Introduction
New York City is a hub for advanced cosmetic treatments, and hyaluronic acid filling of tear troughs has gained significant popularity in recent years. This procedure is a non - invasive solution to rejuvenate the under - eye area, addressing issues like dark circles, hollows, and a tired appearance. Alongside this, double eyelid cases are also commonly seen in the city's cosmetic industry, appealing to those looking for a more defined and youthful eye appearance. In this article, we will explore the technical ranking of doctors performing hyaluronic acid filling of tear troughs in New York City and also touch upon relevant double eyelid cases.
Understanding Tear Troughs and Hyaluronic Acid Filling
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 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.
How Hyaluronic Acid Filling Works
Hyaluronic acid fillers are the preferred choice for tear trough filling. Hyaluronic acid is a substance that occurs naturally in the body and helps plump the skin and increase collagen production. When injected into the tear trough area, dermal fillers work to reduce the appearance of dark circles and shadowing under the eyes. They restore lost volume in the crease below the eye and improve the appearance of dark circles and under - eye bags.
There are different types of hyaluronic acid fillers available, each with its own characteristics. For example, 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. Restylane Eyelight is a newer dermal filler that was FDA - approved in 2023 for use under the eyes. This dermal filler 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, 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.
Technical Ranking of Doctors in New York City for Tear Trough Filling
Dr. Michele Green
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.
For tear trough filling, Dr. Green often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. She takes a personalized approach, assessing 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. During the procedure, she injects the dermal fillers directly into the skin in tiny amounts using an ultrafine needle for precision. After the initial treatment, she follows up with patients to ensure satisfactory results and determine if any touch - up is needed.
Dr. Brett Kotlus
Dr. Brett Kotlus is a Cosmetic Oculoplastic Surgeon. He has extensive experience and specialized training in oculoplastic and cosmetic surgery. When it comes to under - eye fillers, he believes that currently the best fillers for the under - eyes for the vast majority of people are made of cross - linked hyaluronic acid (HA) gel. He has a preference for Restylane - L as the best under - eye filler because of its great behavior profile, with the right balance of stiffness, cohesivity, duration of effect (about a year under the eyes), and relatively low swelling.
Dr. Kotlus is cautious about using permanent or semi - permanent injectable fillers under the eyes, as they are not reversible and can cause lumps and bumps if not placed correctly. He has had to do surgery to remove permanent fillers from patients' under - eyes on many occasions. In addition to filler knowledge, his surgical background gives him a comprehensive understanding of the eye area's anatomy, which is beneficial for accurate injection and minimizing risks.
Dr. David Cangello
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 the patient's individual needs, goals, and medical history, and will work with them to develop a customized treatment plan.
His approach involves injecting the filler into the under - eye area using a small cannula, which can result in less pain for the patient. He also emphasizes the importance of proper patient preparation, including discussing the patient's medical history and medications, and having them avoid blood - thinning medications and supplements before the procedure. After the treatment, he provides detailed aftercare instructions to ensure optimal results and reduce the risk of complications.
Dr. Darren M. Smith
Dr. Darren M. Smith is a board - certified plastic surgeon with an artistic eye for aesthetics. With over 18 years of experience, he is considered one of the leading specialists in enhancing and rejuvenating the delicate eye region. He offers tear trough fillers as a targeted solution for revitalizing the under - eye area.
Dr. Smith uses advanced techniques like small injection amounts and cannulas to minimize trauma and reduce the chances of extensive bruising. He will determine the ideal filler, such as hyaluronic acid gel fillers like Juvederm and Restylane, to meet each patient's individual needs. His focus on a natural, refreshed appearance and his numerous 5 - star reviews are testaments to his exceptional patient care and treatment results.
Dr. Zuckerman
Dr. Zuckerman can help patients reduce dark circles with under - eye dermal filler injections. He uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for treating the under - eye area. It is also the least hydrophilic of hyaluronic acid fillers, minimizing swelling.
Dr. Zuckerman injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. His treatment helps patients appear rested and refreshed both at rest and while smiling or making facial expressions. He provides clear pretreatment guidelines, such as avoiding ibuprofen/aspirin two days before and after treatment, and has techniques to minimize bruising.
Double Eyelid Cases in New York City
Types of Double Eyelid Procedures
There are different types of double eyelid procedures available in New York City. One common method is the incisional method. This involves making a small incision on the eyelid to remove excess fat and skin and create a more defined double eyelid crease. It is a more permanent solution and is suitable for patients with thick eyelids or a lot of excess tissue.
Another method is the non - incisional or suture method. This technique uses sutures to create the double eyelid crease without making a large incision. It is a less invasive option with a shorter recovery time, but the results may not be as long - lasting as the incisional method.
