Introduction
In New York City, the demand for hyaluronic acid tear trough filling has been on the rise. This cosmetic procedure is highly sought after by those looking to rejuvenate their under - eye area, reduce the appearance of dark circles, and achieve a more youthful and refreshed look. With numerous hospitals and clinics offering this service, it can be quite challenging for individuals to identify the best places for hyaluronic acid tear trough filling. In this article, we will not only introduce you to the top three and top five hospitals in New York City for this procedure but also provide in - depth knowledge about tear trough filling, including its benefits, the types of fillers used, and what to expect during and after the treatment.
Understanding Tear Trough Filling
What are Tear Troughs?
Tear troughs are the natural contours that exist between the under - eye area and the top of the cheekbone. As we age, the skin under the eyes becomes thinner, and we lose fat and volume beneath the skin. This can cause the tear troughs to become deeper or more prominent, leading to a tired, sunken, or older - looking appearance. Some people may also have naturally larger or more hollow tear troughs due to genetics. When the tear trough appears sunken, it can cast shadows, making it look like there are dark circles under the eyes. Additionally, volume loss around the fatty pads under the eyes can cause the under - eye area to bulge and make eye bags more noticeable.
How Tear Trough Filling Works
Tear trough filling is a cosmetic procedure that involves injecting hyaluronic acid - based fillers into the area under the eyes. Hyaluronic acid is a naturally occurring substance in the body that helps to plump the skin and increase collagen production. When injected into the tear trough area, these fillers work to restore lost volume, smooth out the hollows, and reduce the appearance of dark circles and under - eye bags. The result is a more youthful, rested, and natural - looking under - eye area.
Benefits of Tear Trough Filling
- Non - surgical: Unlike surgical procedures such as blepharoplasty, tear trough filling is a non - invasive treatment option. It does not require general anesthesia or incisions, which means less downtime and fewer risks associated with surgery.
- Instant results: Patients can see an immediate improvement in the appearance of their under - eye area after the injection. The fillers plump up the skin, reducing the appearance of hollows and dark circles right away.
- Restores volume: It effectively fills in the areas of volume loss under the eyes, firming and smoothing the under - eye plane. This makes the eyes appear brighter and less sunken.
- Natural - looking: Hyaluronic acid fillers provide a natural - looking enhancement, as they mimic the body's natural substances. When injected by an experienced professional, the results blend seamlessly with the patient's facial features.
- Minimal downtime: Most patients can return to their normal activities immediately after the procedure. Although there may be some mild swelling, bruising, or redness at the injection site, these symptoms usually subside within a few days.
Types of Hyaluronic Acid Fillers Used for Tear Trough Filling
Juvederm Volbella
Juvederm Volbella is the first FDA - approved dermal filler for treating tear troughs. It has the thinnest formulation in the Juvederm family. Its patented Vycross technology allows for a smooth and even distribution under the skin, providing natural - looking results. Volbella is designed to add subtle volume and hydration to the under - eye area, reducing the appearance of fine lines and wrinkles.
Restylane Eyelight
Restylane Eyelight is a newer dermal filler that was FDA - approved in 2023 for use under the eyes. It uses crosslinking and patented NASHA technology to erase under - eye hollowing and dark circles caused by lost volume. This filler can help restore lost volume in the tear trough area and reduce the appearance of fine lines and wrinkles.
Belotero Balance
Belotero Balance provides a soft and even correction in the skin, making it a highly effective filler option for tear troughs. It has an ultra - thin and flexible formulation that can eliminate the risk of developing the Tyndall effect, which can cause a bluish hue in the injected area. Belotero is ideal for creating a smooth transition between the lower eyelid and the cheek.
The Top Three Hospitals for Hyaluronic Acid Tear Trough Filling in New York City
1. Dr. Michele Green's Practice
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology, with over 25 years of experience treating patients from around the globe for various skin concerns, including dark under - eyes. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. At her private dermatology office in Manhattan's Upper East Side neighborhood, Dr. Green offers a host of non - invasive cosmetic procedures, including under - eye fillers. She uses an ultrafine needle for precision in tear trough injections and selects the most appropriate filler based on each patient's facial anatomy, skin concerns, and cosmetic goals. Dr. Green also provides comprehensive aftercare instructions to ensure optimal results and minimize the risk of side effects.
