New York City's Best Doctors for Autologous Fat Filling in the Eye Socket: Ranking and Charging Standards
Introduction
Autologous fat filling in the eye socket is a sought - after cosmetic procedure that can restore volume, reduce the appearance of under - eye hollows, and give a more youthful and refreshed look. In New York City, a hub of medical excellence, there are numerous doctors offering this service. This article aims to rank some of the top doctors for autologous fat filling in the eye socket in New York City and provide an overview of their charging standards.
Understanding Autologous Fat Filling in the Eye Socket
Autologous fat grafting has been around for over a century, though its techniques and success rates have significantly evolved (Marwah et al., 2013). The procedure involves harvesting fat from the patient's own body, typically from areas like the lower abdomen or inner thighs where adipose - derived stem cells are more concentrated (Padoin et al., 2008). After harvesting, the fat is processed and then injected into the eye socket area to correct volume loss.
The benefits of autologous fat filling include using the patient's own tissue, which reduces the risk of allergic reactions and rejection. It can also provide long - term results compared to some dermal fillers. However, the procedure also comes with risks such as fat absorption, over - correction, and in rare cases, vascular complications.
Ranking of Doctors for Autologous Fat Filling in the Eye Socket in New York City
Dr. David Cangello
Dr. David Cangello is a world - class, board - certified plastic surgeon in NYC. He has an extensive background in plastic and reconstructive surgery, as well as general surgery. One of the remarkable aspects of Dr. Cangello is that he is one of only two surgeons in the world trained by Dr. Sydney Coleman, a pioneer of the fat grafting technique. He co - authored a chapter in Dr. Coleman’s book titled “fat injection from filling to regeneration” regarding correction of liposuction deformities with fat transfer.
Dr. Cangello approaches plastic surgery as both a science and an art. His work showcases a delicate balance between aesthetic beauty and medical precision. He has received numerous recognitions, such as being named a “top doctor” by Castle Connolly, listed as a “super doctor” in the New York Times magazine, and awarded the patient’s choice award by Open Care. His patient - centric approach and commitment to excellence make him a top choice for autologous fat filling in the eye socket.
Dr. Amiya Prasad
Dr. Amiya Prasad is an oculofacial plastic surgeon with over 20 years of experience treating under - eye bags and hooded eyes. He is board - certified with the American Board of Cosmetic Surgery and a fellow of the American Society of Oculofacial Plastic and Reconstructive Surgery (ASOPRS). He has received special training in eye microsurgery as well as cosmetic surgery of the eyelids and the orbit.
Dr. Prasad's artistic, precise, and natural - looking approach to eyelid surgery makes him highly sought after. Given the close proximity of the eye socket to the delicate eye structures, his expertise in working with the eyes and eyelids gives him an edge in performing autologous fat filling in the eye socket. Patients come from all over the world to benefit from his skills.
Dr. Alan Matarasso
Dr. Alan Matarasso offers patients his considerable skill in fat injections as an alternative soft - tissue filler. He has been speaking and writing about fat injections for over 20 years. His particular expertise includes lipoinjection for facial wrinkles and contouring and choosing between autologous and alloplastic methods. Due to his extensive knowledge on both autologous fat transfer and alloplastic fat injection, he has been sought after to teach other practitioners about techniques and current trends in fat injections for soft - tissue augmentation.
His experience and teaching credentials indicate a high level of proficiency in fat - related procedures, making him a viable option for autologous fat filling in the eye socket.
Other Eye - Related Specialists in New York City
While not specifically focused on autologous fat filling, there are several top eye surgeons in New York City who have a high reputation for their skills in related eye surgeries. Healthgrades lists a number of these doctors:
| Doctor Name | Rating | Number of Ratings | Location |
|---|---|---|---|
| Dr. Brett Rosenblatt, MD | 4.80 out of 5 stars | 119 | 9131 Queens Blvd Elmhurst, NY 11373 |
| Dr. Juan Romero, MD | 4.90 out of 5 stars | 49 | 9131 Queens Blvd Elmhurst, NY 11373 |
| Dr. Philip Ferrone, MD | 4.80 out of 5 stars | 108 | 9131 Queens Blvd Elmhurst, NY 11373 |
| Dr. Ana Alzaga Fernandez, MD | 5.00 out of 5 stars | 9 | 212 East 69th Street Suite 5 New York, NY 10021 |
These doctors, with their high ratings and experience in eye - related surgeries, may also be able to offer valuable insights and consultations regarding autologous fat filling in the eye socket in some cases.