Doctors Specializing in Double Eyelid Procedures
While some of the doctors mentioned above for tear trough filling may also be experienced in double eyelid procedures, there are other doctors in the city who specifically focus on this area. For example, some plastic surgeons with a background in Asian aesthetics may be well - versed in double eyelid surgeries as it is a popular procedure among the Asian population. These doctors understand the unique anatomical features and aesthetic preferences of their patients, ensuring natural - looking and satisfactory results.
Doctors performing double eyelid procedures in New York City often take a patient - centered approach. They will have in - depth consultations with patients to understand their goals, explain the different procedures, and discuss the potential risks and benefits. They also pay attention to details such as the height and shape of the double eyelid crease to ensure it complements the patient's overall facial features.
Comparing Doctors for Tear Trough Filling
| Doctor | Years of Experience | Preferred Fillers | Technique | Patient Reviews |
|---|---|---|---|---|
| Dr. Michele Green | Over 25 years | Juvederm Volbella, Restylane, Restylane Eye Light, Belotero Balance | Uses ultrafine needle for precision injection | Consistently rated highly by major publications |
| Dr. Brett Kotlus | Extensive experience in oculoplastic and cosmetic surgery | Restylane - L | Has a comprehensive understanding of eye anatomy for accurate injection | Skilled in handling under - eye filler issues |
| Dr. David Cangello | Extensive experience in tear trough filler treatments | Hyaluronic acid fillers like Restylane, Belotero | Uses small cannula for injection | Positive patient experiences |
| Dr. Darren M. Smith | Over 18 years | Juvederm and Restylane hyaluronic acid gel fillers | Uses advanced techniques to minimize bruising | Numerous 5 - star reviews |
| Dr. Zuckerman | Experienced in under - eye filler treatments | Restylane - L | Injects deep into tissues near the bone | Effective in reducing dark circles |
Benefits and Risks of Hyaluronic Acid Filling of Tear Troughs
Benefits
- Non - surgical: It is a non - invasive alternative to surgery, which means less downtime and fewer risks compared to surgical procedures.
- Natural - looking results: Hyaluronic acid fillers can provide natural - looking volume restoration, reducing the appearance of fine lines, puffiness, and dark circles, and making the under - eye area look more youthful and refreshed.
- Quick results: The effects of the treatment are usually visible immediately after the procedure.
- Long - lasting: The results can last for six to twelve months, depending on the filler used and individual factors.
Risks
- Swelling and bruising: Mild swelling and bruising at or around the injection sites are common side effects, but they usually subside within a week.
- Tyndall effect: A rare side effect that leads to a bluish discoloration in the injected area, which can last several months and can be reversed with hyaluronidase.
- Allergic reaction: Although rare, some patients may have an allergic reaction to the dermal filler product.
- Other serious side effects: There are some rare but serious side effects such as changes in vision, vascular occlusion, signs of infection at injection sites, worsening bruising or swelling, numbness, and persistent pain. To minimize these risks, it is crucial to have the procedure performed by an experienced and board - certified doctor.
Preparing for Hyaluronic Acid Filling of Tear Troughs
Consultation
Before the procedure, it is essential to have a consultation with the doctor. During the consultation, the doctor will evaluate the targeted treatment area and the skin's elasticity, confirm if you are 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. You should also discuss your medical history, medications you are taking, allergies, and your aesthetic goals with the doctor.
Pre - treatment Precautions
In the days leading up to the appointment, you should avoid taking blood - thinning medications or supplements such as NSAIDs (anything containing ibuprofen, aspirin, or fish oil), as this can increase the risk of bruising. It is also recommended to avoid alcohol and caffeine, as they can also increase the risk of bruising. On the day of the appointment, arrive with a clean and makeup - free face.
Recovery and Aftercare
Immediate Post - treatment
After the procedure, ice will usually be applied to the treatment area to help prevent any swelling that may occur. You may experience some mild swelling, bruising, and redness around the injection site, which is normal. These symptoms usually subside within a few days to a week and can be managed with ice packs or over - the - counter pain medications such as ibuprofen. You should avoid rubbing or massaging the area for at least 24 hours after the procedure, as this can cause the filler to shift or become dislodged.
Long - term Aftercare
It is recommended to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours after the procedure. The doctor will schedule a follow - up appointment, usually about two weeks after the treatment, to ensure that the treatment was satisfactory and determine whether any touch - up of the hyaluronic acid dermal filler is needed. Following the doctor's aftercare instructions is crucial for optimal results and to reduce the risk of complications.
Conclusion
In conclusion, hyaluronic acid filling of tear troughs is a popular and effective non - invasive cosmetic procedure in New York City. There are several highly skilled doctors in the city who are experienced in performing this treatment, each with their own unique techniques and preferred fillers. When considering this procedure, it is important to choose a board - certified doctor who can provide personalized care and minimize the risks. Additionally, double eyelid cases also have their own significance in the city's cosmetic industry, with various procedures and experienced doctors available. If you are interested in either of these treatments, we encourage you to schedule a consultation with a reputable doctor to discuss your options and achieve your desired aesthetic results.
