The Ranking List of Plastic Surgery Hospitals for Hyaluronic Acid Filling of Tear Troughs in New York City is Out with a Price List!

As we age, concerns about the appearance of our under - eye area become more prevalent. Tear troughs, those pesky creases between the lower eyelid and upper cheek, can make us look tired and older than we feel. Hyaluronic acid filling of tear troughs has emerged as a popular non - surgical solution in New York City. In this article, we will explore the ranking list of plastic surgery hospitals for this procedure and also provide a price list. But first, let's understand more about tear trough fillers.

What are Tear Troughs and Tear Trough Fillers?

Definition of Tear Troughs

Tear troughs are an anatomic area of the face. The hollow located between the upper cheek and the lower eyelid region 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 often 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 (source: https://www.michelegreenmd.com/tear - trough - fillers).

What Tear Trough Fillers Do

Tear trough fillers are a non - invasive cosmetic treatment option for rejuvenation of the under - eye area. They restore lost volume in the crease below the eye and improve the appearance of dark circles and under - eye bags. The preferred dermal fillers for this treatment area are composed of hyaluronic acid gel and have a small particle size. Hyaluronic acid is a component that is naturally produced by the body and helps plump the skin and increase collagen production, resulting in a more youthful - looking complexion (source: https://www.michelegreenmd.com/tear - trough - fillers).

Types of Hyaluronic Acid Fillers for Tear Troughs

Juvederm Volbella

Juvederm Volbella is 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. It helps restore lost volume and hydration in the tear troughs to correct tired - looking eyes and under - eye bags (source: https://www.michelegreenmd.com/tear - trough - fillers).

Restylane

Restylane is 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. Restylane Eyelight, a newer dermal filler, was 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 (source: https://www.michelegreenmd.com/tear - trough - fillers).

Belotero Balance

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, a bluish hue in the injected area due to the reflection of light off of particles suspended in the filler. Since there are no suspended particles in Belotero, this risk is eliminated (source: https://www.michelegreenmd.com/tear - trough - fillers).

Ranking List of Plastic Surgery Hospitals for Hyaluronic Acid Filling of Tear Troughs in New York City

1. Dr. Michele Green's Office

Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology, with over 25 years spent treating the most discerning patients from around the globe for a myriad of skin concerns. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She is an expert injector who can work with patients to ensure that they are good candidates for tear trough fillers and develop a customized treatment plan that caters to their unique skin care concerns and aesthetic goals (source: https://www.michelegreenmd.com/tear - trough - fillers).

2. Smooth Synergy Medical Spa & Laser Center

Smooth Synergy offers a complete line of non - surgical facial treatments. Their tear trough filler treatment uses hyaluronic acid (HA) filler to instantly fill or smooth the area under the eye. The medical director, Dr. George, MD, evaluates the face and marks strategic injection points. The procedure is simple and usually takes between 15 minutes to an hour. They offer a range of fillers such as Restylane, Juvederm, and Belotero and can help patients decide which product will most effectively address their tear trough concerns (source: https://smoothsynergy.com/treatments/tear - trough - filler - best - dermal - in - nyc).

3. Dr. David Cangello's Practice

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, and will work with patients to develop a customized treatment plan to achieve their desired results. The procedure at his practice involves injecting the filler into the under - eye area using a small cannula, and results can typically be seen immediately (source: https://www.cangelloplasticsurgery.com/non - surgical/tear - trough - filler/).

4. Dr. Neal Goldberg's Aesthetic Practice

Dr. Neal Goldberg, an extensively trained aesthetic plastic surgeon, offers tear trough filler treatment with Restylane - L® to provide patients with effective and natural - looking results of the highest quality. He and his aesthetic nurse injectors can evaluate patients' tear troughs to determine if Restylane - L® can provide the desired results or if combining injections with a more long - term treatment like lower blepharoplasty is advised (source: https://www.doctorgoldberg.com/injectables/tear - trough - filler/).

5. Neinstein Plastic Surgery

Neinstein Plastic Surgery offers tear trough filler injections to address facial volume loss. 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. They use cannulas (no needles under the skin), which means less trauma to the tissues. The goal of these injections is to blend the eyelid with the cheek to give a rested and youthful appearance (source: https://neinsteinplasticsurgery.com/tear - trough - fillers/).

Price List for Hyaluronic Acid Filling of Tear Troughs

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. Here is a general overview of the price range:

Who is a Good Candidate for Tear Trough Fillers?

The best candidate for dermal filler injections in the tear trough is a healthy individual with noted volume loss in the under - eye area. If there is excessive wrinkling or skin under the eyes with fat deposition, tear trough fillers may not be the best course of treatment. It is important to have a consultation with a professional like Dr. Michele Green, who will physically evaluate the under - eye area to determine if tear trough fillers are the correct treatment or if another cosmetic procedure is better suited. Those with unrealistic expectations about the results are also not good candidates as tear trough fillers can provide improvement but not perfection (source: https://www.michelegreenmd.com/tear - trough - fillers).

