The top three and top five hospitals for filling the tear trough with hyaluronic acid in New York City are all here to report!

Introduction

As we age, the area under our eyes often undergoes noticeable changes. The tear trough, a natural contour between the under - eye area and the top of the cheekbone, can become more prominent, making us look tired, sullen, or older than we actually are. Filling the tear trough with hyaluronic acid has emerged as a popular non - surgical solution in New York City to address these concerns. In this article, we will explore this cosmetic procedure, delve into some of the top hospitals and clinics in NYC that offer it, and provide a comprehensive guide to the treatment.

Understanding the Tear Trough and Hyaluronic Acid Fillers

What is the Tear Trough?

The tear trough is a groove or depression that runs from the inner corner of the eye towards the cheekbone. Some people may have naturally more prominent tear troughs, while for others, it becomes more pronounced with age. As we get older, our skin loses elasticity, collagen production decreases, and the fat pads under the eyes can shift or diminish. This leads to thinning of the skin and a more visible hollow, often accompanied by dark circles and under - eye bags. The presence of a deep tear trough can cast shadows, giving the appearance of perpetual tiredness or a gaunt look.

How Do Hyaluronic Acid Fillers Work?

Hyaluronic acid (HA) is a naturally occurring substance in the body that plays a crucial role in skin hydration and volume. As we age, our natural HA levels decline. Hyaluronic acid fillers are injectable gels that are used to replenish lost volume and smooth out the appearance of the skin. When injected into the tear trough area, they plump up the hollow, reduce the appearance of dark circles, and make the under - eye area look smoother and more youthful.

HA fillers work by attracting and binding water molecules, which helps to add volume and moisture to the skin. This immediate filling effect restores a more refreshed and rejuvenated look. Moreover, HA is biocompatible, meaning it is well - tolerated by the body and has a low risk of allergic reactions.

Benefits of Hyaluronic Acid Fillers for Tear Troughs

• Non - surgical: Unlike surgical procedures such as blepharoplasty, tear trough filler injections are non - invasive, which means there is no need for incisions, anesthesia, or a long recovery period.
• Instant results: Patients can see an immediate improvement in the appearance of their under - eye area right after the injection. The treatment can quickly reverse the signs of tiredness and give a more rested look.
• Customizable: The amount of filler and the injection technique can be tailored to each patient's specific needs and facial anatomy. This allows for a personalized treatment that achieves natural - looking results.
• Reversible: If a patient is not satisfied with the results, the effects of hyaluronic acid fillers can be reversed using an enzyme called hyaluronidase.
• Low downtime: Most patients can resume their normal activities immediately after the treatment. Any swelling or bruising is usually mild and resolves within a few days.

Top Clinics in New York City for Tear Trough Filler with Hyaluronic Acid

1. Smooth Synergy Medical Spa & Laser Center

Smooth Synergy is known for offering high - quality dermal filler treatments, including tear trough fillers in NYC. Their medical director, Dr. George, MD, is experienced in evaluating patients' facial anatomy and determining the most suitable injection points.

Treatment Process

The procedure typically takes between 15 minutes to an hour. Dr. George first evaluates the face and marks strategic injection points. Using a super - fine needle, he injects the hyaluronic acid filler along these predetermined sites. After the injection, he evaluates the treatment area to see if additional filler is needed for maximum benefit.

Benefits of Choosing Smooth Synergy

• Experienced Staff: The medical team at Smooth Synergy is well - trained in administering filler treatments, especially in the delicate under - eye area.
• Range of Fillers: They offer a variety of hyaluronic acid fillers, such as Restylane, Juvederm, and Belotero, allowing for a customized treatment based on the patient's needs.
• Patient Comfort: To minimize discomfort during the injection, they may use a numbing cream and also offer fillers that contain lidocaine.

2. Cangello Plastic Surgery

Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He takes a personalized approach to each patient, determining the best treatment plan based on the individual's needs, goals, and medical history.

Treatment Process

During the consultation, Dr. Cangello assesses the tear trough deformity and discusses the patient's expectations. The tear trough filler procedure involves injecting a hyaluronic acid - based filler into the under - eye area using a small cannula. The results are usually visible immediately, and the effects can last for several months.

Benefits of Choosing Cangello Plastic Surgery

• Expertise: Dr. Cangello's experience as a plastic surgeon allows him to understand the complex facial anatomy and perform precise injections for optimal results.
• Customized Plans: He creates individualized treatment plans, taking into account the patient's unique facial features and desired outcome.
• Comprehensive Care: Cangello Plastic Surgery provides support throughout the entire process, from pre - treatment preparation to post - treatment recovery.

3. Dr. Michele Green's Office

Dr. Michele Green is a world - renowned expert in cosmetic dermatology. She has over 25 years of experience treating patients from around the globe for various skin concerns, including dark under - eyes.

Treatment Process

Dr. Green first evaluates the patient's under - eye hollows and determines the most appropriate hyaluronic acid filler, such as Juvederm Volbella, Restylane, or Belotero Balance. A local anesthetic is applied to the treatment area one hour before the injection. She then uses an ultrafine needle to inject the filler into the tear trough area in tiny amounts. After the procedure, ice is applied to prevent swelling, and aftercare instructions are provided.

