Introduction to Hyaluronic Acid Tear Trough Filling
The tear trough area, located between the under - eye region and the top of the cheekbone, can show signs of aging and fatigue over time. Hyaluronic acid tear trough filling has emerged as a popular non - surgical cosmetic solution to address issues such as dark circles, under - eye hollows, and eye bags. This procedure involves injecting hyaluronic acid, a naturally occurring substance in the body, into the tear trough area to restore volume and smooth out the appearance of the under - eyes. In New York City, there are several well - known and reputable hospitals that offer this treatment. Let's explore five of them.
1. Smooth Synergy Medical Spa & Laser Center
Overview
Smooth Synergy Medical Spa is recognized as one of the best spas in NYC. It offers a comprehensive line of non - surgical facial treatments, including hyaluronic acid tear trough filling. The spa is known for its experienced medical director, Dr. George, MD, who has in - depth knowledge of facial anatomy and aesthetics.
Benefits of Tear Trough Filler at Smooth Synergy
- No surgery or anesthesia: The treatment is minimally invasive, eliminating the need for surgical procedures and general anesthesia.
- Instant results: Patients can see an immediate improvement in the appearance of their under - eyes, with a reduction in dark circles and hollows.
- Fills in volume loss: Hyaluronic acid restores volume to the under - eye area, smoothing out the tear trough and making the eyes look more refreshed.
- Natural - occurring substance: The use of hyaluronic acid is safe, as it is a substance naturally produced by the body.
Treatment Process
The procedure usually takes between 15 minutes to an hour. Dr. George will first evaluate the patient's face and mark strategic injection points. Using a super - fine needle, he will inject the hyaluronic acid filler along these predetermined sites. After the injection, he will assess the treatment area to determine if additional filler is needed for maximum benefit.
Recovery and Side Effects
Most patients can return to normal activity immediately after the treatment. Bruising, redness, and swelling at the injection site are possible but are typically minimal and resolve within a few days. The effects of the filler usually last between 6 - 18 months, depending on the type of filler used.
2. Cangello Plastic Surgery
Overview
Dr. David Cangello at Cangello Plastic Surgery has extensive experience in tear trough filler treatments. He is a plastic surgeon who understands the unique needs of each patient and can develop customized treatment plans.
Benefits of Tear Trough Filler at Cangello Plastic Surgery
- Reduce dark circles: By filling the tear trough, the appearance of dark circles can be significantly reduced.
- Camouflage under - eye bags: Filling the depression below the under - eye bags helps the lower eyelid blend more seamlessly with the cheek.
- Non - surgical: Avoids the risks and recovery time associated with surgical procedures.
- Quick results: Patients can achieve a more youthful and refreshed look in a short amount of time.
Treatment Process
The procedure typically takes about 15 to 30 minutes. It involves injecting the filler into the under - eye area using a small cannula. The results are usually visible immediately, but it may take a few days for the full effects to be seen as any swelling or bruising subsides.
Patient Preparation
Before the procedure, patients should discuss their medical history, medications, allergies, and sensitivities with Dr. Cangello. They should also 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, patients should arrive with a clean and makeup - free face.
Recovery and Side Effects
There is usually little to no downtime associated with the treatment. Some mild swelling, bruising, or redness around the injection site may occur but typically subsides within a few days to a week. The results of the tear trough filler can last for several months, typically around 6 - 12 months.
3. Michele Green MD
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 various skin concerns, including dark under - eyes. She is consistently rated as a top NYC dermatologist.
