Introduction
Tear trough depression is a common cosmetic concern that can make individuals look tired or older than they actually are. The tear trough refers to the sunken area that forms beneath the lower eyelids, directly below the under - eye bags, and extends towards the cheeks. In New York City, there are several top - notch hospitals that offer excellent tear trough depression filling services. This article will introduce the top 3 hospitals for tear trough depression filling in New York City, while also providing in - depth knowledge about tear trough depression and its filling procedures.
Understanding Tear Trough Depression
Causes of Tear Trough Depression
As we age, the skin under the eyes can become thinner, and subcutaneous fat volume is lost. This is a natural part of the aging process. The lack of facial fat volume in the tear trough area leads to the prominence of the trough. Additionally, as we get older, the loss of skin elasticity and the laxity of facial ligaments occur. This causes the fat that normally covers the tear trough area to descend, creating a hollow where the fat used to be. Genetics also play a significant role. Some individuals are born with a congenital lack of facial fat volume in the tear trough area, which results in under - eye hollows from a young age.
Environmental factors can contribute to tear trough depression as well. Lack of sleep, for example, can cause blood vessels under the eyes to dilate, darkening the area and making the tear trough more noticeable. Chronic stress can affect the body's hormonal balance, which may lead to premature aging of the skin around the eyes and contribute to the development of tear troughs.
Symptoms of Tear Trough Depression
The most obvious symptom is the sunken appearance under the eyes. This sunken area gives a tired and aged look. Dark circles are often associated with tear trough depression. The shadow created by the hollow makes the under - eye area appear darker. In some cases, under - eye bags may also be present, which further accentuate the tear trough. Puffiness around the eyes can make the depression more prominent and contribute to an overall fatigued appearance.
Tear Trough Filler: An Overview
What is Tear Trough Filler?
Tear trough filler is a popular non - surgical cosmetic procedure. It involves injecting a hyaluronic acid - based filler (HA) into the area under the eyes. Hyaluronic acid is a naturally occurring substance in the body that can hold a large amount of water, which helps to plump up the skin. When injected into the tear trough area, it fills the depression, reduces the appearance of dark circles, and restores volume loss. Different types of hyaluronic acid fillers, such as Restylane® or Belotero, can be used, and the choice depends on the patient's specific needs, skin type, and anatomy.
Benefits of Tear Trough Filler
- Reduction of dark circles: By filling the trough, the shadow that causes the dark circles is diminished, resulting in a lighter - looking under - eye area.
- Camouflaging under - eye bags and puffiness: The filler levels out the area below the under - eye bags, making the lower eyelid blend more seamlessly with the cheek, thus reducing the appearance of puffiness.
- Volume restoration: It restores the lost volume in the under - eye area, giving a more youthful and refreshed appearance.
- Non - surgical: Compared to surgical procedures, it is less invasive, with lower risks and shorter recovery times.
- Little to no downtime: Patients can usually resume their normal activities immediately after the procedure.
- Quick results: The effects are visible almost immediately after the injection.
- Long - lasting: The results can last for several months, typically around 6 - 12 months.
Candidates for Tear Trough Filler
Good candidates for tear trough filler are individuals who are bothered by the appearance of under - eye hollows or dark circles. They should have healthy skin and no underlying medical conditions that could increase the risk of complications. It's important for candidates to have realistic expectations. Filler is most effective for dark circles caused by volume loss in the tear trough area. If the dark circles are due to skin pigmentation or blood vessels beneath the skin, laser treatments may be more appropriate. Also, those with good skin elasticity are better candidates, while individuals with severe skin laxity, excess skin, or a large amount of fat in the under - eye area may be better suited for surgical options like eyelid surgery (blepharoplasty).
The Top 3 Hospitals for Tear Trough Depression Filling in New York City
Hospital 1: Cangello Plastic Surgery
Doctor and Expertise
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He has in - depth knowledge of the facial anatomy and can accurately assess each patient's needs. Dr. Cangello can recommend the best option for tear trough filler based on the patient's individual needs, goals, and medical history. He is committed to providing beautiful and natural results through customized treatment plans.
Treatment Process
Before the procedure, patients are required to discuss their medical history, current medications, allergies, and sensitivities with Dr. Cangello. In the days leading up to the appointment, patients should avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil), alcohol, and caffeine to reduce the risk of bruising. On the day of the appointment, patients should arrive with a clean and makeup - free face. The procedure involves injecting the filler into the under - eye area using a small cannula, and results can typically be seen immediately.