2. Dr. David Cangello's Office
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He understands the unique anatomy of the under - eye area and can recommend the best option for tear trough filler based on an individual's needs, goals, and medical history. During the consultation, Dr. Cangello will determine the best treatment approach to achieve beautiful and natural results. He uses a small cannula for the injection procedure, which can provide a more comfortable experience for the patient. His patients often report high satisfaction with the results, and he has a reputation for providing personalized care.
3. Dr. Zuckerman's Practice
Dr. Zuckerman 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. This filler is the least hydrophilic among hyaluronic acid fillers, minimizing swelling. Dr. Zuckerman injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. His treatment helps patients appear rested and refreshed, and the results can last up to one year. He also provides detailed pretreatment guidelines and is able to minimize bruising using his techniques and post - treatment icing.
The Top Five Hospitals for Hyaluronic Acid Tear Trough Filling in New York City
4. Neal Goldberg, MD - Doctorgoldberg.com
Dr. Neal Goldberg is an extensively trained aesthetic plastic surgeon who offers tear trough filler treatment with Restylane - L ®. He provides patients with effective and natural - looking results of the highest quality. Dr. Goldberg assesses each patient individually to determine if Restylane - L ® is the right choice or if a combination with a more long - term treatment is advised. The Restylane - L ® formula includes lidocaine to increase patient comfort during injections, and he also advises patients on medications to avoid to prevent excessive bruising. Rejuvenation can be visible soon after injections, with full results realized in two to four weeks.
5. Dr. Casian Monaco's Practice
Dr. Casian Monaco, located in the prestigious Upper East Side of New York City, specializes in transforming the appearance of tired, aging eyes through expertly administered under - eye filler treatments. He brings a high level of precision to the tear trough filler procedure, which is essential for the delicate under - eye area. Each treatment is customized to the individual's facial anatomy and aesthetic goals, using only the highest quality fillers. Dr. Monaco's approach focuses on achieving natural, rejuvenating outcomes that enhance the overall facial appearance without looking overdone. His clinic provides a comfortable and welcoming environment for patients to discuss their concerns and feel confident about their treatment.
What to Consider When Choosing a Hospital for Tear Trough Filling
Doctor's Expertise and Experience
The skill and experience of the doctor performing the tear trough filling procedure are crucial. Look for a doctor who is board - certified in a relevant specialty, such as dermatology or plastic surgery. Check their experience specifically in tear trough filling, including the number of procedures they have performed and patient testimonials. A doctor with extensive experience is more likely to understand the complex anatomy of the under - eye area and be able to achieve natural - looking results while minimizing the risk of complications.
Range of Fillers Offered
Different patients may require different types of fillers based on their skin type, facial anatomy, and specific concerns. A good hospital should offer a variety of high - quality hyaluronic acid fillers, such as Juvederm Volbella, Restylane Eyelight, and Belotero Balance. This allows the doctor to choose the most appropriate filler for each patient, ensuring the best possible outcome.
Consultation Process
A comprehensive consultation is an important part of the tear trough filling process. During the consultation, the doctor should take the time to understand your goals, evaluate your under - eye area, and discuss the available treatment options. They should also provide you with realistic expectations about the results, including the expected duration of the filler's effects and any potential side effects. A hospital that offers a thorough consultation process shows that they are committed to providing personalized care.
Aftercare and Follow - up
Proper aftercare is essential for ensuring the best results and minimizing the risk of complications after tear trough filling. A good hospital should provide detailed aftercare instructions, including how to care for the injection site, what activities to avoid, and when to expect the swelling and bruising to subside. They should also offer follow - up appointments to monitor your progress and make any necessary adjustments to the treatment.
