Introduction
As we age, the appearance of tear troughs under the eyes can make us look tired and older. Autologous fat filling of tear troughs is an effective solution to this problem. It uses one's own fat, which is a natural and long - lasting way to restore volume and rejuvenate the under - eye area. In New York City, there are several top - notch hospitals that offer this procedure. In this article, we will explore the top 5 hospitals for autologous fat filling of tear troughs in the city.
What are Tear Troughs and Autologous Fat Filling?
Tear Troughs
A tear trough is an anatomic area of the face, the hollow located between the upper cheek and the lower eyelid region. Tear troughs can cast a shadow and create the appearance of a darkened under - eye area, making one look tired or prematurely aged. They can be genetic, but may also present due to the natural loss of collagen that occurs as we age. Reduced collagen levels in the under - eye area lead to transparent, thin skin, increasing the visibility of underlying blood vessels and creating a darkened under - eye area.
Autologous Fat Filling
Autologous fat filling, also known as autologous fat grafting or fat injection, is a long - lasting and effective method to restore volume and contour around the eyes. A sample of one’s own fat is taken from the abdomen, hips or thighs, prepared, and carefully re - injected, like a filler, under the skin. Fat transfers are a natural, autologous alternative to injections of synthetic fillers.
Top 5 Hospitals for Autologous Fat Filling of Tear Troughs in New York City
1. [Dr. Kolker's Office - Aesthetics and Plastic Surgery Center]
Dr. Adam Kolker's practice is well - known in New York City for its expertise in facial fat transfer. During the initial consultation, Dr. Kolker thoroughly discusses the patient's desires and expectations. He conducts a detailed examination of the skin and soft tissue relationships, paying special attention to skin tone, texture, elasticity, depth of folds, wrinkles, or depressions, and the underlying bone or cartilage support.
The fat grafting procedure here is performed in an office - based surgical suite accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF). Fat cells are gently removed using a very small cannula from areas like the abdomen, thighs, or buttocks. These cells are then carefully prepared as fat grafts and transferred into the tear trough area using a small needle. Since the fat graft cells are the patient's own, they will not be rejected, and although some resorption is possible, fat grafts last considerably longer than most fillers.
Recovery details: If the fat grafts are performed as an isolated procedure under local anesthesia, patients are suggested to take two or three days before returning to work, though many are able to return the following day. When used to correct moderate or substantial lines, folds, or areas of deficiency, or in conjunction with other facial or body contouring procedures, the return to work may range from seven to fourteen days. Swelling is common and often resolves after two weeks, but it may take up to 12 weeks for the final results to be evident.
2. [Dr. Haideh Hirmand's Clinic]
Dr. Haideh Hirmand specializes in micro - fat transfers to the eyelids, tear troughs, and peri - orbital areas. Her hirmand technique for fat transplantation is best suited for eyelid and peri - orbital rejuvenation. Fat is harvested fresh using custom - made small cannulas, processed to purify and to concentrate the stem cell enriched portion, which is then separated and injected through access holes, in very small quantities with special small caliber blunt cannulas to achieve the desired effect.
The use of special small caliber blunt cannulas is a key feature of her technique. These cannulas minimize damage to the fat cells during harvesting and to the tissue in the recipient site. They also deliver micro - droplets of fine fat harvest, prevent large fat clumps from forming, and result in a smooth full contour. The fat transfer preparation for the areas around the eyes is finer and the particles smaller in size than the fat used for the rest of the face.
Recovery details: The bruising and swelling is less with each transfer, and the recovery is faster. The procedure may however have to be repeated for an optimal layered correction. There may be bruising and swelling requiring concealer, but generally patients can resume normal activities relatively quickly.
3. [Dr. Edmund Kwan's Clinics in NYC Tri - State Area]
Board - certified plastic and reconstructive surgeon Dr. Edmund Kwan and his team offer fat injection treatments at their three locations in the NYC tri - state area (Manhattan, Flushing, and Fort Lee, NJ). Dr. Kwan uses a syringe to safely harvest and process quantities of quality fat from areas of the body where the patient doesn't want it, such as the hips and thighs. The purified fat can then be re - implanted safely into the tear trough hollows.
