Introduction

The appearance of the under - eye area, specifically the tear troughs, can have a significant impact on one's overall look. As people age, the skin under the eyes becomes thinner, subcutaneous fat volume is lost, and the tear trough area may become more prominent, leading to a tired or older appearance. Hyaluronic acid filling of the tear troughs has emerged as a popular non - surgical solution to address this concern. In New York City, there are several hospitals and clinics offering excellent tear trough filler treatments. This article will introduce three outstanding ones.

Understanding Tear Troughs and Hyaluronic Acid Fillers

What are Tear Troughs?

The tear trough refers to the sunken area that forms beneath the lower eyelids, directly below the under - eye bags, and extends towards the cheeks. It can be a congenital issue or develop due to aging, genetics, loss of facial fat, loss of skin elasticity, and laxity of facial ligaments. As we age, the fat that normally covers the tear trough area descends, creating a hollow. Younger individuals may also have tear troughs due to genetic factors, which can make them look tired or older than their actual age.

How Hyaluronic Acid Fillers Work for Tear Troughs

Hyaluronic acid is a substance that occurs naturally in the body. It has the ability to attract and bind water, which helps to plump up the skin and add volume. When hyaluronic acid - based fillers are injected into the tear trough area, they replenish the lost volume, reduce the appearance of dark circles, and smooth out the under - eye hollows. The result is a more youthful and refreshed appearance. Hyaluronic acid fillers are popular because they are safe, effective, and provide natural - looking results.

Three Outstanding Hospitals in New York City for Tear Trough Hyaluronic Acid Filling

1. Cangello Plastic Surgery

Expertise and Experience

Dr. David Cangello at Cangello Plastic Surgery is a plastic surgeon with extensive experience in tear trough filler treatments. He has in - depth knowledge of the facial anatomy and can recommend the best option for tear trough filler based on an individual's needs, goals, and medical history. He is well - versed in the latest techniques and can develop a customized treatment plan to achieve beautiful and natural results.

Treatment Process

During the consultation, Dr. Cangello will first assess the patient's tear trough deformity, taking into account factors such as the severity of the hollow, skin type, and overall facial structure. He will explain the different types of fillers available, such as Restylane® or Belotero, and discuss their pros and cons. Before the procedure, patients are required to discuss their medical history, any medications they are taking, and any allergies or sensitivities. In the days leading up to the appointment, they should avoid blood - thinning medications, alcohol, and caffeine to reduce the risk of bruising.

The tear trough filler procedure at Cangello Plastic Surgery involves injecting the filler into the under - eye area using a small cannula. Results can typically be seen immediately, and the effects can last for several months, although this varies depending on the individual and the type of filler used. After the treatment, it is normal to experience some mild swelling, bruising, and redness around the injection site, which usually subside within a few days to a week. Patients are advised to follow the aftercare instructions provided by Dr. Cangello, such as avoiding rubbing or massaging the area for at least 24 hours and refraining from strenuous exercise, alcohol, and blood - thinning medications for the same period.

Patient Testimonials

One patient said, “He is amazing! Made me feel super comfortable as soon as I met him. He is got a lot of patience, explains every little detail and is a great listener. Not to mention his work is absolutely amazing. Got fillers and I can tell he was very experienced and made the effort to make me feel good and look fantastic!” This shows the high level of patient satisfaction and the quality of service provided at Cangello Plastic Surgery.

2. Dr. Michele Green's Office

World - Renowned Expertise

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. Her expertise and dedication to her patients make her a trusted choice for tear trough filler treatments.

Treatment Approach

At her private dermatology office in Manhattan's upper east side neighborhood, Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance for tear trough treatments. These fillers have different properties, and Dr. Green will assess each patient's facial anatomy, skin concerns, and cosmetic goals to determine the most appropriate filler.

The treatment process begins with a consultation, where Dr. Green will evaluate the targeted treatment area and the skin's elasticity to confirm the patient is a good candidate for tear trough fillers. A local anesthetic will be applied to the entire treatment area one hour before the injections to ensure a comfortable procedure. Dr. Green uses an ultrafine needle to inject the dermal fillers directly into the skin in tiny amounts, allowing for precision in the tear trough injections. After the procedure, ice is applied to the treatment area to prevent swelling, and aftercare instructions are provided. Dr. Green also schedules a two - week follow - up to ensure the treatment was satisfactory and determine if any touch - up is needed.

Benefits and Safety

Tear trough fillers at Dr. Green's office can provide natural - looking, long - lasting rejuvenation results with zero downtime and few potential side effects. However, as with any cosmetic procedure, there are some potential risks, such as mild swelling, bruising, redness, and in rare cases, the Tyndall effect or more serious side effects. Dr. Green takes every precaution to minimize these risks and ensure the safety of her patients. She also offers solutions to reverse the effects of the filler treatment if the patient is not satisfied, using a product called hyaluronidase.

3. Neinstein Plastic Surgery

Ideal Alternative to Surgery

Neinstein Plastic Surgery offers tear trough fillers as an ideal alternative to surgery for many patients. The goal of these injections is to blend the eyelid with the cheek to give a rested and youthful appearance. The clinic is aware that some patients are reluctant to undergo facial or eye surgery, so they focus on providing safe and effective non - surgical solutions.

