Introduction
In New York City, tear trough fillers have emerged as a popular non - invasive cosmetic treatment for rejuvenating the under - eye area. The eyes are often the first area to show signs of aging, and tear troughs, which are the creases between the lower eyelid and upper cheek, can give a tired and aged appearance. Many people are turning to collagen filling of tear troughs to achieve a more youthful and refreshed look. This article will not only explore the ins and outs of tear trough fillers but also highlight some of the top doctors in New York City known for their expertise in this area.
Understanding Tear Troughs
What are Tear Troughs?
A tear trough is an anatomic area of the face, specifically 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 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.
Causes of Tear Troughs
- Aging: As we age, the skin loses elasticity and collagen, and the fat pads under the eyes may shift or atrophy, leading to the appearance of tear troughs.
- Genetics: Some individuals are genetically predisposed to having more prominent tear troughs.
- Sun Damage: Excessive sun exposure can accelerate the breakdown of collagen and elastin in the skin, contributing to the formation of tear troughs.
Tear Trough Fillers: An Overview
What are Tear Trough Fillers?
Tear trough fillers are cosmetic injectables composed of hyaluronic acid. When injected into the tear trough area, they work to restore lost volume, smooth out the under - eye hollows, and reduce the appearance of dark circles and shadows. Popular hyaluronic acid fillers for tear troughs include Restylane, Juvederm Volbella, and Belotero Balance.
How Do Tear Trough Fillers Work?
Hyaluronic acid is a substance that occurs naturally in the body. It has the ability to hold up to 1000 times its weight in water, which helps to plump the skin and increase collagen production. When injected into the tear trough, the filler adds volume to the area, fills in the hollow, and improves the overall appearance of the under - eye region.
Benefits of Tear Trough Fillers
| Benefit | Description |
|---|---|
| Non - surgical | Unlike surgical procedures such as blepharoplasty, tear trough fillers are non - invasive, which means no incisions, less downtime, and fewer risks. |
| Immediate Results | Patients can see an immediate improvement in the appearance of their under - eye area after the filler injection. |
| Natural - looking | When administered by an experienced doctor, tear trough fillers can provide a natural - looking rejuvenation of the under - eye area. |
| Long - lasting | Results can last anywhere from six to twelve months, depending on the type of filler used and the patient's metabolism. |
Top Doctors for Collagen Filling of Tear Troughs in New York City
Dr. Michele Green
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology, with over 25 years spent treating 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.
- Expertise: Dr. Green is an expert injector and has extensive experience with tear trough fillers. She uses a variety of hyaluronic acid fillers, such as Juvederm Volbella, Restylane, and Belotero Balance, to provide natural - looking results. She takes a personalized approach to each patient, assessing their under - eye hollows and creating a customized treatment plan to address their specific skin care concerns and aesthetic goals.
- Patient Satisfaction: Patients praise Dr. Green for her professionalism, expertise, and the natural - looking results she achieves. She is known for her attention to detail and her ability to make patients feel comfortable during the treatment process.
Dr. David Cangello
Dr. David Cangello is a board - certified plastic surgeon with extensive experience in tear trough filler treatments. He administers all injectables himself at his NYC practice, ensuring that patients receive personalized and high - quality care.
- Expertise: Dr. Cangello has a thorough understanding of facial anatomy and uses this knowledge to provide natural - looking results with tear trough fillers. He offers a comprehensive selection of dermal fillers, including Restylane, Juvederm, Belotero, Radiesse, Sculptra, Bellafill, and fat grafting, and can recommend the best option based on the patient's individual needs, goals, and medical history.
- Patient Experience: Patients report that Dr. Cangello is patient, explains every detail of the procedure, and makes them feel comfortable. His work is highly regarded, and many patients are satisfied with the results of their tear trough filler treatments.
Dr. Zuckerman
Dr. Zuckerman is a board - certified plastic surgeon with hundreds of hours of injectables experience. At his New York City practice, he offers a range of treatments using hyaluronic acid fillers, including restylane products for tear trough rejuvenation.
- Expertise: Dr. Zuckerman is an expert injector of Restylane Silk, which can also be used for subtle lip augmentation and nasolabial fold rejuvenation. He has the skill and knowledge to use the appropriate filler and technique to achieve the best results for his patients.
- Patient - centric Approach: He takes into account the patient's preferences and goals when developing a treatment plan. His patients often appreciate his ability to minimize bruising and downtime, and they are satisfied with the natural - looking results they achieve.