The dual - purpose nature of this treatment is a major advantage. In addition to treating volume loss in the tear troughs, it can also address stubborn pockets of fat in other areas of the body. Dr. Kwan can adeptly perform this procedure in conjunction with other treatments, such as neck - lifts. He evaluates the patient's needs and discusses the goals for treatment during a complimentary consultation.
Recovery details: Since the fat is autologous, the risks associated with synthetic products are eliminated, and the recovery is usually well - tolerated. Patients can enjoy the long - lasting results without the need for frequent maintenance injections as with some dermal fillers.
4. [Neinstein Plastic Surgery]
Neinstein Plastic Surgery is another reputable option for autologous fat filling of tear troughs. Prior to the procedure, 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.
The injection process involves injecting very deep (almost directly on the cheek bone starting about half way up the nose) and slowly moving a small wave of the hyaluronic acid (which can be combined with autologous fat in some cases) up towards the tear trough area. This technique is considered safe, predictable, and dramatically reduces the risk of bruising in the area. Once the injections are complete, ice is placed on the eyes for 5 minutes, and the patient takes a one - time dose of steroids to reduce swelling.
Recovery details: Patients are advised not to rub or massage the treated area immediately following the treatment. When cleansing the face or applying makeup, gentle, sweeping motions should be used. Strenuous activities that raise the heart rate and blood pressure should be avoided for 24 hours. Bruising at the treatment site may occur, and temporary, minimal to moderate swelling may be expected. Cool compresses can be applied to the area (avoiding pressure), and acetaminophen can be taken for mild tenderness or discomfort.
5. [Dr. Michele Green's Private Dermatology Office]
Although Dr. Michele Green is well - known for her expertise in non - invasive cosmetic procedures like under - eye fillers, she can also provide guidance on autologous fat filling of tear troughs. With over 25 years spent treating the most discerning patients from around the globe for a myriad of skin concerns, including dark under - eyes, she has in - depth knowledge of the under - eye area.
During the consultation, Dr. Green will assess the patient's under - eye hollows, facial anatomy, skin concerns, and cosmetic goals. She will determine if autologous fat filling is the right treatment option and develop a customized treatment plan. If fat filling is chosen, she can refer the patient to trusted plastic surgeons who are experts in the procedure and ensure that the overall treatment is well - coordinated to achieve the best results.
Recovery details: The recovery experience would largely depend on the plastic surgeon performing the autologous fat filling. However, Dr. Green can provide after - care advice to help with the overall recovery process, such as minimizing swelling and bruising and ensuring proper healing.
Factors to Consider When Choosing a Hospital for Autologous Fat Filling of Tear Troughs
Surgeon's Expertise
The experience and skill of the surgeon are crucial. Look for surgeons who have extensive experience in autologous fat filling procedures, especially in the tear trough area. Surgeons with a high success rate and a portfolio of satisfied patients are more likely to provide good results.
Hospital Reputation
Research the hospital's reputation in the field of cosmetic surgery. Read patient reviews and testimonials, and check if the hospital has any awards or recognition for its services. A well - respected hospital is more likely to have a high standard of care and safety protocols.
Facility and Equipment
The quality of the hospital's facilities and equipment can impact the success of the procedure. Ensure that the hospital uses the latest and safest techniques and equipment for harvesting, processing, and injecting the fat. Accredited facilities also indicate a higher level of safety and quality control.
Cost
Cost is an important factor for many patients. However, it should not be the only consideration. Cheaper options may not always provide the best results or ensure patient safety. Compare the costs of different hospitals while also taking into account the surgeon's expertise, the quality of service, and the expected results.
Benefits of Autologous Fat Filling of Tear Troughs
Natural Results: Since the fat is taken from the patient's own body, the results look and feel more natural compared to synthetic fillers. The fat integrates well with the surrounding tissue, creating a smooth and seamless appearance.