Benefits of Choosing Dr. Michele Green's Office

• Reputation: Dr. Green is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and the New York Times.
• Precision: Her use of an ultrafine needle allows for more precise injections in the delicate under - eye area.
• Complementary Treatments: She can recommend and perform complementary treatments, such as Botox or chemical peels, for a more comprehensive facial rejuvenation.

4. Zuckerman Plastic Surgery

Dr. Zuckerman is a board - certified plastic surgeon who 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.

Treatment Process

Dr. Zuckerman injects the filler deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. The treatment takes about 10 - 20 minutes per session. Results are visible immediately but take approximately one week to ten days to fully set in and can last up to one year.

Benefits of Choosing Zuckerman Plastic Surgery

• Advanced Technique: His deep - tissue injection technique helps to minimize swelling and achieve long - lasting results.
• Minimal Bruising: Dr. Zuckerman uses techniques and icing post - treatment to minimize bruising.
• Safety: As a board - certified plastic surgeon, he is highly familiar with the facial anatomy, reducing the risk of complications.

5. Neal Goldberg, MD - Scarsdale Aesthetic Surgery

Dr. Neal Goldberg is an extensively trained aesthetic plastic surgeon who offers tear trough filler treatment with Restylane - L®. This clear hyaluronic acid - based dermal filler can add volume to the tear troughs and provide natural - looking results.

Treatment Process

The treatment takes place during an in - office visit. A local anesthesia (lidocaine) is included in the Restylane - L® formula, 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. Rejuvenation can be visible soon after injections, but it takes two to four weeks to realize the full results.

Benefits of Choosing Neal Goldberg, MD

• Quality Product: The use of Restylane - L®, which is not derived from animal products, reduces the need for allergy testing.
• Individual Assessment: Dr. Goldberg assesses each patient individually to determine if the tear trough filler is the best option or if a combination with a more long - term treatment like lower blepharoplasty is advised.
• Patient - Centered Care: The practice offers patient financing options, making the treatment more accessible.

Comparing the Top Clinics

Pre - treatment Considerations

Consultation

Before undergoing a tear trough filler treatment, it is essential to schedule a consultation with a qualified medical professional. During the consultation, the doctor will assess your under - eye area, discuss your medical history, allergies, and any medications you are taking. They will also listen to your expectations and goals for the treatment and recommend the most suitable type of filler and injection technique.

Pre - treatment Preparation

• Medication: You may be advised to stop taking blood - thinning medications or supplements, such as NSAIDs (ibuprofen, aspirin), fish oil, for a certain period before the treatment to reduce the risk of bruising.
• Alcohol and Caffeine: It is recommended to avoid alcohol and caffeine in the days leading up to the appointment as they can increase the risk of bruising.
• Skincare: On the day of the appointment, arrive with a clean and makeup - free face.

Post - treatment Care and Potential Side Effects

Post - treatment Care

• Swelling and Bruising: Mild swelling, redness, and bruising are common side effects after tear trough filler injections. Applying ice packs to the treated area can help reduce swelling. Most of these symptoms resolve within a few days to a week.
• Avoid Rubbing: You should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the filler from shifting.
• Strenuous Activities: It is recommended to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours after the treatment.
• Follow - up: Your doctor will schedule a follow - up appointment to evaluate the results and determine if any touch - up is needed.

Potential Side Effects

• Common Side Effects: As mentioned, swelling, redness, and bruising are common. These are usually mild and temporary.
• Tyndall Effect: This is a rare side effect that can occur when hyaluronic acid filler is injected too superficially, causing a bluish discoloration in the injected area. It can be reversed with hyaluronidase.
• Serious Side Effects: Although rare, more serious side effects can include changes in vision, vascular occlusion, signs of infection at injection sites, allergic reaction to the dermal filler product, worsening bruising or swelling, numbness, and persistent pain. It is crucial to have the treatment performed by an experienced and qualified injector to minimize these risks.

Conclusion

Filling the tear trough with hyaluronic acid is a popular and effective non - surgical option for rejuvenating the under - eye area in New York City. The top clinics and hospitals mentioned in this article, such as Smooth Synergy Medical Spa & Laser Center, Cangello Plastic Surgery, Dr. Michele Green's Office, Zuckerman Plastic Surgery, and Neal Goldberg, MD - Scarsdale Aesthetic Surgery, offer high - quality treatments performed by experienced professionals. Each clinic has its own unique features and benefits, but all are dedicated to providing patients with natural - looking results and a positive experience.

If you are considering tear trough filler treatment, it is important to do your research, schedule a consultation with a qualified provider, and carefully follow the pre - and post - treatment instructions. By taking these steps, you can achieve a refreshed and youthful appearance and enhance your self - confidence. So, if you are bothered by the signs of tiredness under your eyes, don't hesitate to explore this cosmetic solution. Contact one of the top clinics in NYC today to schedule your consultation and take the first step towards a more rejuvenated you!