The Ranking and Cases of Institutions for Tear Trough Panda Needle Treatment in New York City in 2025

Introduction

Tear troughs, the creases between the lower eyelids and cheeks, can make individuals look tired or older than their actual age. Tear trough panda needle treatment, often involving dermal fillers, has emerged as a popular non - surgical solution for rejuvenating the under - eye area in New York City. In this article, we will explore the ranking and real - life cases of institutions offering this treatment in the city, providing valuable insights for those considering such a procedure.

Understanding Tear Troughs and Their Treatment

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 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. As described by sources, tear troughs can cast a shadow and create the appearance of a darkened under - eye area, making one look tired or prematurely aged.

Tear Trough Filler: The Popular Treatment

Tear trough filler is a cosmetic procedure that involves injecting a hyaluronic acid - based filler (HA) into the area under the eyes 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. Dr. Michele Green, a world - renowned expert in the field of cosmetic dermatology, explains that dermal fillers restore lost volume in the crease below the eye and improve the appearance of dark circles and under - eye bags.

There are several types of hyaluronic acid fillers commonly used for tear trough treatment, such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. Juvederm Volbella is the first FDA - approved dermal filler for treating tear troughs and contains the thinnest formulation of the Juvederm family. Restylane Eyelight, approved in 2023 for use under the eyes, 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 and can eliminate the risk of the Tyndall effect.

Top Institutions for Tear Trough Panda Needle Treatment in New York City

Dr. Michele Green's Practice

Dr. Michele Green is a highly respected figure in the field of cosmetic dermatology. With over 25 years of experience, she is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. At her private dermatology office in Manhattan’s Upper East Side neighborhood, she offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers.

Dr. Green is an expert injector who takes a personalized approach to tear trough filler treatment. She assesses each patient's under - eye hollows to choose the right filler and develop a customized treatment plan that caters to their unique skin care concerns and aesthetic goals. Patients appreciate the fact that as a non - surgical treatment option, tear trough fillers provided by Dr. Green offer natural - looking, long - lasting rejuvenation results with zero downtime and few potential side effects.

Real - life cases at Dr. Green's practice have shown significant improvement in the appearance of under - eye hollows and dark circles. One patient, who had been bothered by tired - looking eyes for years, received tear trough filler treatment. After the procedure, the patient reported a more refreshed and youthful appearance, and the under - eye shadows were significantly reduced.

Dr. Brett Kotlus' Cosmetic Oculoplastic Surgery Practice

Dr. Brett Kotlus is a cosmetic oculoplastic surgeon with specialized training in the delicate area under the eyes. He offers a wide range of treatments for the tear trough and under - eye area. Dr. Kotlus has a deep understanding of the different types of fillers and their suitability for various patients.

He is very selective about the fillers he uses under the eyes and does not recommend permanent or semi - permanent injectable fillers like Bela Fill, Radiesse, silicone, or Sculptra due to the potential for lumps and bumps and the difficulty in correcting them if the filler isn't placed correctly. Instead, he prefers cross - linked hyaluronic acid (HA) gel fillers. He still chooses Restylane - L as the best under - eye filler because of its great behavior profile, including the right balance of stiffness, cohesivity, and duration of effect.

In his practice, he has dealt with many cases where patients had received improper under - eye filler treatments elsewhere. For example, he has corrected cases of swelling that lasted longer than a few weeks, lumps that didn't dissipate, blueish discoloration, and uneven appearances. His expertise in handling such complex cases has earned him a good reputation among patients seeking tear trough panda needle treatment.

Dr. David Cangello's Plastic Surgery Practice

Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He understands the causes of tear trough deformity, which can occur due to a combination of factors such as aging, genetics, loss of facial fat, loss of skin elasticity, and laxity of facial ligaments.

During the consultation, Dr. Cangello determines the best treatment approach for each patient to achieve beautiful and natural results. He uses hyaluronic acid - based fillers, such as Restylane® or Belotero, which are safe, effective, and provide natural - looking results. He also offers other treatment options like fat transfer or lower eyelid blepharoplasty if the under - eye hollows are accompanied by under - eye bags.

Patients at Dr. Cangello's practice have reported satisfaction with the results of their tear trough filler treatments. The treatment has helped reduce the appearance of dark circles, camouflaged under - eye bags, and restored volume to the under - eye area. Moreover, the procedure has a relatively short recovery time, with only mild swelling, bruising, and redness around the injection site that usually subsides within a few days to a week.