Long - Lasting: Autologous fat grafts can provide long - lasting results. Although some of the injected fat may be reabsorbed over time, a significant portion will remain, and in many cases, the results can last for several years.
Lower Risk of Allergic Reactions: Using the patient's own fat eliminates the risk of allergic reactions that can occur with synthetic fillers. This makes the procedure safer for patients with sensitive skin or a history of allergic reactions.
Dual Benefit: In addition to filling the tear troughs, the harvesting of fat from other areas of the body can help in body contouring. It can reduce stubborn fat pockets in areas like the abdomen, hips, or thighs, providing a two - in - one benefit.
Pre - Procedure Preparation
Medical Evaluation: Before the procedure, patients will typically undergo a thorough medical evaluation. This includes a physical examination, review of medical history, and possibly some laboratory tests. The doctor needs to ensure that the patient is in good health and suitable for the autologous fat filling procedure.
Lifestyle Adjustments: Patients may be advised to make certain lifestyle adjustments. For example, they may need to stop smoking, as smoking can affect the healing process and the survival rate of the transplanted fat. They may also need to avoid taking blood - thinning medications and supplements such as NSAIDs (non - steroidal anti - inflammatory medications), aspirin, or fish oil to reduce the risk of bruising.
Pre - Procedure Consultation: A detailed pre - procedure consultation with the surgeon is essential. During this consultation, the patient can discuss their expectations, goals, and any concerns they may have. The surgeon will explain the procedure in detail, including the steps involved, the expected recovery time, and any potential risks or side effects.
Post - Procedure Care
Rest and Recovery: Patients should plan to rest for a few days after the procedure. It is important to avoid strenuous activities, as this can increase swelling and bruising. Adequate rest allows the body to heal properly.
Swelling and Bruising Management: Swelling and bruising are common after autologous fat filling of tear troughs. Applying cold compresses to the treated area can help reduce swelling. Patients may also be advised to sleep with their head elevated to minimize swelling overnight.
Medication: The doctor may prescribe pain medication to manage any discomfort. It is important to take the medication as prescribed. Additionally, the doctor may recommend medications or supplements to promote healing and reduce the risk of infection.
Follow - up Appointments: Regular follow - up appointments with the surgeon are crucial. These appointments allow the surgeon to monitor the healing process, check for any complications, and determine if any touch - up procedures are needed.
Potential Risks and Complications
Fat Reabsorption: Some of the injected fat may be reabsorbed by the body over time. The rate of reabsorption can vary from patient to patient. In some cases, multiple procedures may be required to achieve the desired results.
Swelling and Bruising: Swelling and bruising are common side effects after the procedure. While they usually subside within a few days to a week, in some cases, they may persist for a longer period.
Infection: There is a small risk of infection at the injection or harvesting sites. To minimize this risk, patients are usually advised to keep the treated areas clean and follow the doctor's after - care instructions carefully.
Asymmetry: Achieving perfect symmetry in the tear trough area can be challenging. There may be some degree of asymmetry after the procedure, which may require additional treatment to correct.
Lumpiness: In rare cases, the injected fat may form lumps under the skin. This can usually be addressed by the surgeon through massage or other corrective measures.
Conclusion
Autologous fat filling of tear troughs is an effective and natural way to rejuvenate the under - eye area. In New York City, the top 5 hospitals mentioned in this article - Dr. Kolker's Office, Dr. Haideh Hirmand's Clinic, Dr. Edmund Kwan's Clinics, Neinstein Plastic Surgery, and Dr. Michele Green's Private Dermatology Office - offer high - quality services and experienced surgeons. When considering this procedure, it is important to weigh the benefits against the potential risks, choose a hospital and surgeon carefully based on the factors mentioned, and follow the pre - and post - procedure instructions for the best results.
If you are interested in autologous fat filling of tear troughs, we encourage you to schedule a consultation with one of these top hospitals. Take the time to discuss your goals and concerns with the surgeon, and make an informed decision about your cosmetic treatment. Share this article with friends and family who may also be interested in this procedure, and explore other related topics on our website for more in - depth information on cosmetic surgeries and treatments.