Choosing the Right Filler for Tear Troughs
Common Fillers for Tear Troughs
Juvederm Volbella
Juvederm Volbella is the first FDA - approved dermal filler for treating tear troughs. It contains the thinnest formulation of the Juvederm family, and its patented Vycross technology allows for a smooth and even distribution under the skin.
Restylane
Restylane is a family of hyaluronic acid dermal fillers. Restylane Eyelight, in particular, is a newer dermal filler that 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.
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, which is a bluish hue in the injected area due to the reflection of light off of particles suspended in the filler.
Factors to Consider
- Facial Anatomy: The shape and structure of your face can influence the choice of filler. For example, if you have thinner skin, a thinner - consistency filler may be more appropriate.
- Skin Concerns: If you have additional skin concerns such as dark circles due to pigmentation, a filler alone may not be sufficient, and other treatments may need to be considered in combination.
- Cosmetic Goals: Your desired outcome, whether it's a subtle improvement or a more significant change, will also play a role in the choice of filler.
The Tear Trough Filler Procedure
Consultation
The first step in the tear trough filler process is a consultation with a qualified doctor. During the consultation, the doctor will evaluate your under - eye area, discuss your concerns and goals, and determine if tear trough fillers are the right treatment for you. They will also recommend the most appropriate filler and the number of syringes needed.
Pre - procedure Preparation
Before the procedure, you may be asked to avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications), aspirin, or fish oil, as these can increase the risk of bruising. You may also be advised to avoid alcohol and caffeine in the days leading up to the appointment.
The Injection Process
A local anesthetic is usually applied to the treatment area about an hour before the injection to minimize discomfort. The doctor will then use an ultrafine needle or a cannula to inject the filler into the tear trough area in tiny amounts. Dr. Michele Green, for example, prefers using an ultrafine needle for precision. After the injection, ice is applied to the treatment area to help prevent swelling.
Recovery and Aftercare
Some mild swelling, bruising, and redness around the injection site are normal after the procedure. These symptoms usually subside within a few days to a week. You should avoid rubbing or massaging the area for at least 24 hours, and refrain from strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours. Your doctor will provide you with detailed aftercare instructions to ensure optimal results and reduce the risk of complications.
Potential Risks and Side Effects
Common Side Effects
- Swelling and Bruising: These are the most common side effects and usually resolve within a few days to a week. Applying ice can help reduce swelling, and patients prone to bruising can take Arnica Forte to prevent and heal bruises faster.
- Redness and Irritation: The injection site may be red and irritated for a short period after the procedure. This is usually mild and temporary.
- Tyndall Effect: This is a rare side effect that can occur when a hyaluronic acid filler is injected too superficially, causing a bluish discoloration in the injected area. It can be reversed with hyaluronidase to dissolve the dermal filler.
Serious Side Effects
While rare, serious side effects can 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 these, it is crucial to have your tear trough filler injections performed by an expert, board - certified injector.
Combining Tear Trough Fillers with Other Treatments
Botox
Botox is a popular treatment for dynamic wrinkles, such as crow's feet around the eyes. It can be combined with tear trough fillers to achieve a more comprehensive rejuvenation of the eye area. Botox works by relaxing the muscles that cause wrinkles, resulting in smoother, more youthful - looking skin.
Thermage
Thermage uses radiofrequency energy to stimulate collagen production and tighten the skin. It can be used in conjunction with tear trough fillers to address skin laxity around the eyes, providing a more lifted and refreshed appearance.
Fraxel Laser Resurfacing
Fraxel laser resurfacing can improve skin tone, texture, and coloration, and is particularly effective for treating discoloration under the eyes and uneven skin texture. Combining it with tear trough fillers can enhance the overall results of eye rejuvenation.
Cost of Tear Trough Fillers
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. Typically, fillers cost $1000 or more per syringe. It is important to choose an experienced, board - certified doctor, even though it may be more costly, to ensure the best results and minimize the risk of side effects.
Conclusion
Collagen filling of tear troughs is a popular and effective non - invasive cosmetic treatment in New York City for achieving a more youthful and refreshed under - eye appearance. By choosing an experienced doctor such as Dr. Michele Green, Dr. David Cangello, or Dr. Zuckerman, patients can expect natural - looking results with minimal downtime and risks. Understanding the process, potential side effects, and available filler options is crucial for making an informed decision. If you are considering tear trough fillers, take the time to research and consult with a qualified professional to find the best treatment plan for you.
If you're interested in learning more about tear trough fillers or scheduling a consultation with one of the top doctors in New York City, don't hesitate to reach out to the offices mentioned in this article. You can also explore more related topics on cosmetic dermatology and plastic surgery to stay informed about the latest trends and treatments.
