Introduction
Tear troughs, those pesky hollows beneath the eyes, can make us look tired and older than we actually are. Fortunately, in New York City, there are a number of plastic hospitals and clinics offering tear trough panda needle treatment, which typically involves the use of dermal fillers to address this cosmetic concern. In this article, we will take an in - depth look at tear troughs, the treatments available, and the leading plastic hospitals and practitioners in New York City.
Understanding Tear Troughs
What are Tear Troughs?
The tear trough refers to the sunken area that forms beneath the lower eyelids, directly below the under - eye bags, and extends towards the cheeks. Some individuals may be born with a congenital lack of facial fat volume in this area, while for others, it becomes more prominent with age. As we age, the skin under the eyes becomes thinner, subcutaneous fat volume is lost, and the ligaments around the face become lax. This causes the fat that normally covers the tear trough area to descend, creating a hollow.
The tear trough deformity can also be genetic. It is a common cosmetic concern as it can cast a shadow, resulting in the appearance of dark circles and making a person look exhausted or prematurely aged.
Factors Contributing to Tear Troughs
- Aging: With age, the natural processes of collagen and elastin breakdown occur, reducing skin elasticity. Fat pads in the face also shift and atrophy, leading to the development of tear troughs.
- Genetics: Some people inherit a predisposition to have more prominent tear troughs from their parents.
- Lifestyle: Poor sleep, stress, and a diet lacking in essential nutrients can accelerate the appearance of tear troughs.
Tear Trough Filler Treatments
What is Tear Trough Filler?
Tear trough filler is a non - surgical cosmetic procedure that involves injecting a hyaluronic acid - based filler (HA) into the area under the eyes. Hyaluronic acid is a substance that occurs naturally in the body and helps plump the skin and increase collagen production. When injected into the tear trough area, it restores lost volume, reduces the appearance of dark circles, hollows, and bags in the lower eyelid.
There are several types of hyaluronic acid fillers available, such as Restylane®, Belotero, Juvederm Volbella, and Restylane Eye Light. The choice of filler depends on an individual's specific needs, skin type, and anatomy.
Benefits of Tear Trough Filler
| Benefit | Explanation |
|---|---|
| Reduced Appearance of Dark Circles | By filling the hollow, the shadowing effect that creates the appearance of dark circles is minimized. |
| Camouflages Under - Eye Bags | Filling the depression below the under - eye bags helps the lower eyelid blend more seamlessly with the cheek. |
| Restores Volume | Replenishes the lost fat volume in the under - eye area, giving a more youthful appearance. |
| Non - Surgical | Avoids the risks and long recovery times associated with surgical procedures. |
| Little to No Downtime | Patients can usually resume their normal activities immediately after the procedure. |
| Quick Results | The effects are visible almost immediately after the injection. |
| Long - Lasting | The results can last for several months to a year, depending on the type of filler and individual factors. |
Candidates for Tear Trough Filler
Good candidates for tear trough filler are 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. It is also important for candidates to have realistic expectations about the results, understanding that the treatment can provide improvement but not perfection. Filler is most effective for dark circles caused by volume loss in the tear trough area, while dark circles due to skin pigmentation or blood vessels may require other treatments like laser therapy.
People with severe skin laxity, excess skin, or a large amount of fat in the under - eye area may be better suited for surgical options such as eyelid surgery (blepharoplasty).
Preparing for Tear Trough Filler
Preparing for a tear trough filler appointment is crucial for a smooth and successful procedure. Before the appointment, 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 (non - steroidal anti - inflammatory medications like ibuprofen or aspirin) and fish oil, as these can increase the risk of bruising. Alcohol and caffeine should also be avoided during this time for the same reason.
On the day of the appointment, it is best to arrive with a clean and makeup - free face.
Tear Trough Filler Procedure
The tear trough filler procedure typically takes about 15 to 30 minutes. A local anesthetic may be applied to the area to minimize discomfort. The filler is then injected into the under - eye area using a small cannula or an ultrafine needle. The choice between a cannula and a needle depends on the doctor's preference and the patient's situation. Cannulas are often preferred as they may be less likely to cause bruising, less painful, require fewer entry points, and be safer in terms of reducing the risk of puncturing blood vessels.
After the injection, immediate results can usually be seen, although the full effects may take a few days to become visible as any swelling or bruising subsides.
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. Ice packs or over - the - counter pain medications such as ibuprofen can be used to manage the discomfort.
Patients should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the filler from shifting. Strenuous exercise, alcohol, and blood - thinning medications or supplements should also be avoided for at least 24 hours. Following the aftercare instructions provided by the doctor is essential to ensure optimal results and reduce the risk of complications.
FAQs about Tear Trough Filler
- What are dermal fillers? Dermal fillers are injectable cosmetic treatments used for facial enhancement, such as adding volume, smoothing out wrinkles, and contouring facial features. They can be made from various materials, with hyaluronic acid fillers being commonly used for tear troughs.
- How long does the tear trough filler procedure take? The procedure typically takes about 15 to 30 minutes, depending on the individual and the amount of filler used.
- Is the tear trough filler procedure painful? Most people describe the procedure as relatively comfortable, especially when a numbing agent is used. Since some doctors use a cannula for injection, pain is often minimal.
