Introduction
The appearance of tear troughs can make a person look tired, aged, and less vibrant. In New York City, several hospitals and medical facilities are renowned for their hyaluronic acid filling of tear troughs. This article will explore five such institutions, providing in - depth information about the procedure, the benefits, and what makes each of these places stand out.
Understanding Tear Troughs and Hyaluronic Acid Filling
What are Tear Troughs?
The tear trough is a natural contour that exists between the under - eye area and the top of the cheekbone. As we age, the skin under the eyes becomes thinner, and subcutaneous fat volume is lost, causing the tear trough area to appear more prominent. Some individuals may have a congenital lack of facial fat volume in this area, resulting in under - eye hollows. This can lead to the appearance of dark circles, eye bags, and a tired look.
How Hyaluronic Acid Filling Works
Hyaluronic acid (HA) is a substance that occurs naturally in the body. When used in tear trough filling, HA fillers are injected under the eye to instantly fill or smooth the area. As we age, our bodies produce less hyaluronic acid, leading to a lack of hydration and nourishment in collagen and elastin fibers. By replenishing the depleted HA, volume is restored to the under - eye area, making it appear smoother and more youthful.
The benefits of hyaluronic acid filling for tear troughs include no surgery or anesthesia, instant results, filling in or smoothing areas of volume loss under the eyes, and being sourced from a naturally - occurring substance. However, the results are not permanent and typically last between 6 - 18 months.
Five Renowned Hospitals for Hyaluronic Acid Filling of Tear Troughs in NYC
1. Smooth Synergy Medical Spa & Laser Center
Smooth Synergy Medical Spa prides itself on being one of the best spas in NYC, offering a complete line of non - surgical facial treatments. Their tear trough filler treatment makes use of hyaluronic acid fillers to address under - eye concerns.
- Expertise: Their medical director, Dr. George, MD, has extensive experience in evaluating the face and determining the best injection points for optimal results. He is trained to minimize discomfort during the procedure and ensure maximum benefit to the skin.
- Treatment Process: The procedure usually takes between 15 minutes to an hour. Dr. George will first evaluate the face and mark strategic injection points. Then, using a super - fine needle, he will inject the hyaluronic acid filler along these predetermined sites. After the injection, he will evaluate the treatment area to see if additional filler is needed.
- Patient Comfort: To optimize patient comfort, a numbing cream may be applied to the treatment area. Some of the fillers also contain a numbing ingredient, such as lidocaine.
- After - care: Bruising, redness, and/or swelling at the injection site are possible but typically minimal and resolve within a few days. Patients can generally return to normal activity immediately after the treatment.
2. Cangello Plastic Surgery
Dr. David Cangello, a plastic surgeon with extensive experience in tear trough filler treatments, offers customized solutions at his practice.
- Consultation and Treatment Planning: During the consultation, Dr. Cangello will determine the best treatment approach based on the patient's individual needs, goals, and medical history. He will recommend the most suitable type of hyaluronic acid filler, such as Restylane® or Belotero, and develop a personalized treatment plan.
- Benefits of Treatment: Tear trough filler at Cangello Plastic Surgery can reduce the appearance of dark circles, camouflage under - eye bags and puffiness, and restore volume to the under - eye area. It is a non - surgical option with little to no downtime and provides quick results that can last for several months.
- Patient Preparation: Before the procedure, patients should discuss their medical history, medications, allergies, and sensitivities with Dr. Cangello. They should avoid taking blood - thinning medications, alcohol, and caffeine in the days leading up to the appointment to reduce the risk of bruising. On the day of the appointment, they should arrive with a clean and makeup - free face.
- Recovery: After the treatment, 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 and can be managed with ice packs or over - the - counter pain medications. Patients should avoid rubbing or massaging the area for at least 24 hours after the procedure and strenuous exercise, alcohol, and blood - thinning medications or supplements for the same period.
3. Dr. Michele Green's Private Dermatology Office
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology. She has over 25 years of experience treating patients from around the globe for various skin concerns, including dark under - eyes.
- Choice of Fillers: Dr. Green often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. Each of these fillers has unique properties. For example, Juvederm Volbella is the first FDA - approved dermal filler for treating tear troughs and has a thin formulation. Restylane Eyelight uses crosslinking and patented nasha technology to erase under - eye hollowing and dark circles. Belotero Balance has an ultra - thin and flexible formulation that can eliminate the risk of the Tyndall effect.
- Treatment Procedure: The first step is a consultation in her office on the upper east side of Manhattan. Dr. Green will evaluate the targeted treatment area, confirm the patient's suitability for tear trough fillers, and determine the appropriate dermal filler product and the number of syringes required. A local anesthetic will be applied to the entire treatment area one hour before the injections. She uses an ultrafine needle for precise injections. Immediately after the procedure, ice will be applied to the treatment area, and aftercare instructions will be provided.
- Safety and Side - effects: While there are usually no major side - effects associated with receiving under - eye fillers, there is a possibility of mild swelling, bruising, or the rare Tyndall effect. To prevent and manage these, Dr. Green may recommend discontinuing blood thinners before the procedure and using an herbal supplement like arnica forte for patients prone to bruising.
4. Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough fillers as an ideal alternative to surgery for many patients.
- Preparation: Prior to the appointment, patients are asked to avoid using blood thinners like aspirin for 5 days. On the day of the injections, makeup is removed, and the skin is numbed for 20 minutes.
