Introduction

The appearance of tear troughs can make individuals look tired and older than they actually are. Removing tear troughs with autologous fat has become a popular cosmetic procedure in New York City. Autologous fat transfer, also known as fat grafting, uses the patient's own fat as filler, which offers natural - looking and long - lasting results. In this article, we will explore the top 5 popular hospitals for this procedure in New York City.

The top 5 popular hospitals for removing tear troughs with autologous fat in New York City are released!

What are Tear Troughs and Why Remove Them?

Definition of Tear Troughs

Tear troughs refer to the sunken areas that form beneath the lower eyelids, directly below the under - eye bags, and extend towards the cheeks. As we age, factors such as loss of facial fat, loss of skin elasticity, and laxity of facial ligaments can cause the tear trough area to become more prominent. Some individuals may also be born with a congenital lack of facial fat volume in this area, resulting in an under - eye hollow (source: Tear Trough Filler New York City NYC Manhattan).

Reasons for Removal

Appearance: Tear troughs can make a person look tired, sad, or older than their actual age. Removing them can restore a more youthful and refreshed appearance.
Confidence: A better - looking under - eye area can boost self - confidence and improve how individuals feel about their overall appearance.

Benefits of Autologous Fat Transfer for Tear Trough Removal

Natural Filler

Autologous fat is a natural filler as it is taken from the patient's own body. Unlike synthetic fillers, there is no risk of allergic reaction or rejection because the fat is the patient's own tissue. Dr. Gerald Imber, an internationally renowned plastic surgeon, firmly believes fat transfer is the best of all available fillers as it can replace exactly what has been lost during the aging process (source: Fat Transfer in New York City | Dr. Gerald Imber).

Long - Lasting Results

While the results of some fillers may fade within a few months, a significant portion of the transferred fat can survive permanently. Approximately 35% of the transferred fat remains in place as a permanent natural filler, depending on the location (source: Fat Transfer in New York City | Dr. Gerald Imber).

Versatility

Autologous fat transfer can address not only tear troughs but also other areas of volume loss in the face, such as the cheeks, temples, and periorbital area.

Top 5 Popular Hospitals for Removing Tear Troughs with Autologous Fat in New York City

1. Dr. Gerald Imber's Practice

Dr. Gerald Imber is an internationally renowned plastic surgeon who has performed over 25,000 surgical procedures. His practice in New York City offers autologous fat transfer for tear trough removal.

Technique: Fat is harvested from areas like the abdomen, hips, inner thighs, and buttocks through liposuction or syringe aspiration. The fat cells are then processed in a centrifuge to separate them from other components, and the purified fat is prepared for injection (source: Fat Transfer in New York City | Dr. Gerald Imber).
Results: Dr. Imber aims for natural - looking results, and since fat is a natural filler, it can provide a smooth and long - lasting correction of tear troughs.
Patient Experience: The practice offers concierge services, including accommodation coordination with fine hotels in New York City, medical photography, medical clearance, private duty nurses and escorts post - surgery, transportation post - surgery, and pre - and post - operative care.

2. Haideh Hirmand, MD

Haideh Hirmand, MD offers micro - fat transfers to the eyelids, tear troughs, and peri - orbital areas.

Technique: She uses a labor - intensive technique that involves harvesting fat fresh using custom - made small cannulas, processing it to purify and concentrate the stem cell - enriched portion. The fat is then injected through access holes in very small quantities with special small - caliber blunt cannulas. This technique minimizes damage to the fat cells during harvesting and to the tissue in the recipient site, resulting in a smooth full contour (source: Fat Transfer Manhattan | Facial Fat Transfer New York | NYC).
Precautions: The doctor emphasizes the importance of conservative amounts of fat use, as fat is a powerful volumizer and can change over time with weight fluctuation. Good candidates for this procedure are those with volume loss and skin tone that can support fat injections.
Recovery: The bruising and swelling are less with each transfer, and the recovery is faster. The procedure is often outpatient, and although there may be bruising and swelling requiring concealer, there is generally no major downtime.

3. Pearlman Aesthetic Surgery

Dr. Steven Pearlman at Pearlman Aesthetic Surgery offers eyelid surgery (blepharoplasty), which can also involve re - positioning fat to fill in the tear trough area.

Procedure: In some cases, a more natural conservation lower eyelid blepharoplasty is performed. The fat that was bulging and creating the bags is preserved and re - positioned into the hollow tear trough area. This creates a smooth contour by lowering the “hill above” (the bulging fat) and filling the “valley beneath” (the tear trough) with the patient's own fat (source: Blepharoplasty/Eyelid Surgery in NYC - Pearlman Aesthetic Surger).
Benefits: The surgery can provide a more youthful, rested, and alert appearance, restore impaired vision, treat drooping and sagging eyelids, and reduce eye bags. The incisions are made in the natural creases of the eyelids or inside the lower eyelid to make the scars inconspicuous.
Recovery: The typical recovery period is about 1 week, during which patients are advised to use ice packs, get plenty of rest, keep their head elevated, and avoid activities that raise blood pressure.

4. Dr. Adam Kolker's Practice

Dr. Adam Kolker is a plastic surgeon in New York City who is skilled in eyelid rejuvenation, including fat grafts for tear trough and volume loss.