Charging Standards for Autologous Fat Filling in the Eye Socket in New York City
Determining the exact charging standards for autologous fat filling in the eye socket can be challenging as it depends on several factors. These factors include the doctor's experience and reputation, the complexity of the procedure, the amount of fat to be harvested and injected, and the facility where the procedure is performed.
Generally, in New York City, a high - end, well - known doctor like Dr. David Cangello may charge more due to his extensive experience, training, and reputation. The cost can range from a few thousand dollars to over ten thousand dollars. On the lower end, if a less - experienced doctor or a more basic facility is chosen, the cost may be relatively lower, but it is important to note that this also comes with potential risks.
It's crucial for patients to have a detailed consultation with the doctor to understand all the costs involved, including pre - operative tests, the surgical fee, post - operative care, and any potential additional fees.
Procedure of Autologous Fat Filling in the Eye Socket
Pre - operative Planning
Before the surgery, a comprehensive pre - operative consultation is necessary. The doctor will review the patient's medications and allergies, with specific attention to medications that may interfere with lidocaine metabolism or platelet function. Patients are usually instructed to stop medications that affect platelet function 2 weeks before the surgery and can restart them 1 week after the procedure. Appropriate laboratory tests are also conducted about 1 week before the operation.
Donor Site Selection
As mentioned earlier, the lower abdomen and inner thighs are often preferred donor sites for fat harvesting because they have a higher concentration of adipose - derived stem cells. The surgeon will estimate the approximate amount of fat needed for the eye socket and mark the liposuction area with the patient in a standing position after a sterile preparation.
Harvesting the Fat
Patients may be given short general anesthesia to reduce anxiety and pain. The area to be suctioned is infiltrated with a solution containing ringer lactate and adrenaline. After waiting for the solution to take effect, fat is harvested using a blunt atraumatic fat grafting cannula. A study by Gonzalez et al. (2007) found that using a 2 - mm diameter cannula with a blunt tip and several side holes connected to a 10 - cc syringe can result in better fat graft viability compared to other setups.
Processing the Fat
There are several methods for processing the harvested fat, including sedimentation by gravity, filtering, and centrifugation. Centrifugation at 3000 rpm for 3 minutes is often considered a better method as it can clear the fat from most blood remnants and potentially maintain a high concentration of stem cells within the processed lipoaspirates (Marwah et al., 2013).
Injecting the Fat
The recipient site (eye socket) is first anesthetized, often with a regional nerve block. The processed fat is then injected in small aliquots in an intermittent retrograde pattern at various levels to achieve a harmonious result and maximize contact with the vascularized tissue for better fat graft survival.
Post - operative Care and Complications
Post - operative Care
After the surgery, patients may experience some edema, which varies from person to person. There are rarely ecchymoses, and patients usually do not complain of significant pain or discomfort. Antibiotics and anti - inflammatories are typically prescribed. Patients generally have a normal appearance after 3 - 5 days, but the extraction zones may take several weeks to return to normal as they may have oedema and induration.
Complications
Autologous fat filling in the eye socket, like any surgical procedure, comes with potential complications. The most common complication is fat absorption, which can sometimes be addressed by over - correction. Other complications include superficial nodules from injecting large boluses of fat too superficially, post - operative erythema, oedema, bleeding, and ecchymosis.
More serious complications are rare but can include infections following augmentation, vascular occlusion, or fat embolism. Vascular complications may lead to dramatic blanching of the skin, and in such cases, patients may need to be placed in the Trendelenburg position, have nitroglycerin paste applied, and the area massaged until the blanching resolves.
Conclusion
In New York City, patients seeking autologous fat filling in the eye socket have access to a variety of highly skilled doctors. Doctors like Dr. David Cangello, Dr. Amiya Prasad, and Dr. Alan Matarasso stand out for their expertise, experience, and reputation in the field of fat - related procedures. When considering this procedure, it's essential for patients to thoroughly research the doctors, understand the procedure, the potential complications, and the associated costs.
If you're interested in autologous fat filling in the eye socket, we encourage you to schedule a consultation with one of the top - ranked doctors in New York City. Don't hesitate to ask questions, discuss your concerns, and get a detailed treatment plan. Share this article with others who may be interested in learning more about this procedure, and explore our other related content on cosmetic surgeries for further insights.
