Introduction
Tear troughs, those pesky hollows beneath the eyes, can cast shadows and give an aged, tired appearance. In New York City, a vibrant hub of beauty and innovation, there are several excellent options for tear trough laser treatment. This article will explore the top four choices, including details about tear trough fillers, complementary treatments, and more, helping you make an informed decision about rejuvenating your under - eye area.
Understanding Tear Troughs
A tear trough is an anatomic area of the face, specifically the hollow located between the upper cheek and the lower eyelid region. It can be genetic or develop due to the natural loss of collagen as we age. Reduced collagen levels lead to transparent, thin skin, making the underlying blood vessels more visible and creating a darkened under - eye area. Tear troughs can cast a shadow and make one look tired or prematurely aged.
Option 1: Dr. Michele Green's Practice
Expertise and Reputation
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. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and The New York Times. Her expertise in tear trough fillers and other non - invasive cosmetic procedures is well - established.
Tear Trough Filler Offerings
Dr. Green often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. Each filler has its unique properties:
- Juvederm Volbella: The first FDA - approved dermal filler for treating tear troughs, it has the thinnest formulation of the Juvederm family. Its patented Vycross technology allows for a smooth and even distribution under the skin.
- Restylane Eye Light: 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.
- Belotero Balance: Provides a soft and even correction in the skin. It has an ultra - thin and flexible formulation that can eliminate the risk of the Tyndall effect, which can create a bluish hue in the injected area.
Treatment Process
The first step is a consultation with Dr. Green in her Upper East Side office. She will evaluate the targeted treatment area, confirm you are a good candidate, and determine the appropriate filler and the number of syringes. A local anesthetic is applied an hour before the injections, and the fillers are compounded with lidocaine to minimize pain. Dr. Green uses an ultrafine needle for precision. After the procedure, ice is applied, and aftercare instructions are provided. A two - week follow - up is scheduled to assess the results and determine if any touch - up is needed.
Complementary Treatments
Dr. Green offers a variety of complementary treatments for facial rejuvenation in conjunction with tear trough fillers. Botox can be used to treat dynamic wrinkles such as crow’s feet. Microneedling, alone or combined with platelet - rich plasma (PRP), can improve under - eye dark circles and wrinkles. Thermage can tighten the skin around the eyes, and chemical peels can revitalize baggy or sagging skin under the eyes. Non - ablative laser resurfacing treatments like Fraxel and Ematrix can also be used to tighten wrinkly skin and diminish pigment discoloration.
Option 2: Smooth Synergy Medical Spa & Laser Center
Benefits of Tear Trough Fillers at Smooth Synergy
The tear trough filler treatment at Smooth Synergy uses hyaluronic acid (HA) fillers to instantly fill or smooth the area under the eye. The benefits include no surgery or anesthesia, instant results, filling in or smoothing areas of volume loss under the eyes, and using a naturally - occurring substance in the body. The procedure makes use of a natural process where as we age, our bodies produce less hyaluronic acid, and replenishing it restores volume in the under - eye area.
Treatment Procedure
The procedure usually takes between 15 minutes to an hour. The medical director, Dr. George, MD, will evaluate the face, mark strategic injection points, and use a super - fine needle to inject the filler. He will then assess the treatment area to determine if additional filler is needed.
Results and Recovery
Patients can expect the filler to instantly restore volume loss under the eye, firm and smooth the under - eye plane, and reduce the prominence of under - eye bags. Although the results are not permanent (lasting between 6 - 18 months), the recovery is quick. Bruising, redness, and swelling at the injection site are possible but typically minimal and resolve within a few days.
Option 3: Dr. David Cangello's Practice
Tear Trough Deformity Understanding
Dr. David Cangello understands that tear trough deformity can occur due to a combination of factors such as aging, genetics, loss of facial fat, loss of skin elasticity, and laxity of facial ligaments. The area beneath the eyes is prone to volume loss, leading to a hollow or trough - like appearance.
Tear Trough Filler Approach
He uses hyaluronic acid - based fillers such as Restylane® or Belotero to address under - eye hollows and dark circles. Dr. Cangello will recommend the best option based on individual needs, goals, and medical history and develop a customized treatment plan.