- What is the recovery time for tear trough filler? There is usually little to no downtime, and patients can resume their normal activities immediately. Mild swelling, bruising, or redness may occur but usually subsides within a few days to a week.
- 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 factors such as the individual, the type of filler used, lifestyle, genetics, and age.
- Does tear trough filler have any side effects? Potential side effects include swelling, bruising, redness, itching, and infection. These are usually mild and temporary and can be managed with appropriate care.
- What is the cost of tear trough filler? The cost varies depending on the type and amount of filler used. Multiple syringes may be needed to achieve the desired results.
- Can I combine other treatments with tear trough filler? Yes, many patients choose to combine tear trough filler with other injectables like Botox® for more comprehensive non - surgical facial rejuvenation.
Plastic Hospitals and Practitioners in New York City
Dr. David Cangello
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He offers personalized consultations to determine the best treatment approach for each patient. During the consultation, he takes into account the patient's individual needs, goals, and medical history to develop a customized treatment plan. His patients have reported feeling comfortable and satisfied with the results of their tear trough filler treatments.
Dr. Michele Green
Dr. Michele Green is a world - renowned expert in cosmetic dermatology. With over 25 years of experience, she has treated patients from around the globe for various skin concerns, including dark under - eyes. At her private dermatology office in Manhattan's upper east side neighborhood, she offers a range of non - invasive cosmetic procedures, including tear trough fillers. She is highly skilled in choosing the right filler for each patient, such as Juvederm Volbella, Restylane, or Belotero Balance, based on their facial anatomy, skin concerns, and cosmetic goals.
Neinstein Plastic Surgery
Neinstein Plastic Surgery in NYC offers tear trough filler injections. Their approach to the injection process involves injecting deep into the tear trough area, starting almost directly on the cheekbone and slowly moving the hyaluronic acid up. This technique is reported to be safe, predictable, and can dramatically reduce the risk of bruising. The practice also provides comprehensive after - care instructions to ensure a smooth recovery for patients.
Dr. Zuckerman
Dr. Zuckerman can help patients reduce dark circles with under - eye dermal filler injections. He uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for treating the under - eye area. His injection technique involves injecting deep into the tissues near the bone, and he can inject up to 1 cc + of filler per eye. He also has techniques to minimize bruising, and most patients can return to work immediately after the treatment.
Dr. Neal Goldberg
Dr. Neal Goldberg is an aesthetic plastic surgeon who offers tear trough filler treatment with Restylane - L®. The formula of Restylane - L® includes lidocaine to increase patient comfort during injections. His practice provides natural - looking results, and patients typically report excellent results that last between six months and one year. The cost of tear trough correction is approximately $950 per injection, depending on various factors unique to each patient's treatment plan.
Dr. Mesa
Dr. Mesa is a board - certified plastic surgeon with a practice focused on cosmetic procedures. He has extensive training and has earned a reputation for achieving exceptional results in tear trough correction. He can also combine tear trough fillers with platelet - rich plasma (PRP) to enhance the results and reduce the appearance of dark circles.
Dr. Jeremy Nikfarjam
Dr. Jeremy Nikfarjam is a NYC board - certified plastic surgeon with experience in non - surgical eyelid treatment for tear troughs. He can determine if a patient is an ideal candidate for the treatment during the initial consultation and answer any questions the patient may have.
Dr. Brett Kotlus
Dr. Brett Kotlus, a cosmetic oculoplastic surgeon, uses cannula tear trough filler to minimize hollowing under the eyes and soften the under - eye contour. He has extensive experience in using Restylane for this procedure and prefers cannulas due to their safety and reduced risk of bruising. His patients often have their initial consultation and treatment on the same day, and the entire procedure takes about 15 minutes.
Comparing Different Tear Trough Fillers
| Filler | Features | Advantages | Disadvantages |
|---|---|---|---|
| Restylane | Clear hyaluronic acid - based dermal filler, comes in different formulations | FDA - approved for under - eye area, provides natural - looking results, long - lasting | May be more expensive than some other fillers |
| Juvederm Volbella | First FDA - approved dermal filler for treating tear troughs, thin formulation | Has patented Vycross technology for smooth distribution under the skin | Results may not last as long as some other fillers in certain individuals |
| Belotero Balance | Ultra - thin and flexible formulation | Eliminates the risk of the Tyndall effect (bluish hue in the injected area) | May require more precise injection technique |
| Restylane Eye Light | Newer dermal filler, FDA - approved in 2023 for use under the eyes | Uses crosslinking and patented NASHa technology to erase under - eye hollowing | Relatively new on the market, long - term data may be limited |
Conclusion
Tear trough panda needle treatment, mainly using dermal fillers, is an effective non - surgical option for those looking to improve the appearance of their under - eye area in New York City. By understanding the causes of tear troughs, the benefits and risks of tear trough filler treatments, and the different plastic hospitals and practitioners available, patients can make an informed decision about their treatment. The leading plastic hospitals and doctors in New York City, such as Dr. David Cangello, Dr. Michele Green, and others, offer personalized care and high - quality results.
If you are bothered by the appearance of your under - eye area, we encourage you to schedule a consultation with a qualified plastic surgeon or dermatologist. Explore your options further, ask questions, and take the first step towards achieving a more youthful and refreshed appearance. Share this article with friends or family who may also be interested in tear trough treatment, and let them know about the great options available in New York City.