Best Fillers for Tear Troughs at Michele Green MD
Dr. Green often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. These fillers have soft formulations that can enhance the natural appearance and provide a rejuvenated look.
| Filler Name | Features |
|---|---|
| Juvederm Volbella | The first FDA - approved dermal filler for treating tear troughs with a thin formulation and patented Vycross technology for smooth distribution. |
| Restylane Eye Light | FDA - approved in 2023 for use under the eyes, using crosslinking and patented NASHA technology to reduce under - eye hollowing and dark circles. |
| Belotero Balance | Has an ultra - thin and flexible formulation that eliminates the risk of the Tyndall effect. |
Treatment Process
The first step is a consultation with Dr. Green, where she will evaluate the treatment area, confirm the patient's suitability for the treatment, and determine the appropriate filler and the number of syringes. A local anesthetic will be applied to the treatment area one hour before the injections. Dr. Green uses an ultrafine needle for precision. After the injections, ice will be applied to the area, and aftercare instructions will be provided. A two - week follow - up appointment will be scheduled to assess the treatment and determine if any touch - up is needed.
Safety and Side Effects
There are typically no major side effects, but mild swelling, bruising, or redness may occur at the injection site. The Tyndall effect, a rare side effect resulting in a bluish discoloration, can be reversed with hyaluronidase. To prevent serious side effects, it is crucial to have the treatment performed by an expert like Dr. Green.
4. Neinstein Plastic Surgery
Overview
Neinstein Plastic Surgery offers tear trough filler injections as an alternative to surgery for patients looking to address facial volume loss in the tear trough area. Their approach focuses on safety and achieving natural - looking results.
Preparing for the Injections
Patients are asked to avoid using blood thinners like aspirin for 5 days before the procedure. On the day of the injections, makeup is removed, and the skin is numbed for 20 minutes.
Injection Process
The filler is injected very deep, almost directly on the cheekbone, starting about half - way up the nose, and then slowly moved up towards the tear trough area. This technique reduces the risk of bruising. After the injections, ice is placed on the eyes for 5 minutes, and the patient takes a one - time dose of steroids to reduce swelling. Only cannulas are used, which causes less trauma to the tissues.
Recovery and Aftercare
Patients should avoid rubbing or massaging the treated area immediately after the treatment. They should wait 24 hours before resuming strenuous activities. Bruising and temporary swelling may occur, but applying cool compresses can help. Mild tenderness at the treatment site may last for a few hours or a couple of days, and patients can take acetaminophen if needed. It is recommended to wait a minimum of four weeks before receiving any laser treatments.
5. Zuckerman Plastic Surgery
Overview
Dr. Zuckerman at Zuckerman Plastic Surgery 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 Features
- Long - lasting results: The treatment can last up to 1 year.
- Minimized swelling: Restylane - L is the least hydrophilic of hyaluronic acid fillers, reducing the risk of swelling.
- Deep injection: Dr. Zuckerman injects deep into the tissues, near the bone, to achieve natural - looking results.
Procedure Time and Pretreatment Guidelines
The treatment takes 10 - 20 minutes per session. Ideally, patients should avoid ibuprofen/aspirin two days before and after treatment, avoid excess alcohol one day before and after, and skip intensive physical activity on the day of treatment if possible.
Recovery and Associated Risks
Most patients can return to work immediately after the treatment. Mild bruising or swelling may occur, which usually resolves within a few days to a week. Dr. Zuckerman uses techniques to minimize bruising and ices the affected area after treatment. The treatment is generally safe in the hands of an expert like Dr. Zuckerman, but rare risks such as swelling, bruising, and lumps can occur.
Conclusion
Hyaluronic acid tear trough filling is an effective non - surgical solution for improving the appearance of the under - eye area, reducing dark circles, hollows, and eye bags. The five hospitals in New York City mentioned above - Smooth Synergy Medical Spa & Laser Center, Cangello Plastic Surgery, Michele Green MD, Neinstein Plastic Surgery, and Zuckerman Plastic Surgery - are well - known and reputable institutions that offer this treatment with experienced medical professionals. Each has its own unique approach, benefits, and considerations. Whether you are concerned about the natural - looking results, the type of filler used, or the aftercare process, these hospitals can provide comprehensive services to meet your needs.
If you are considering hyaluronic acid tear trough filling, we encourage you to research these hospitals further, schedule consultations, and discuss your goals and concerns with the medical staff. Take the first step towards a more refreshed and youthful appearance today!