Treatment and Aftercare
The cosmetic procedure involves injecting the filler into the under - eye area using a small cannula, and results are typically seen immediately. After the treatment, mild swelling, bruising, and redness around the injection site are normal. These symptoms usually subside within a few days to a week. Patients are advised to avoid rubbing or massaging the area for at least 24 hours, as well as strenuous exercise, alcohol, and blood - thinning medications or supplements for the same period.
Option 4: Dr. Adam Kolker's Practice
Comprehensive Eye Rejuvenation
Dr. Adam Kolker is a skilled plastic surgeon who brings vast experience and artistry to eye rejuvenation. While he is well - known for blepharoplasty, he also offers non - surgical lower eyelid rejuvenation options such as using injectable facial fillers to restore volume to the tear trough and soften the lid - cheek junction.
Tear Trough and Eyelid Treatment Options
He may combine different techniques for the best results. For example, fat grafts can be used for tear trough and volume loss, and laser resurfacing can improve the color, texture, and tone of the eyelid area. In some cases, eyelid surgery may be recommended, but he always tries to take the most minimal approach to minimize downtime and achieve natural results.
Patient - Centered Care
From the initial consultation through the perioperative process and recovery, Dr. Kolker and his team provide thorough, attentive, and warm care. They take into account each patient's unique physical attributes and desires to create a personalized treatment strategy.
Comparing the Four Options
| Provider | Specialty | Filler Options | Treatment Process | Recovery Time | Complementary Treatments |
|---|---|---|---|---|---|
| Dr. Michele Green | Cosmetic Dermatology | Juvederm Volbella, Restylane, Restylane Eye Light, Belotero Balance | Consultation, local anesthetic, ultrafine needle injection, two - week follow - up | Minimal swelling and bruising, resolve in a few days to a week | Botox, Microneedling, Thermage, Chemical Peels, Laser Resurfacing |
| Smooth Synergy Medical Spa & Laser Center | Non - surgical Cosmetic Treatments | Hyaluronic acid fillers | Evaluation, strategic injection, assessment for additional filler | Minimal swelling, bruising, and redness, resolve within a few days | Not prominently highlighted |
| Dr. David Cangello | Plastic Surgery | Restylane®, Belotero | Consultation, injection with small cannula | Mild swelling, bruising, and redness, subside in a few days to a week | Not prominently highlighted |
| Dr. Adam Kolker | Plastic Surgery | Injectable facial fillers, fat grafts | Comprehensive evaluation, possible combination of techniques | Varies depending on the procedure (surgical or non - surgical) | Laser resurfacing, other surgical and non - surgical eyelid rejuvenation techniques |
FAQs about Tear Trough Laser Treatment
Is tear trough filler safe?
When performed by an experienced medical professional such as a board - certified dermatologist or plastic surgeon, tear trough filler is generally safe. There can be mild side effects such as swelling, bruising, and redness at the injection site. Rare but more serious side effects include changes in vision, vascular occlusion, signs of infection, allergic reaction, and persistent pain. It's important to choose a qualified provider to minimize these risks.
How long does tear trough filler last?
Dermal fillers typically last for anywhere from six to twelve months, depending on the exact filler used and individual factors such as metabolism. Some fillers may last up to 18 months. To maintain the results, treatment can be repeated on an annual or biannual basis.
How much does tear trough filler cost?
The cost of tear trough filler treatment depends on several factors, including the medical professional performing the procedure, the geographic location, the type of filler used, and the amount of filler needed. Typically, fillers cost $1000 or more per syringe.
Who is a good candidate for tear trough filler?
Good candidates are healthy individuals with noted volume loss in the under - eye area. However, if there is excessive wrinkling or skin under the eyes with fat deposition, tear trough fillers may not be the best option. A consultation with a professional is necessary to determine suitability.
Conclusion
New York City offers a wealth of options for tear trough laser treatment. Dr. Michele Green, Smooth Synergy Medical Spa & Laser Center, Dr. David Cangello, and Dr. Adam Kolker are all top - notch choices, each with their own unique expertise, treatment options, and patient - centered approaches. Whether you're looking for non - surgical solutions like tear trough fillers or more comprehensive eye rejuvenation that may include surgical options, there is a provider in NYC who can help you achieve your aesthetic goals.
Take the first step towards rejuvenating your under - eye area. Schedule a consultation with one of these top providers today. Share your concerns, ask questions, and start your journey to a more youthful and refreshed appearance. Remember, informed decisions lead to the best results.
