The top 5 doctors on the reputation list of doctors for hyaluronic acid filling of tear troughs in New York City!

Introduction

In the bustling metropolis of New York City, many individuals seek to enhance their appearance and reduce the signs of aging, especially around the delicate eye area. Hyaluronic acid filling of tear troughs has emerged as a popular non - surgical solution for addressing dark circles, under - eye hollows, and a tired appearance. However, choosing the right doctor for this procedure is crucial to ensure safety, effectiveness, and natural - looking results. Here, we present the top 5 doctors on the reputation list for hyaluronic acid filling of tear troughs in New York City.

What are Tear Troughs and Hyaluronic Acid Fillers?

Tear Troughs

The tear trough is a natural contour that exists between the under - eye area and the top of the cheekbone. As we age, this area can become more prominent due to factors such as loss of collagen, fat loss, and thinning of the skin. Tear troughs can create shadows, making one look perpetually tired, sullen, or unwell. Dark circles under the eyes can also be a result of deep tear troughs.

Hyaluronic Acid Fillers

Hyaluronic acid (HA) is a naturally occurring substance in the body that helps to hydrate and plump the skin. HA fillers are gel - like substances that are injected into the tear trough area to restore lost volume, smooth out the hollows, and reduce the appearance of dark circles. Some common HA fillers used for tear troughs include Juvederm, Restylane, and Belotero. These fillers are preferred because they are biocompatible, provide natural - looking results, and have a relatively low risk of side effects.

The Top 5 Doctors in New York City for Hyaluronic Acid Filling of Tear Troughs

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 wide range of skin concerns, including dark under - eyes, sun damage, and fine lines. 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 in - depth knowledge of facial anatomy. She can work with patients to develop a customized treatment plan that caters to their unique skin care concerns and aesthetic goals.
• Preferred Fillers: She often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. These fillers have a soft formulation to enhance the natural appearance and rejuvenate the under - eye area.
• Procedure: During the consultation, Dr. Green assesses the under - eye hollows to choose the right tear trough filler. The procedure involves injecting the dermal filler directly into the skin in tiny amounts using an ultrafine needle. A local anesthetic is applied one hour before the injections to ensure comfort. After the procedure, ice is applied to prevent swelling, and aftercare instructions are provided.
• Results and Patient Satisfaction: Patients can expect natural - looking, long - lasting cosmetic results. Dr. Green's less - is - more approach to dermal fillers helps patients achieve a refreshed and youthful appearance without looking overdone.

Dr. George Liakeas (Smooth Synergy Medical Spa)

Dr. George Liakeas is the medical director at Smooth Synergy Medical Spa, which prides itself on being one of the best spas in NYC, offering a complete line of non - surgical facial treatments.

• Expertise: Dr. Liakeas is trained and experienced in injecting dermal fillers quickly and easily, especially in the sensitive under - eye area. He has a keen eye for aesthetics and can ensure a safe and effective treatment.
• Preferred Fillers: The spa offers a variety of dermal fillers, including Restylane, Juvederm, and Belotero. Dr. Liakeas can determine the most suitable filler based on the patient's needs and facial anatomy.
• Procedure: The procedure is simple and usually takes between 15 minutes to an hour. Dr. Liakeas evaluates the face, marks strategic injection points, and uses a super - fine needle to inject the filler. He then evaluates the treatment area to see if additional filler is needed.
• Results and Patient Satisfaction: Tear trough filler treatments at Smooth Synergy provide instant results, filling in or smoothing areas of volume loss under the eyes. Most patients experience minimal bruising and redness, and can return to normal activity immediately.

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.

• Expertise: Dr. Smith stays on the cutting edge of the latest treatments and techniques. He has extensive knowledge of the tear trough region's unique anatomical features and uses specialized techniques to achieve the best possible outcomes.
• Preferred Fillers: He commonly uses hyaluronic acid gel fillers like Juvederm and Restylane for tear troughs. For example, Restylane Lyft and Restylane Refyne are used to address age - related volume loss and tear trough deformity, while Juvederm Volbella XC is the first and only FDA - approved hyaluronic acid filler for the under - eye hollows.
• Procedure: The tear trough filler treatment involves injecting a hyaluronic acid gel beneath the thin skin under the eyes with a very fine needle or cannula. A numbing cream is first applied to maximize comfort. Most patients report little to no discomfort during the injections.
• Results and Patient Satisfaction: Patients can expect dramatic yet natural - looking results, with a reduction in dark circles, less noticeable bags and puffiness, and an improved skin smoothness and tone. The multitude of 5 - star reviews he has received are a testament to his exceptional patient care and satisfaction.

Dr. David Cangello

Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments.

• Expertise: He can recommend the best option for tear trough filler based on the patient's individual needs, goals, and medical history. He works with patients to develop a customized treatment plan to achieve their desired results.
• Preferred Fillers: Dr. Cangello commonly uses hyaluronic acid fillers such as Restylane or Belotero, which are safe, effective, and provide natural - looking results.
• Procedure: The procedure involves injecting the filler into the under - eye area using a small cannula. Results can typically be seen immediately. Before the procedure, patients are advised to discuss their medical history, avoid blood - thinning medications, alcohol, and caffeine. After the procedure, some mild swelling, bruising, and redness may occur, which usually subside within a few days to a week.
• Results and Patient Satisfaction: Tear trough filler treatments with Dr. Cangello can reduce the appearance of dark circles, camouflage under - eye bags, and restore volume to the under - eye area. Patients appreciate his patience, attention to detail, and ability to make them feel comfortable.

