The Top 5 Selected Doctors in the Ranking List for Eye Tear Trough Filling in New York City in 2025
In New York City, the demand for eye tear trough filling has been on the rise as people seek to rejuvenate their under - eye area and achieve a more youthful appearance. Tear trough fillers are a non - invasive cosmetic treatment that can effectively address issues such as dark circles, hollows, and a tired look. Here, we present the top 5 doctors in New York City for eye tear trough filling based on various factors such as experience, patient reviews, and expertise.
1. Dr. Michele Green
Overview
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 myriad 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 in Tear Trough Filling
Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She is an expert injector who can work with patients to ensure they are good candidates for tear trough fillers and develop a customized treatment plan. 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 correct tired - looking eyes and under - eye bags.
Treatment Process
During the consultation, Dr. Green will assess the patient's under - eye hollows to choose the right filler. A local anesthetic is applied one hour before the injections, and the fillers are compounded with lidocaine to ensure a painless procedure. She uses an ultrafine needle for precision in the tear trough injections. After the procedure, ice is applied to prevent swelling, and aftercare instructions are provided. A two - week follow - up is scheduled to ensure satisfactory results and determine if any touch - up is needed.
Patient Testimonials
Many patients have reported significant improvement in their under - eye appearance after treatment with Dr. Green. They praise her expertise, professionalism, and the natural - looking results she achieves. For example, some patients have noticed a reduction in dark circles and a more youthful look, making them feel more confident in their appearance.
2. Dr. Brett Kotlus
Overview
Dr. Brett Kotlus is a cosmetic oculoplastic surgeon with extensive experience and specialized training in oculoplastic and cosmetic surgery. He has his own practice in NYC and is well - known for his expertise in under - eye filler treatments.
Expertise in Tear Trough Filling
Dr. Kotlus 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 detailed understanding of different HA fillers and their properties. For example, he still chooses Restylane - L as the best under - eye filler because of its great behavior profile, with the right balance of stiffness, cohesivity, and a relatively low swelling rate. He also discusses the pros and cons of other fillers such as Belotero Balance, Juvederm Volbella, and Juvederm Vollure.
Treatment Approach
Dr. Kotlus takes a cautious approach when it comes to under - eye filler treatments. He carefully selects the filler or combination of fillers based on the patient's facial anatomy and specific needs. He also warns against using permanent or semi - permanent injectable fillers under the eyes, as they are not reversible and can cause problems if not placed correctly.
Patient Satisfaction
Patients who have received tear trough filling from Dr. Kotlus appreciate his in - depth knowledge and the natural results. He has successfully treated many patients with under - eye filler problems, further highlighting his expertise in this area.
3. Dr. David Zuckerman
Overview
Dr. David Zuckerman is a board - certified plastic surgeon. He is known for his work in tear trough (under - eye) rejuvenation using fillers.
Expertise in Tear Trough Filling
Dr. Zuckerman uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for treating the under - eye area. It is the least hydrophilic of hyaluronic acid fillers, minimizing swelling. He injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. This treatment helps patients appear rested and refreshed both at rest and when smiling or making facial expressions.
Treatment Process and Results
The treatment is visible immediately, but it takes approximately one week to ten days to set in. It lasts up to one year, with results varying depending on the amount of product injected and the patient's metabolism. Dr. Zuckerman also provides clear pretreatment guidelines, such as avoiding ibuprofen/aspirin two days before and after treatment, and excess alcohol one day before and after. Most patients can return to work immediately after the treatment, with mild bruising or swelling that usually resolves within a few days.
Patient Experience
Patients find Dr. Zuckerman's approach professional and his treatment effective. His ability to minimize bruising and swelling, as well as the long - lasting results, have made him a popular choice for under - eye filler treatments in New York City.
4. Dr. Brett Rosenblatt
Overview
Dr. Brett Rosenblatt is a well - regarded doctor in the New York area. He has a significant number of patient ratings, indicating his popularity and the trust patients place in him.
Eye - Related Experience
He has experience in various eye - related treatments, which likely includes tear trough filling. His office is located at 9131 Queens Blvd Elmhurst, NY 11373. With a rating of 4.80 out of 5 stars from 119 patient ratings, he has shown his ability to satisfy patients in his medical practice.
Expertise in Tear Trough Filling
Although specific details about his tear trough filling technique may not be as widely publicized as some of the other doctors, his high rating and patient volume suggest that he has the necessary skills and knowledge to perform tear trough filling procedures safely and effectively. Patients can trust his experience and reputation when considering tear trough filling treatments.