Patient Experiences
Many patients have reported positive experiences at Cangello Plastic Surgery. One patient said, “He is amazing! Made me feel super comfortable as soon as I met him. He is got a lot of patience, explains every little detail and is a great listener. Not to mention his work is absolutely amazing. Got fillers and I can tell he was very experienced and made the effort to make me feel good and look fantastic!”
Hospital 2: Neinstein Plastic Surgery
Doctor and Approach
At Neinstein Plastic Surgery, the approach to tear trough filler injections is focused on safety and predictability. Their technique involves injecting very deep, almost directly on the cheek bone starting about half - way up the nose, and slowly moving a small wave of the hyaluronic acid up towards the tear trough area. This approach has been found to dramatically reduce the risk of bruising in the area.
Pre - treatment and Post - treatment Care
Prior to the appointment, patients are asked to not use blood thinners like aspirin for 5 days before the procedure. On the day of the injections, makeup is removed, and the skin is numbed for 20 minutes. After the injections are complete, ice is placed on the eyes for 5 minutes, and the patient takes a one - time dose of steroids to reduce swelling. Patients should not rub or massage the treated area immediately following the treatment. They should use gentle, sweeping motions when cleansing their face or applying makeup. Strenuous activities that raise the heart rate and blood pressure, such as exercise and sex, should be avoided for 24 hours.
Results and Satisfaction
Patients at Neinstein Plastic Surgery have seen significant improvements in the appearance of their under - eye area. The immediate volume change after receiving fillers is noticeable, and full tissue integration and settling take about a week. The practice aims to price their tear trough filler injections to make the procedure accessible to a wide range of patients.
Hospital 3: Dr. Matthew White's Practice
Treatment Customization
Dr. Matthew White uses the consultation process to tailor the treatment to the unique requirements and desires of each patient. Many patients do not require any surgery at all and achieve successful rejuvenation solely through the use of injectable dermal fillers such as Restylane® or Belotero Balance® that fill in the tear trough depression. Fillers can also be combined with platelet - rich plasma (PRP), which thickens the collagen layer of the skin to reduce the appearance of dark circles.
Advanced Techniques
For more severe cases, Dr. White is able to combine these newer techniques with surgery to ensure that the tear trough treatment can produce the results in keeping with the patient's needs. His innovative techniques with injectables have been successful in restoring fullness to the tear trough and giving patients a more youthful appearance.
Recovery and After - care
Patients treated with non - surgical injectables are typically ready to return to work after 2 - 3 days. For patients requiring eyelid surgery in conjunction with injectable treatment, the recovery time will be longer. Dr. White provides detailed after - care instructions to ensure optimal results and reduce the risk of complications.
Comparing the Top 3 Hospitals
| Hospital | Expertise of Doctors | Treatment Techniques | Pre - treatment and Post - treatment Care | Patient Satisfaction | Cost |
|---|---|---|---|---|---|
| Cangello Plastic Surgery | Dr. David Cangello has extensive experience in tear trough filler treatments and can customize treatment plans based on individual needs. | Uses a small cannula for injection, providing immediate results. | Requires patients to avoid blood - thinners, alcohol, and caffeine before the procedure. Post - treatment, mild swelling and bruising are normal and can be managed. | High, with many positive patient reviews about the doctor's professionalism and results. | Cost varies depending on the type and amount of filler used. |
| Neinstein Plastic Surgery | Focuses on a technique to reduce bruising, with experienced medical staff. | Injects deep on the cheek bone and moves the filler towards the tear trough area. | Asks patients to stop using blood thinners 5 days before. Post - treatment, patients need to avoid strenuous activities for 24 hours and use gentle face - care methods. | Good, with patients reporting visible volume change and satisfaction with the outcome. | Aims to make the procedure affordable, with costs depending on individual treatment needs. |
| Dr. Matthew White's Practice | Dr. Matthew White can customize treatments, combine fillers with PRP, and handle more severe cases with surgery. | Offers a combination of non - surgical and surgical options for different patient needs. | Recovery time varies depending on the treatment method. Non - surgical patients can return to work in 2 - 3 days, while surgical patients need more time. | Positive, as the practice is known for achieving results that meet patients' expectations. | Cost will be determined based on the specific treatment plan. |
Preparing for Tear Trough Filler Treatment
Medical Consultation
Before undergoing tear trough filler treatment, it is essential to have a detailed medical consultation with the doctor. During this consultation, the doctor will evaluate your overall health, medical history, and any medications you are taking. They will also assess the condition of your tear trough area, including the depth of the depression, skin quality, and presence of under - eye bags. Based on this assessment, the doctor can recommend the most suitable type of filler and the appropriate amount for your needs.