- Injection Technique: The approach at Neinstein Plastic Surgery is to inject very deep (almost directly on the cheekbone starting about half - way up the nose) and slowly move a small wave of the hyaluronic acid up towards the tear trough area. This technique is considered safe, predictable, and dramatically reduces the risk of bruising. They only use cannulas (no needles under the skin), which means less trauma to the tissues.
- Recovery and After - care: Patients should not rub or massage the treated area immediately after the treatment. They should wait 24 hours before resuming strenuous activities. Bruising and temporary, minimal to moderate swelling may occur. Applying cool compresses to the area can help. Mild tenderness at the treatment site may last for a few hours or a couple of days, and acetaminophen can be taken for discomfort. Patients should wait a minimum of four weeks before receiving any laser treatments.
5. Dr. Darren M. Smith's Practice
Dr. Darren M. Smith, a board - certified plastic surgeon, offers tear trough fillers at his state - of - the - art facility in the Ritz Tower, Manhattan.
- Treatment Benefits: Tear trough fillers at Dr. Smith's practice can minimize the look of dark circles, reduce the appearance of bags and puffiness, provide a well - rested and youthful appearance, boost collagen production, and require little to no downtime after treatment. The results are immediate and can last for up to 1 - 2 years with just one treatment.
- Filler Selection: Hyaluronic acid gel fillers like Juvederm and Restylane are commonly used. Dr. Smith will determine the ideal filler based on the patient's individual needs. Restylane, Restylane Lyft, and Restylane Refine are suitable for the tear trough area, as are Juvederm Volbella XC and Juvederm Voluma XC in some cases.
- Procedure and Safety: The procedure takes 15 - 30 minutes. A numbing cream is first applied to maximize comfort. Most patients report little to no discomfort during the injections. Temporary redness, swelling, or bruising may occur but typically resolve within a few days. Dr. Smith takes every precaution for the patient's safety and discusses the risks beforehand.
Comparing the Five Institutions
| Hospital/Clinic | Expertise | Fillers Used | Treatment Process | Recovery Time | Notable Features |
|---|---|---|---|---|---|
| Smooth Synergy Medical Spa & Laser Center | Experienced medical director with facial evaluation skills | Hyaluronic acid fillers | Evaluation, marking injection points, injection with fine needle, post - injection evaluation | Minimal downtime, mild side - effects resolve in a few days | Use of numbing cream and fillers with lidocaine for comfort |
| Cangello Plastic Surgery | Plastic surgeon with tear trough filler experience | Restylane®, Belotero, etc. | Consultation, personalized treatment planning, injection with cannula | Little to no downtime, mild swelling and bruising subside in a few days to a week | Customized treatment based on individual needs |
| Dr. Michele Green's Private Dermatology Office | World - renowned cosmetic dermatologist | Juvederm Volbella, Restylane, etc. | Consultation, evaluation, local anesthetic application, injection with ultrafine needle, post - procedure ice application | Minimal major side - effects, mild swelling and bruising possible | Wide range of filler options and focus on precision |
| Neinstein Plastic Surgery | Plastic surgery expertise | Hyaluronic acid fillers | Pre - treatment blood - thinner avoidance, deep injection with cannula, post - injection ice and steroid | 24 - hour rest from strenuous activities, mild side - effects managed with care | Deep injection technique to reduce bruising |
| Dr. Darren M. Smith's Practice | Board - certified plastic surgeon | Juvederm, Restylane | Numbing cream application, injection with fine needle or cannula | Minimal downtime, mild side - effects resolve in a few days | Long - lasting results and personalized filler selection |
Considerations Before Choosing a Hospital for Tear Trough Filling
Doctor's Experience and Expertise
It is crucial to choose a doctor who has extensive experience in performing tear trough filler treatments. A well - trained doctor will have a better understanding of facial anatomy and will be able to provide natural - looking results while minimizing the risk of complications.
Type of Fillers Used
Different hyaluronic acid fillers have different properties. Some may be more suitable for certain skin types or specific tear trough conditions. It is important to discuss with the doctor which filler is the best choice for you based on your individual needs and goals.
Reputation of the Hospital/Clinic
Look for reviews and testimonials from previous patients. A hospital or clinic with a good reputation is more likely to provide high - quality services and a positive patient experience.
Cost
The cost of tear trough filler treatment can vary depending on the type and amount of filler used, as well as the expertise of the doctor. While cost should not be the only determining factor, it is important to have a clear understanding of the total cost before making a decision.
Conclusion
Hyaluronic acid filling of tear troughs is an effective non - surgical option for rejuvenating the under - eye area and achieving a more youthful and refreshed appearance. The five hospitals and clinics in New York City mentioned in this article - Smooth Synergy Medical Spa & Laser Center, Cangello Plastic Surgery, Dr. Michele Green's Private Dermatology Office, Neinstein Plastic Surgery, and Dr. Darren M. Smith's Practice - are all well - known for their expertise in this area. Each offers unique features and benefits, and by carefully considering the factors mentioned above, you can choose the one that best suits your needs.
If you are considering tear trough filler treatment, we encourage you to schedule a consultation with one of these institutions. Take the time to discuss your concerns and goals with the doctor, and make an informed decision to enhance your appearance and boost your confidence. Share this article with others who may be interested in learning more about tear trough filler treatments in NYC.