Dr. Neal Goldberg

Dr. Neal Goldberg is an extensively trained aesthetic plastic surgeon who offers tear trough filler treatment with Restylane - L®.

• Expertise: He can evaluate patients to determine if Restylane - L® is the right option or if a combination of treatments is needed. His experience allows him to provide effective and natural - looking results.
• Preferred Fillers: Restylane - L® is a clear hyaluronic acid - based dermal filler that can add volume to the tear troughs. Since it is not derived from animal products, there is no need for allergy testing before treatment.
• Procedure: Treatment takes place in an in - office setting. Lidocaine is included in the Restylane - L® formula to increase patient comfort during injections, and an additional numbing agent can be applied if desired. An ultra - fine needle is used to deliver the filler into the tear troughs. Swelling and redness may occur but should subside naturally.
• Results and Patient Satisfaction: Patients typically report excellent results that last between six months and one year. The treatment can provide a fuller, smoother look under the lower eyelids, reduce puffiness and dark circles, and give a more energetic and youthful appearance.

Comparing the Doctors

Factors to Consider When Choosing a Doctor

Experience and Expertise

Look for a doctor with extensive experience in hyaluronic acid filling of tear troughs. A doctor who has treated many patients is more likely to have the skills and knowledge to handle any potential complications and achieve optimal results. Specialties such as cosmetic dermatology or plastic surgery often indicate a higher level of expertise in this area.

Reputation and Reviews

Check patient reviews and ratings from reliable sources. Doctors who are highly rated by patients and recognized by medical associations or publications are more likely to provide quality care. Look for reviews that mention natural - looking results, minimal discomfort, and good aftercare.

Range of Fillers Offered

Ensure that the doctor offers a variety of hyaluronic acid fillers. Different fillers have different properties, and the right filler for you will depend on your facial anatomy, skin concerns, and aesthetic goals. A doctor who can offer multiple options can customize the treatment to your specific needs.

Personalized Treatment Plan

A good doctor will take the time to understand your concerns and goals and develop a personalized treatment plan. Avoid doctors who offer a one - size - fits - all approach. The treatment plan should take into account your unique facial features, skin type, and any underlying medical conditions.

Communication and Comfort

You should feel comfortable communicating with your doctor. They should be able to answer all your questions clearly and address any concerns you may have. A doctor who listens to your input and makes you feel at ease is more likely to provide a positive treatment experience.

The Procedure: What to Expect

Consultation

The first step is a consultation with the doctor. During this visit, the doctor will examine your under - eye area, discuss your concerns and aesthetic goals, and determine if you are a suitable candidate for hyaluronic acid filling of tear troughs. They will also recommend the most appropriate filler and develop a treatment plan.

Pre - Procedure Preparation

Before the procedure, you may be advised to avoid blood - thinning medications, alcohol, and caffeine to reduce the risk of bruising. You should also arrive at the appointment with a clean and makeup - free face.

The Injection Process

Most doctors will apply a local anesthetic or numbing cream to the treatment area to minimize discomfort. The filler is then injected into the tear trough area using a fine needle or cannula. The doctor will carefully distribute the filler to achieve a smooth and natural - looking result. The procedure usually takes between 15 minutes to an hour, depending on the extent of the treatment.

Post - Procedure Care

After the procedure, you may experience some mild swelling, bruising, and redness around the injection site. These symptoms usually subside within a few days to a week. You may be advised to apply ice to the area, avoid rubbing or massaging the area, and avoid strenuous exercise, alcohol, and blood - thinning medications for a short period. The doctor will provide detailed aftercare instructions and schedule a follow - up appointment to evaluate the results.

Benefits and Risks of Hyaluronic Acid Filling of Tear Troughs

Benefits

• Non - Surgical: Unlike surgical procedures, hyaluronic acid filling of tear troughs is a non - invasive treatment that does not require incisions or general anesthesia. This means less downtime and a lower risk of complications.
• Immediate Results: You can see the results of the treatment immediately after the injection. The under - eye area will look fuller, and the appearance of dark circles and hollows will be reduced.
• Natural - Looking Results: Hyaluronic acid fillers are designed to mimic the body's natural substances, resulting in a natural - looking appearance. When injected by an experienced doctor, the results should blend seamlessly with your facial features.
• Reversible: If you are not satisfied with the results, most hyaluronic acid fillers can be reversed using hyaluronidase, an enzyme that dissolves the filler.

Risks

• Swelling and Bruising: Mild swelling and bruising are common side effects of the procedure. These usually resolve within a few days, but in some cases, they may last longer.
• Tyndall Effect: This is a rare side effect that can occur when the filler is injected too superficially, causing a bluish discoloration in the injected area. It can usually be corrected with hyaluronidase.
• Infection: Although rare, there is a risk of infection at the injection site. This can be minimized by following the doctor's aftercare instructions.
• Vascular Complications: Injecting filler into blood vessels can lead to serious complications such as vision loss or tissue necrosis. However, this is extremely rare when the procedure is performed by an experienced doctor.

Conclusion

Hyaluronic acid filling of tear troughs is a popular and effective non - surgical option for rejuvenating the under - eye area in New York City. The top 5 doctors mentioned in this article - Dr. Michele Green