Approach: Dr. Kolker takes a comprehensive approach to eyelid surgery. He appreciates the importance of maintaining natural eyelid shape and enhancing youthfulness and beauty. When using fat grafts for tear troughs, he combines his technical finesse and artistry to achieve the most beautiful results.
Patient - centered Care: From the first visit through the entire peri - operative process and recovery, patients experience thoroughness, attention to detail, and warmth from Dr. Kolker and his team. He tailors the blepharoplasty or fat grafting procedure to each patient's unique physical attributes and desires.
Testimonials: Many patients have given positive testimonials about their experiences with Dr. Kolker, including improvements in their eyelid appearance and overall satisfaction with the results (source: Best Eyelid Surgery NYC | Blepharoplasty New York City).

5. Dr. David Cangello's Practice

Dr. David Cangello offers treatments for tear trough deformity, including fat transfer.

Consultation: During the consultation, Dr. Cangello determines the best treatment approach for each patient to achieve beautiful and natural results. He takes into account factors such as the patient's specific needs, goals, medical history, skin type, and anatomy.
Benefits of Treatment: The fat transfer can restore volume to the under - eye area, reduce the appearance of dark circles, and camouflage under - eye bags and puffiness. It is a non - surgical option that requires little to no downtime and provides relatively quick results (source: Tear Trough Filler New York City NYC Manhattan).
Aftercare: After the fat transfer, patients are provided with instructions on aftercare, including avoiding rubbing or massaging the area for at least 24 hours, avoiding strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours, and following other specific instructions to ensure optimal results and reduce the risk of complications.

Comparing the Top 5 Hospitals

Hospital	Technique	Recovery Time	Patient - centered Services	Results Focus
Dr. Gerald Imber's Practice	Harvesting fat from abdomen, hips etc. via liposuction or syringe aspiration and centrifuging for purification	Most patients fine in 24 hours with some restrictions	Concierge services including accommodation, medical photography etc.	Natural - looking and long - lasting results
Haideh Hirmand, MD	Custom - made small cannulas for harvesting, processing to enrich stem cells, and small - caliber blunt cannulas for injection	Less bruising and swelling, faster recovery, often outpatient with little downtime	Emphasis on personalized aesthetic vision based on patient's age and facial proportions	Smooth and well - contoured results with less chance of over - correction
Pearlman Aesthetic Surgery	Re - positioning fat in lower eyelid blepharoplasty to fill tear troughs	About 1 week	Detailed pre - and post - surgery care guidelines	Youthful, rested appearance with reduced eye bags and inconspicuous scars
Dr. Adam Kolker's Practice	Comprehensive approach with technical finesse and artistry in fat grafting for tear troughs	Primary swelling and bruising resolves in about one week	Warm and thorough care from first visit to follow - up	Enhanced natural eyelid shape and youthful appearance
Dr. David Cangello's Practice	Personalized treatment plan based on patient's needs and anatomy	Little to no downtime, mild swelling and bruising may subside in a few days to a week	Clear instructions on pre - and post - treatment care	Reduced dark circles and under - eye hollows with a more refreshed look

Preparing for Autologous Fat Transfer to Remove Tear Troughs

Medical Consultation

Before the procedure, it is essential to have a detailed consultation with the surgeon. The surgeon will evaluate your overall health, medical history, and the specific condition of your tear troughs. They will also discuss your goals and expectations for the procedure and determine if you are a suitable candidate (source: multiple articles on individual practices).

Lifestyle Changes

Medications: Stop taking blood thinners, non - steroidal anti - inflammatory drugs (NSAIDs), or herbal supplements for at least a week before the treatment to reduce the risk of excessive bleeding and bruising.
Smoking and Alcohol: Avoid smoking and excessive alcohol consumption as they can interfere with the healing process and the survival of the transferred fat cells.

Pre - treatment Instructions

On the day of the procedure, you may be asked to arrive with a clean and makeup - free face. Some surgeons may also recommend avoiding certain foods or beverages in the days leading up to the appointment to minimize swelling and bruising.

Recovery Process after Autologous Fat Transfer

Immediate Post - Procedure

After the fat transfer, you may experience mild swelling, bruising, and redness around the treated area. Cold compresses may be used to minimize these symptoms. You will be monitored in a recovery area for a short period to ensure your safety. In some cases, you may be able to go home the same day (source: Fat Transfer in New York City | Dr. Gerald Imber).

Short - term Recovery

Swelling and Bruising: The primary swelling and bruising usually resolve in about one week, but it may take a few days to a week for mild swelling and bruising to completely subside. Avoid strenuous exercise, alcohol, and blood - thinning medications or supplements during this time.
Care of the Treated Area: Follow the surgeon's instructions on how to care for the treated area. This may include avoiding rubbing or massaging the area, using gentle cleansing products, and applying any prescribed ointments or creams.

Long - term Recovery

As the transferred fat cells settle and integrate into the surrounding tissue, you will gradually see the final results of the procedure. It may take a few weeks for the full effects to be visible. Some fat cells may not survive, and in some cases, a touch - up procedure may be recommended to achieve the desired results.

Conclusion

Removing tear troughs with autologous fat is a popular and effective cosmetic procedure in New York City. The top 5 hospitals mentioned in this article, including Dr. Gerald Imber's practice, Haideh Hirmand, MD, Pearlman Aesthetic Surgery, Dr. Adam Kolker's practice, and Dr. David Cangello's practice, offer different techniques, approaches, and levels of patient - centered care. Each has its own advantages in terms of achieving natural - looking, long - lasting results and providing a positive patient experience.

If you are considering this procedure, it is crucial to have a thorough consultation with a qualified plastic surgeon to understand the best approach for your specific needs. Take the time to research and compare the different options, and don't hesitate to ask questions about the procedure, recovery, and expected results. We encourage you to reach out to these top - rated hospitals in New York City to schedule a consultation and take the first step towards a more youthful and refreshed appearance.