Treatment Techniques

Before the injections, patients are asked to not use blood thinners like aspirin for 5 days. On the day of the injections, makeup is removed, and the skin is numbed for 20 minutes. The injection process at Neinstein Plastic Surgery involves injecting very deep, almost directly on the cheekbone starting about half - way up the nose, and slowly moving 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 in the area. The clinic only uses cannulas (no needles under the skin), which means less trauma to the tissues.

Recovery and Aftercare

After the treatment, patients are advised not to rub or massage the treated area immediately. When cleansing the face or applying makeup, they should use gentle, sweeping motions. They should wait 24 hours before resuming strenuous activities. Bruising at the treatment site may occur, but temporary, minimal to moderate swelling is also expected. Cool compresses can be applied to the area (avoiding pressure), and patients can take acetaminophen/Tylenol if they experience mild tenderness or discomfort. Neinstein Plastic Surgery also has led light therapy devices available for patients to bring home to speed healing and incorporation of the product into the skin.

Comparing the Three Hospitals

Benefits of Tear Trough Hyaluronic Acid Filling

• Non - surgical: One of the biggest advantages of tear trough hyaluronic acid filling is that it is a non - surgical procedure. This means less downtime, fewer risks compared to surgery, and a quicker recovery. Patients can resume their normal activities relatively soon after the treatment.
• Immediate Results: The effects of the filler are visible immediately after the injection. Patients can see a reduction in the appearance of dark circles, under - eye hollows, and puffiness right away, which gives them an instant improvement in their appearance.
• Natural - looking: Hyaluronic acid fillers are designed to mimic the body's natural substances, resulting in a natural - looking appearance. They plump up the skin and smooth out the contours without making the face look overdone.
• Boosts Collagen Production: Hyaluronic acid can stimulate collagen production in the skin. Collagen is an important protein that gives the skin its elasticity and firmness. By increasing collagen production, the skin in the under - eye area can become more youthful and healthy - looking in the long run.
• Long - lasting: While the results are not permanent, hyaluronic acid fillers can last for several months to a year, depending on the individual and the type of filler used. This provides a relatively long - term solution for under - eye concerns.

Considerations Before Getting Tear Trough Hyaluronic Acid Filling

Candidate Selection

Good candidates for tear trough filler are typically individuals who are bothered by the appearance of under - eye hollows or dark circles and are seeking a non - surgical solution. They should have healthy skin and no underlying medical conditions that could increase the risk of complications. It is important to have realistic expectations about the results, as the treatment can provide improvement but not perfection. For example, fillers are only useful for dark circles caused by the effect of shadowing due to volume loss in the tear trough area. Dark under - eye circles caused by pigmentation of the skin or blood vessels beneath the skin may require other treatments such as laser therapy.

Choosing the Right Provider

Selecting an experienced and qualified provider is crucial for a successful tear trough filler treatment. As mentioned earlier, the tear trough area is delicate, and incorrect injection can lead to serious complications. It is recommended to choose a board - certified plastic surgeon or dermatologist who has extensive experience in performing tear trough filler treatments. Reading patient testimonials and reviews can also help in making an informed decision.

Cost

The cost of tear trough filler injections can vary depending on several factors, including the type and amount of filler used, the expertise of the provider, and the geographic location of the clinic. It is important to have a clear understanding of the cost before undergoing the treatment. While it may be tempting to choose a cheaper option, it is essential to prioritize the quality and safety of the treatment.

Recovery and Aftercare

Common Side Effects

After getting tear trough filler, it is normal to experience some mild side effects. These can include swelling, bruising, redness, itching, and in rare cases, infection. Swelling and redness usually subside within a few days to a week. Bruising can also resolve on its own within a week or so, but patients can take steps to reduce it, such as avoiding blood - thinning medications and using ice packs.

Aftercare Instructions

Patients should follow the aftercare instructions provided by their provider carefully. This may include avoiding rubbing or massaging the area, refraining from strenuous exercise, alcohol, and blood - thinning medications for a certain period. Applying ice packs to the treated area can help reduce swelling. It is also important to keep the area clean and avoid using harsh skincare products in the under - eye area during the recovery period.

Follow - up

Many providers schedule a follow - up appointment to check the results of the treatment and determine if any touch - up is needed. This follow - up is an important part of the process to ensure that the patient is satisfied with the outcome and that any potential issues are addressed promptly.

Conclusion

In conclusion, hyaluronic acid filling of the tear troughs is an effective non - surgical option for improving the appearance of the under - eye area. In New York City, Cangello Plastic Surgery, Dr. Michele Green's Office, and Neinstein Plastic Surgery are three outstanding hospitals that offer high - quality tear trough filler treatments. Each hospital has its own expertise, treatment approach, and aftercare procedures. Before getting the treatment, it is important to carefully consider the candidate selection, choose the right provider, and understand the cost. By following the aftercare instructions and attending the follow - up appointments, patients can achieve a more youthful and refreshed appearance.

If you are interested in tear trough hyaluronic acid filling, we encourage you to schedule a consultation with one of these reputable hospitals. Learn more about the treatment process, discuss your goals, and make an informed decision that is right for you. Don't hesitate to take the first step towards enhancing your appearance and boosting your confidence.