The Procedure for Hyaluronic Acid Filling of Tear Troughs

Consultation

The first step is to consult with a medical professional, such as Dr. Michele Green or Dr. David Cangello. They will evaluate the targeted treatment area and the skin’s elasticity, confirm if 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. A detailed medical history will also be taken to identify any potential risks or contraindications (source: https://www.michelegreenmd.com/tear - trough - fillers; https://www.cangelloplasticsurgery.com/non - surgical/tear - trough - filler/).

Preparation

Before the procedure, patients are usually advised to avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil) as this can increase the risk of bruising. They are also recommended to avoid alcohol and caffeine in the days leading up to the appointment. On the day of the appointment, it is best to arrive with a clean and makeup - free face (source: https://www.cangelloplasticsurgery.com/non - surgical/tear - trough - filler/).

Anesthesia

A local anesthetic is typically applied to the entire treatment area one hour before performing any injections to ensure that the procedure is as comfortable as possible. Additionally, the dermal fillers used for the under - eye area are often compounded with lidocaine, further reducing pain (source: https://www.michelegreenmd.com/tear - trough - fillers).

Injection

The medical professional will inject the dermal fillers directly into the skin in tiny amounts using an ultrafine needle or a cannula. Some providers prefer using a cannula, while others, like Dr. Michele Green, use an ultrafine needle to allow for precision in the tear trough injections. The injection is typically made deep into the tear troughs to smooth out the hollows (source: https://www.michelegreenmd.com/tear - trough - fillers; https://www.cangelloplasticsurgery.com/non - surgical/tear - trough - filler/).

Aftercare

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 usually 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. A follow - up appointment is typically scheduled two weeks after the initial treatment to ensure that the treatment was satisfactory and to determine whether any touch - up of the hyaluronic acid dermal filler is needed (source: https://www.michelegreenmd.com/tear - trough - fillers; https://www.cangelloplasticsurgery.com/non - surgical/tear - trough - filler/).

Side Effects and Risks of Tear Trough Fillers

Mild Side Effects

There typically are no major side effects associated with receiving under - eye fillers. However, it is possible to develop a mild amount of swelling or bruising at or around the injection sites. Swelling and redness are common side effects at the site of injection, and icing the treated area immediately after the injections will minimize this reaction. Bruising is another potential side effect. To decrease bruising, patients are often recommended to discontinue any blood thinners and NSAIDs, and patients prone to bruising can take Arnica forte, an herbal supplement, to help prevent and heal bruises faster (source: https://www.michelegreenmd.com/tear - trough - fillers).

Serious but Rare Side Effects

The Tyndall effect is a rare side effect that leads to the development of a bluish discoloration after some hyaluronic acid fillers are injected. This can happen if the hyaluronic acid filler is injected too superficially. Some rare but more serious 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 prevent any serious or adverse side effects from developing, it is crucial to have tear trough filler injections performed by an expert, board - certified injector (source: https://www.michelegreenmd.com/tear - trough - fillers).

How Long Do Tear Trough Fillers Last?

Dermal fillers typically last for anywhere from six to twelve months, depending on the exact filler used. The rate of absorption of a dermal filler varies for each patient depending on their metabolism and the location where the filler was injected. Eye rejuvenation with tear trough filler treatment can be repeated on an annual or biannual basis to maintain the desired cosmetic results (source: https://www.michelegreenmd.com/tear - trough - fillers).

Can Tear Trough Filler Treatment be Reversed?

The types of fillers used to correct the appearance of eye hollows and eye bags and rejuvenate the tear trough area are composed of hyaluronic acid gel. If a patient is not satisfied or comfortable with their results, the injector can reverse the effects of the filler treatment using a product called hyaluronidase. Hyaluronidase injections contain the enzyme hyaluronidase, which can dissolve any unwanted facial filler product made of hyaluronic acid (source: https://www.michelegreenmd.com/tear - trough - fillers).

Complementary Treatments with Tear Trough Fillers

Several complementary treatments can be performed with tear trough fillers for facial rejuvenation:

• Botox: Botox 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. Dr. Michele Green often treats patients for tear troughs and crow’s feet in the same visit, using dermal filler and Botox to achieve total rejuvenation of the eye area (source: https://www.michelegreenmd.com/tear - trough - fillers).
• Microneedling: Under - eye dark circles and wrinkles can be improved through 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, helping to plump and firm skin, diminish signs of aging, and minimize the overall appearance of dark circles (source: https://www.michelegreenmd.com/tear - trough - fillers).
• Platelet - Rich Plasma (PRP) with Microneedling: The effects of microneedling can be further enhanced by combining the treatment with PRP. PRP employs the cytokines and growth factors in plasma derived from a sample of the patient’s blood to boost the effects of microneedling, speeding up the healing process and promoting more regeneration at the cellular level to rejuvenate the skin (source: https://www.michelegreenmd.com/tear - trough - fillers).
• Thermage: Thermage is the gold standard in facial skin tightening. It can improve skin elasticity in many body areas, including the delicate under - eye area. It uses radiofrequency energy to stimulate collagen production in the skin, producing skin - tightening results that can last up to two years