amount of filler used. Some doctors may perform the procedure in 10 - 20 minutes, such as Dr. Zuckerman's practice.
What is the recovery time for tear trough filler?
There is usually little to no downtime. Patients can typically resume their normal activities immediately. Mild swelling, bruising, or redness around the injection site may occur but usually subsides within a few days to a week. It may take up to two weeks for the under - eye filler to fully settle and for the final results to be observed.
How long do the results of tear trough filler last?
The results can last for several months, typically around 6 - 12 months. The duration depends on the individual, the type of filler used, and other factors such as lifestyle, genetics, and age.
Does tear trough filler have any side effects?
While tear trough filler treatment is considered safe, it can have some potential risks and side effects. These may include swelling, bruising, redness, itching, and infection. More serious but rare side effects can include changes in vision, vascular occlusion, signs of infection at injection sites, allergic reaction to the filler product, and persistent pain. It is important to have the procedure done by an experienced and board - certified professional to minimize these risks.
How much does tear trough filler cost?
The cost varies depending on several factors, including the type and amount of filler used, the medical professional performing the procedure, and the geographic location of the office. Fillers typically cost $1000 or more per syringe. Dr. Neal Goldberg's practice estimates the cost of tear trough correction to be approximately $950 per injection, depending on individual needs.
Can I combine other treatments with tear trough filler?
Yes, many patients choose to combine tear trough filler with other injectables such as Botox for more comprehensive non - surgical facial rejuvenation. Other complementary treatments like microneedling, platelet - rich plasma (PRP), thermage, chemical peels, and non - ablative laser resurfacing can also be combined with tear trough filler to enhance the overall results.
Conclusion
Tear trough filling is a popular and effective cosmetic procedure for those looking to improve the appearance of the under - eye area. In New York City, there are several top - ranked plastic hospitals and experienced professionals offering this treatment. Each hospital has its own expertise, approach, and choice of fillers. By understanding the treatment process, the types of fillers available, and the features of different hospitals, patients can make an informed decision. It is crucial to choose a board - certified and experienced doctor to ensure safety and optimal results. If you are considering tear trough filling, we encourage you to research further, schedule consultations with different doctors, and ask all your questions. Take the first step towards a more youthful and refreshed appearance today!