Neinstein Plastic Surgery

Neinstein Plastic Surgery offers tear trough filler injections as a popular alternative to surgery for many patients. Their approach 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 has been found to be safe, predictable, and dramatically reduces the risk of bruising in the area.

Before the injection, patients are asked to avoid using blood thinners like aspirin for 5 days. On the day of the injections, the skin is numbed for 20 minutes, and only cannulas are used (no needles under the skin), which means less trauma to the tissues. After the injections, ice is placed on the eyes for 5 minutes, and the patient takes a one - time dose of steroids to reduce swelling.

Many patients who have undergone tear trough filler treatment at Neinstein Plastic Surgery have seen an immediate volume change, and the full tissue integration and settling take about a week. The practice aims to price the tear trough filler injections to ensure the procedure is within reach for any patient eager to enhance their look.

Dr. Neal Goldberg's Aesthetic Practice

Dr. Neal Goldberg, an extensively trained aesthetic plastic surgeon, offers tear trough filler treatment with Restylane - L®. Restylane - L® is a clear hyaluronic acid - based dermal filler that can add volume to the tear troughs, hands, temples, or lips. Since it is not derived from animal products, there is no need for allergy testing before treatment.

Dr. Goldberg or his aesthetic nurse injectors evaluate each patient's tear troughs to determine if Restylane - L® can provide the desired results. They also consider if combining injections with a more long - term treatment, like lower blepharoplasty, is advised to achieve the best outcome. The treatment takes place during a convenient in - office treatment, and a local anesthesia known as lidocaine is included in the Restylane - L® formula to help increase patient comfort during injections.

Patients have reported that the rejuvenation can be visible soon after injections, but it can take two to four weeks to realize the full results. The results typically last between six months and one year, providing a more energetic and youthful appearance.

Factors Affecting the Ranking of Institutions

Expertise and Experience of the Practitioners

The experience and expertise of the doctors performing the tear trough panda needle treatment are crucial factors in ranking the institutions. Doctors with years of experience in cosmetic dermatology or plastic surgery, like Dr. Michele Green, Dr. Brett Kotlus, Dr. David Cangello, Dr. Neal Goldberg, have a better understanding of the anatomy of the under - eye area, the properties of different fillers, and how to handle potential complications. Their experience allows them to provide more accurate diagnoses, develop personalized treatment plans, and achieve better results for their patients.

Range of Treatment Options

Institutions that offer a wide range of treatment options for tear troughs are often ranked higher. For example, Dr. David Cangello offers not only tear trough fillers but also fat transfer and lower eyelid blepharoplasty depending on the patient's needs. This comprehensive approach allows patients to choose the most suitable treatment for their specific condition, which is highly valued in the market.

Patient Satisfaction and Reviews

Patient satisfaction is a key indicator of the quality of an institution. Positive reviews from real - life patients can significantly enhance an institution's ranking. Institutions like Dr. Michele Green's practice and Dr. David Cangello's practice have received many positive reviews from patients who are satisfied with the results of their tear trough filler treatments, their experience during the procedure, and the after - care provided.

Use of High - Quality Fillers

The type of fillers used in the tear trough panda needle treatment also affects the ranking of institutions. Institutions that use high - quality, FDA - approved fillers, such as Juvederm Volbella, Restylane, and Belotero Balance, are more likely to provide safe and effective results. For example, Dr. Brett Kotlus carefully selects the fillers he uses under the eyes, avoiding permanent or semi - permanent fillers that may cause problems, which demonstrates his commitment to using the best products for his patients.

Case Studies from Different Institutions

Case Study: Dr. Michele Green's Practice

Ms. A, a 45 - year - old woman, came to Dr. Michele Green's office complaining of dark circles and sunken under - eyes. She had a busy lifestyle and was constantly told that she looked tired. After a thorough consultation, Dr. Green recommended Restylane Eyelight as the filler for her tear troughs.

During the procedure, Dr. Green used an ultrafine needle to inject the filler precisely into the tear trough area. Ms. A reported only mild discomfort during the injection, thanks to the local anesthetic applied in advance. Immediately after the procedure, there was some mild swelling, but it subsided within a few days. After two weeks, Ms. A noticed a significant improvement in the appearance of her under - eyes. The dark circles were less visible, and the hollows were filled, giving her a more refreshed and youthful look. She was extremely satisfied with the results and recommended Dr. Green's practice to her friends.