5. Dr. Ana Alzaga Fernandez
Overview
Dr. Ana Alzaga Fernandez is an ophthalmologist affiliated with New York - Presbyterian lower Manhattan hospital. She has a rating of 5.00 out of 5 stars from 9 patient ratings.
Relevance to Tear Trough Filling
As an ophthalmologist, she has in - depth knowledge of the eye area. Her understanding of the delicate anatomy around the eyes gives her an advantage when it comes to tear trough filling. She is likely to be very cautious and precise in her injections, minimizing the risk of complications. Her office is located at 212 East 69th Street Suite 5 New York, NY 10021.
Patient Feedback
The high rating from her patients indicates that they are satisfied with her services. Whether it is her professionalism, her treatment results, or her ability to communicate effectively with patients, she has managed to build a positive reputation in the field of eye - related treatments, including tear trough filling.
Comparing the Doctors
| Doctor | Specialty | Filler Preference | Treatment Experience | Patient Ratings |
|---|---|---|---|---|
| Dr. Michele Green | Cosmetic Dermatology | Juvederm Volbella, Restylane, etc. | Over 25 years | Highly rated by multiple prestigious organizations |
| Dr. Brett Kotlus | Cosmetic Oculoplastic Surgery | Restylane - L | Extensive experience in oculoplastic and cosmetic surgery | Well - respected in the field |
| Dr. David Zuckerman | Plastic Surgery | Restylane - L | Board - certified, experience in tear trough rejuvenation | Positive patient experience, long - lasting results |
| Dr. Brett Rosenblatt | Eye - related treatments | Not specified | Well - rated with many patient ratings | 4.80 out of 5 stars from 119 ratings |
| Dr. Ana Alzaga Fernandez | Ophthalmology | Not specified | Good patient ratings, knowledge of eye anatomy | 5.00 out of 5 stars from 9 ratings |
Understanding Tear Trough 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 or caused by 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 Tear Trough Fillers Work
Tear trough fillers restore lost volume in the crease below the eye and improve the appearance of dark circles and under - eye bags. The preferred dermal fillers for this treatment area are composed of hyaluronic acid gel, which is a substance naturally produced by the body. Hyaluronic acid helps plump the skin and increase collagen production, resulting in a more youthful - looking complexion. When injected into the tear trough area, dermal fillers work to reduce the appearance of dark circles and shadowing under the eyes.
Choosing the Right Filler
As mentioned before, different fillers have different properties. For example, Juvederm Volbella has a thin formulation and is the first FDA - approved dermal filler for treating tear troughs. Restylane Eye Light uses crosslinking and patented Nasha technology to erase under - eye hollowing and dark circles. Belotero Balance provides a soft and even correction in the skin and can eliminate the risk of the Tyndall effect. The best filler for an individual depends on their facial anatomy, skin concerns, and cosmetic goals.
Benefits and Risks of Tear Trough Filling
Benefits
- Non - invasive: Tear trough filling is a non - surgical treatment option, which means there is no need for incisions or extensive recovery time.
- Natural - looking results: When performed by an experienced doctor, the results can be very natural, rejuvenating the under - eye area without an over - done look.
- Long - lasting: Depending on the filler used, the results can last from six months to a year or more.
- Minimal downtime: Most patients can return to their normal activities soon after the treatment, with only mild bruising or swelling.
Risks
- Swelling and bruising: These are common side effects at the injection site and usually resolve within a week or two.
- Tyndall effect: A rare side effect that can cause a bluish discoloration in the injected area, which can be reversed with hyaluronidase.
- Allergic reaction: Although rare, some patients may have an allergic reaction to the dermal filler.
- Vascular occlusion: A more serious but rare complication where the filler blocks a blood vessel, which can lead to tissue damage if not treated promptly.
Conclusion
Eye tear trough filling is a popular and effective way to rejuvenate the under - eye area in New York City. The top 5 doctors mentioned above - Dr. Michele Green, Dr. Brett Kotlus, Dr. David Zuckerman, Dr. Brett Rosenblatt, and Dr. Ana Alzaga Fernandez - each bring their own unique expertise and experience to the table. Whether it is a well - known cosmetic dermatologist, a specialized oculoplastic surgeon, or an experienced ophthalmologist, patients have a range of options to choose from. It is important for patients to do their research, have a thorough consultation with the doctor, and understand the benefits and risks of tear trough filling before making a decision.
If you are considering eye tear trough filling, we encourage you to reach out to one of these top doctors for a consultation. Take the first step towards a more youthful and refreshed under - eye appearance in 2025.