Reputation and Patient Reviews
Research the hospital's reputation by reading patient reviews and testimonials. Look for feedback from patients who have undergone tear trough filling at the hospital. Positive reviews can give you confidence in the quality of the treatment and the care provided by the staff. You can also check online review platforms and ask for recommendations from friends or family members who have had similar procedures.
The Tear Trough Filling Procedure
Pretreatment
Before the tear trough filling procedure, you will typically have a consultation with the doctor. During this consultation, you should discuss your medical history, any medications you are taking, and any allergies or sensitivities you may have. You may be advised to avoid taking blood - thinning medications or supplements, such as NSAIDs (non - steroidal anti - inflammatory medications), ibuprofen, aspirin, or fish oil, in the days leading up to the appointment, as these can increase the risk of bruising. It is also recommended to avoid alcohol and caffeine, as they can have a similar effect. On the day of the appointment, you should arrive with a clean and makeup - free face.
Injection Process
The injection process usually takes between 15 minutes to an hour, depending on the treatment area. A local anesthetic may be applied to the treatment area to minimize discomfort. The doctor will use a fine needle or a small cannula to inject the hyaluronic acid filler into the tear trough area at strategic points. They will carefully evaluate the treatment area during and after the injection to ensure that the filler is evenly distributed and that the desired results are achieved. Some doctors may inject the filler deep into the tissues near the bone, while others may use a more superficial approach, depending on the patient's needs.
Post - treatment
After the injection, it is normal to 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 packs to the area to reduce swelling and take over - the - counter pain medications, such as ibuprofen, if needed. It is important to avoid rubbing or massaging the area for at least 24 hours after the procedure, as this can cause the filler to shift. You should also avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours. It may take a few days for the full effects of the filler to be visible as any swelling or bruising subsides. Follow - up appointments with the doctor are usually scheduled to monitor your progress and make any necessary touch - ups.
Potential Side Effects and Risks
Mild Side Effects
Mild side effects of tear trough filling are common and usually temporary. These can include swelling, bruising, redness, itching, and tenderness at the injection site. These symptoms typically resolve within a few days to a week and can be managed with ice packs or over - the - counter pain medications. The Tyndall effect, a bluish discoloration that can occur when the filler is injected too superficially, is a rare but possible side effect. It can last for several months but can be reversed with hyaluronidase to dissolve the dermal filler.
Serious Side Effects
Although rare, there are some more serious side effects associated with tear trough filling. These can include changes in vision, vascular occlusion (blockage of a blood vessel), signs of infection at the injection site, allergic reaction to the dermal filler product, worsening bruising or swelling, numbness, and persistent pain. To minimize the risk of serious side effects, it is crucial to have the procedure performed by an experienced and qualified doctor who understands the anatomy of the under - eye area and uses proper injection techniques.
Cost of Tear Trough Filling
The cost of tear trough filling can vary depending on several factors, including the type and amount of filler used, the experience of the doctor, and the location of the hospital. Typically, fillers cost $1000 or more per syringe. Some patients may require one to two syringes for complete under - eye rejuvenation. During the consultation, the doctor will assess your tear trough, cosmetic concerns, and goals to choose the best - suited dermal filler product for you and recommend the total number of syringes needed. They will also be able to provide you with an estimate of the total cost of the treatment.
Conclusion
Hyaluronic acid tear trough filling is a popular and effective cosmetic procedure for rejuvenating the under - eye area in New York City. The top three and top five hospitals mentioned in this article, including Dr. Michele Green's practice, Dr. David Cangello's office, Dr. Zuckerman's practice, Dr. Neal Goldberg's clinic, and Dr. Casian Monaco's practice, offer high - quality services provided by experienced and skilled professionals. When considering tear trough filling, it is important to do your research, choose a reputable hospital, and have a thorough consultation with the doctor to ensure that you achieve the best possible results and minimize the risk of complications. Whether you are looking to reduce the appearance of dark circles, hollows, or under - eye bags, tear trough filling can help you achieve a more youthful and refreshed look.
If you are interested in hyaluronic acid tear trough filling, we encourage you to contact one of the top hospitals in New York City for a consultation. Take the first step towards enhancing your appearance and regaining your confidence.