Case Study: Dr. Brett Kotlus' Practice

Mr. B, a 38 - year - old man, had previously received an under - eye filler treatment at another clinic. He experienced swelling that lasted for several weeks and unevenness in the under - eye area. He came to Dr. Brett Kotlus for correction.

Dr. Kotlus first assessed the situation and determined that the filler had been injected incorrectly. He used hyaluronidase to dissolve the existing filler and then carefully injected Restylane - L to correct the tear troughs. After the treatment, Mr. B's swelling gradually subsided, and the under - eye area became more even. He was very happy with the outcome and appreciated Dr. Kotlus' expertise in handling the complex situation.

Case Study: Dr. David Cangello's Practice

Mrs. C, a 50 - year - old woman, had prominent tear troughs and under - eye bags. During the consultation, Dr. David Cangello recommended a combination of tear trough filler and lower eyelid blepharoplasty.

First, the tear trough filler was injected using a small cannula. The effects were immediately visible, with a reduction in the appearance of the tear troughs. A few weeks later, Mrs. C underwent the lower eyelid blepharoplasty. After the recovery period, her under - eye area looked completely rejuvenated. The dark circles were gone, the under - eye bags were removed, and the skin was tighter. Mrs. C was extremely satisfied with the comprehensive treatment provided by Dr. Cangello.

Case Study: Neinstein Plastic Surgery

Miss D, a 30 - year - old woman, was looking for a non - surgical solution to her under - eye hollows. She visited Neinstein Plastic Surgery for tear trough filler treatment.

Before the injection, she followed the pre - treatment instructions, such as avoiding blood thinners. On the day of the treatment, the skin was numbed, and the hyaluronic acid was injected using the deep - injection technique. After the injection, she applied ice as instructed and took the one - time dose of steroids. She experienced only mild bruising, which resolved within a week. The volume change was immediate, and after a week, the full tissue integration was evident. Miss D was happy with the natural - looking results and the relatively quick recovery process.

Case Study: Dr. Neal Goldberg's Practice

Mr. E, a 42 - year - old man, wanted to improve the appearance of his tear troughs. Dr. Neal Goldberg evaluated his tear troughs and recommended Restylane - L®.

During the in - office treatment, Mr. E felt comfortable due to the lidocaine in the Restylane - L® formula. There was some swelling and redness after the injection, but it gradually subsided. After two weeks, he started to see the full results, with a reduction in the appearance of the tear troughs and a more youthful look. He was satisfied with the results and the overall experience at Dr. Goldberg's practice.

Benefits and Risks of Tear Trough Panda Needle Treatment

Benefits

Tear trough panda needle treatment offers several benefits. Firstly, it is a non - surgical procedure, which means there is no need for incisions or a long recovery time. Most patients can resume their normal activities immediately after the treatment, with only mild swelling, bruising, or redness that usually subsides within a few days to a week.

Secondly, the treatment can effectively reduce the appearance of dark circles, hollows, and under - eye bags, resulting in a more youthful and refreshed appearance. It restores lost volume in the under - eye area, making the lower eyelid blend more seamlessly with the cheek.

Thirdly, the use of hyaluronic acid fillers is generally safe, as hyaluronic acid is a natural substance in the body. The fillers can also be reversed if the patient is not satisfied with the results by using hyaluronidase to dissolve the filler.

Risks

Although tear trough panda needle treatment is relatively safe, there are still some potential risks. One of the common side effects is swelling and bruising at the injection site, which can be managed with ice packs or over - the - counter pain medications. In some cases, the Tyndall effect may occur, causing a bluish discoloration in the injected area if the filler is injected too superficially. This can usually be reversed with hyaluronidase.

More serious but rare side effects include 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 treatment performed by an experienced and board - certified medical professional.

Pre - treatment and Post - treatment Care

Pre - treatment Care

Before undergoing tear trough panda needle treatment, patients should have a thorough consultation with the doctor. They should disclose their medical history, including any medications they are taking, allergies, and previous surgeries or treatments in the under - eye area. It is also recommended to avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil) in the days leading up to the appointment, as this can increase the risk of bruising. Additionally, patients should avoid alcohol and caffeine, as they can also increase the risk of bruising. On the day of the appointment, patients should arrive with a clean and makeup - free