Lifestyle Adjustments
In the days leading up to the treatment, you should make some lifestyle adjustments. As mentioned earlier, avoid taking blood - thinning medications and supplements, such as aspirin, ibuprofen, and fish oil. These substances can increase the risk of bruising at the injection site. Additionally, limit your alcohol and caffeine intake, as they can also contribute to increased bruising. On the day of the treatment, arrive with a clean and makeup - free face to ensure a sterile environment for the injection.
The Tear Trough Filler Procedure
Anesthesia
Most tear trough filler procedures use a local anesthetic to minimize discomfort. The filler itself may contain lidocaine, a numbing agent. If needed, an additional numbing cream can be applied to the skin before the injection. This ensures that the patient feels only minor discomfort during the procedure.
Injection Process
The doctor will use a small cannula or fine needle to inject the filler into the tear trough area. The cannula or needle is inserted carefully into the skin, and the filler is slowly injected in a controlled manner. The doctor will monitor the volume of the filler and the appearance of the area during the injection to ensure a natural - looking result. The injection process usually takes about 15 to 30 minutes, depending on the individual and the amount of filler used.
Recovery and After - care
Immediate Post - treatment
After the tear trough filler procedure, it is normal to experience some mild swelling, bruising, and redness around the injection site. Ice packs can be applied to the area to reduce swelling, and over - the - counter pain medications such as ibuprofen can be taken to relieve any discomfort. You should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the filler from shifting or becoming dislodged.
Long - term After - care
It is recommended to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours after the procedure. While the results of tear trough filler are immediate, it may take a few days for the full effects to be visible as any swelling or bruising subsides. Following the after - care instructions provided by the doctor is crucial to ensure optimal results and reduce the risk of complications. You should also keep the doctor informed of any unusual symptoms, such as severe pain, excessive swelling, or infection.
FAQs about Tear Trough Filler
What are dermal fillers?
Dermal fillers are a type of injectable cosmetic treatment used for facial enhancement. They can add volume, smooth out wrinkles, and contour facial features. They are made from a variety of materials, including hyaluronic acid (HA) fillers, which can be dissolved with hyaluronidase. Dermal fillers are typically injected into the skin using a fine needle.
How long does the tear trough filler procedure take?
The procedure typically takes about 15 to 30 minutes, depending on the individual and the amount of filler used.
Is the tear trough filler procedure painful?
The level of discomfort experienced during a tear trough filler treatment can vary depending on your pain tolerance and the technique used by the injector. However, since the skin is prepped with a numbing agent, most people describe the procedure as being relatively comfortable with only minor discomfort. For example, Dr. Cangello uses a cannula for injection, which often results in no pain being felt by the patient.
What is the recovery time for tear trough filler?
There is usually little to no downtime associated with tear trough filler, and patients can typically resume their normal activities immediately after the procedure. Some mild swelling, bruising, or redness around the injection site may occur but usually subsides within a few days to a week.
How long do the results of tear trough filler last?
The results of tear trough filler can last for several months, typically around 6 - 12 months. The duration of the results can vary depending on the individual, the type of filler used, and other factors such as lifestyle, genetics, and age.
Does tear trough filler have any side effects?
While tear trough filler treatment is considered safe, it does carry some potential risks and side effects. These may include swelling, bruising, redness, itching, and infection. These side effects are usually mild and temporary and can be managed with ice packs or over - the - counter pain medications.
What is the cost of tear trough filler?
The cost of tear trough filler injections can vary depending on several factors, including the type and amount of filler used. Multiple syringes may be needed to achieve the desired results, and the number of syringes required will depend on your specific needs and goals.
Can I combine other treatments with tear trough filler?
Yes, many patients choose to combine tear trough filler with other injectables such as Botox® for more comprehensive non - surgical facial rejuvenation.
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