New York City is a hub of excellence in the field of plastic surgery, particularly when it comes to fat filling of the tear trough. This article aims to provide a comprehensive ranking of doctors in New York City who are experts in this procedure, along with real - life plastic surgery cases as references.
Understanding Tear Trough Fat Filling
What are Tear Troughs?
A tear trough is an anatomic area in the face, the hollow located between the upper cheek and the lower eyelid region. Tear troughs 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 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 (source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
How Does Fat Filling of the Tear Trough Work?
Fat filling of the tear trough, also known as fat grafting, is a procedure where fat is harvested from the patient's own body (usually from areas like the abdomen or thighs), processed, and then injected into the tear trough area. This helps to restore lost volume, smooth out the hollows, and reduce the appearance of dark circles and under - eye bags. It provides a more natural - looking result compared to some dermal fillers, as the fat is the patient's own tissue (source: The Best Tear Trough and Under - Eye Filler | Dr. Brett Kotlus, Cosmetic Oculoplastic Surgeon, NYC).
Ranking of Doctors in New York City for Tear Trough Fat Filling
1. Dr. Michele Green
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology. With over 25 years of experience, she has treated patients from around the globe for a myriad of skin concerns, including dark under - eyes. Although she is well - known for non - invasive cosmetic procedures such as tear trough fillers, her in - depth knowledge of the under - eye area also makes her a trusted professional in the field of fat filling consultations. She offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers, botox, laser treatments, and more. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. Dr. Green can assess the tear trough area carefully and guide patients on whether fat filling is the right option for them, as well as recommend complementary treatments (source: Tear Trough Fillers NYC - Restylane Fillers For Under Eye Area).
2. Dr. Brett Kotlus
Dr. Brett Kotlus is a cosmetic oculoplastic surgeon. He has extensive experience and specialized training in oculoplastic and cosmetic surgery. While he discusses the various fillers for the under - eye area, he also frequently performs under - eye fat grafting, usually in conjunction with cosmetic eyelid surgery to blend and provide volume support to the areas around the eyes. He emphasizes the importance of the technique used in fat grafting and believes it can be a safe and effective procedure. Dr. Kotlus is highly selective about the fillers he uses under the eyes and can make informed decisions when it comes to fat filling as well (source: The Best Tear Trough and Under - Eye Filler | Dr. Brett Kotlus, Cosmetic Oculoplastic Surgeon, NYC).
3. Dr. Richard Swift
Dr. Richard Swift is a facial fat grafting specialist. He has devised a combination procedure that allows patients to improve the appearance of both the lower eyelid and the under - eye hollows. When it comes to eyelid and facial rejuvenation, he believes that facial fat grafting offers more natural looks compared to other methods. He uses a micro - fat grafting technique with a blunt microcannula to add volume to the hollow in the thin lid - cheek junction below the orbital fat pockets. His approach to fat grafting in the tear trough area is to create a more natural and youthful appearance while minimizing complications (source: Top Plastic Surgeon NYC - Eyelid Surgery NYC - Facial Fat Grafting NYC - Eyelid Lift NYC - Injectable Dermal Fillers).
4. Dr. Adam R. Kolker
Dr. Adam R. Kolker is a New York City plastic surgeon skilled in all nuances and techniques in rejuvenation of the eye area. He offers fat grafts for tear trough and volume loss as part of his eyelid rejuvenation options. His eyelid surgery and rejuvenation procedures are tailored to each patient's unique needs. Dr. Kolker takes a comprehensive approach to eyelid rejuvenation, considering factors such as the patient's skin, fat, support, shape, function, and individual desire. His attention to detail and commitment to achieving natural - looking results make him a top choice for tear trough fat filling (source: Best Eyelid Surgery NYC | Blepharoplasty New York City).
5. Dr. David Cangello
Dr. David Cangello is a world - class, board - certified plastic surgeon in NYC. He is trained in plastic and reconstructive surgery, as well as general surgery. He approaches each procedure from an artistic point of view, creating results that showcase the delicate balance between aesthetic beauty and medical precision. He is one of only two surgeons in the world trained by Dr. Sydney Coleman, a pioneer of the fat grafting technique. Dr. Cangello's expertise in fat grafting can be applied to the tear trough area, and his artistic eye can ensure a more natural and harmonious result (source: Best Plastic Surgeon NYC | Celebrity Plastic Surgeon | Dr. Cangello).
Plastic Surgery Cases for Reference
Case 1: Under - Eye Fat Grafting with Dr. Brett Kotlus
A patient came to Dr. Kotlus with prominent under - eye bags and dark circles. After a thorough consultation, Dr. Kotlus recommended under - eye fat grafting in conjunction with a minor eyelid surgery. He carefully harvested fat from the patient's abdomen, processed it, and injected it into the tear trough area. The result was a significant reduction in the appearance of under - eye bags and dark circles. The patient had a more refreshed and youthful look, and the natural - looking result was highly satisfactory (source: The Best Tear Trough and Under - Eye Filler | Dr. Brett Kotlus, Cosmetic Oculoplastic Surgeon, NYC).
Case 2: Eyelid Rejuvenation with Fat Grafting by Dr. Richard Swift
An aging patient presented with volume loss in the under - eye area and a sunken - in appearance. Dr. Swift used his micro - fat grafting technique to add volume to the tear trough and lid - cheek junction. He also removed a small amount of redundant skin under the lash line and tightened the underlying lax muscle. The patient's under - eye area looked smoother and more youthful. The addition of fat led to an improvement in skin quality, and the overall result was long - lasting (source: Top Plastic Surgeon NYC - Eyelid Surgery NYC - Facial Fat Grafting NYC - Eyelid Lift NYC - Injectable Dermal Fillers).
Case 3: Fat Grafting for Tear Trough with Dr. Adam R. Kolker
A patient desired to reduce the appearance of fine lines and hollows under the eyes. Dr. Kolker performed fat grafting to the tear trough area as part of a comprehensive eyelid rejuvenation plan. He combined the fat grafting with laser resurfacing to improve the skin texture and tone. The patient noticed a significant improvement in the appearance of the under - eye area. The fine lines were reduced, and the hollows were filled, giving a more rejuvenated look (source: Best Eyelid Surgery NYC | Blepharoplasty New York City).
Factors to Consider When Choosing a Doctor for Tear Trough Fat Filling
1. Experience and Expertise
Look for doctors with extensive experience in performing tear trough fat filling procedures. Doctors who have been in the field for many years are more likely to have encountered a wide range of cases and developed the necessary skills to handle any complications that may arise. Board - certified plastic surgeons or dermatologists with a focus on facial rejuvenation are often a good choice. For example, Dr. Michele Green has over 25 years of experience, and Dr. Brett Kotlus has specialized training in oculoplastic and cosmetic surgery (source: multiple sources).
2. Reputation
Check the doctor's reputation through patient reviews, testimonials, and awards. Doctors who are consistently rated highly by patients and recognized by medical organizations are more likely to provide high - quality care. For instance, Dr. Andrew Jacono has been named one of the best facial plastic surgeons by New York Magazine year after year, and Dr. Barry M. Weintraub has received numerous awards and honors, including being listed in Newsweek America's Best Plastic Surgeons (source: Best Plastic Surgeon NYC | Dr. Andrew Jacono; Top Plastic Surgeon in NYC New York City Dr. Barry M Weintraub).
3. Artistic Ability
Tear trough fat filling is not just about adding volume; it's also about creating a natural and aesthetically pleasing result. Doctors with an artistic eye can ensure that the fat is injected in a way that complements the patient's facial features. Dr. David Cangello approaches plastic surgery with an artistic mindset, which can be beneficial when performing tear trough fat filling (source: Best Plastic Surgeon NYC | Celebrity Plastic Surgeon | Dr. Cangello).
4. Communication Skills
A good doctor should be able to communicate clearly with the patient, understand their concerns and goals, and explain the procedure, risks, and expected outcomes in a way that the patient can understand. For example, during the consultation, the doctor should be able to answer all of the patient's questions and provide a personalized treatment plan (source: multiple sources).
Conclusion
New York City is home to some of the best doctors in the world for tear trough fat filling. Doctors like Dr. Michele Green, Dr. Brett Kotlus, Dr. Richard Swift, Dr. Adam R. Kolker, and Dr. David Cangello have the experience, expertise, and reputation to provide high - quality tear trough fat filling procedures. Real - life plastic surgery cases serve as references to show the effectiveness of these procedures. When choosing a doctor, it's important to consider factors such as experience, reputation, artistic ability, and communication skills.
If you're considering tear trough fat filling in New York City, we encourage you to schedule consultations with the doctors mentioned in this article. During these consultations, you can ask questions, view before - and - after photos, and get a better sense of which doctor is the right fit for you. Take the first step towards achieving a more youthful and refreshed under - eye appearance today!
