Introduction
As we age, the area under the eyes often shows visible signs of aging, such as tear trough deformities. These can make us look tired and older than we actually are. Hyaluronic acid tear trough filling has emerged as a popular non - surgical solution to address these concerns. In New York City, there are several top - notch hospitals that offer this treatment with their own unique technologies. This article will provide detailed information about the top 5 hospitals for hyaluronic acid tear trough filling in New York City.
Understanding Tear Trough Deformity and Hyaluronic Acid Fillers
What is Tear Trough Deformity?
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 occur due to a combination of factors such as aging, genetics, loss of facial fat, loss of skin elasticity, and laxity of facial ligaments. As we age, the skin under the eyes becomes thinner, and subcutaneous fat volume is lost, causing the tear trough area to become more prominent. Some individuals may also have a congenital lack of facial fat volume in this area, resulting in an under - eye hollow. This can make a person look perpetually tired or older than their actual age.
Benefits of Hyaluronic Acid Tear Trough Fillers
- Reduce the appearance of dark circles: By filling the hollows, hyaluronic acid fillers can minimize the shadows that create the appearance of dark circles.
- Camouflage under - eye bags and puffiness: Filling the depression below the under - eye bags (the tear trough) allows the lower eyelid to blend more seamlessly with the cheek.
- Restore volume: They replenish the lost volume in the under - eye area, giving a more youthful appearance.
- Non - surgical: This is a non - invasive alternative to surgical procedures, with little to no downtime.
- Quick results: Results are usually visible immediately after the procedure.
- Long - lasting: The effects can last for several months, typically around 6 - 12 months, depending on the individual and the type of filler used.
Top 5 Hospitals for Hyaluronic Acid Tear Trough Filling in New York City
1. Cangello Plastic Surgery
Dr. David Cangello at Cangello Plastic Surgery is a plastic surgeon with extensive experience in tear trough filler treatments. His approach is to provide beautiful and natural results for his patients.
Treatment Approach
- During the consultation, Dr. Cangello will determine the best treatment approach based on the patient's individual needs, goals, and medical history. He uses a hyaluronic acid - based filler (HA), such as Restylane® or Belotero, which are safe, effective, and provide natural - looking results.
- The procedure involves injecting the filler into the under - eye area using a small cannula. This technique is reported to be relatively painless, as the skin is prepped with a numbing agent, and Dr. Cangello's experience helps to ensure a smooth process.
Patient Experience
Patients have praised Dr. Cangello for his patience, attention to detail, and ability to make them feel comfortable. 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!”
Aftercare and Results
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. The results are immediate, but it may take a few days for the full effects to be visible as any swelling or bruising subsides. Following Dr. Cangello's aftercare instructions is crucial for optimal results and to reduce the risk of complications.
2. Michele Green MD
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, sun damage, and fine lines and wrinkles.
Treatment Process
- Dr. Green offers hyaluronic acid tear trough fillers at her private dermatology office in Manhattan's upper east side neighborhood. She often uses fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance.
- During the consultation, she assesses the patient's under - eye hollows to choose the right filler and determines the number of syringes required. A local anesthetic is applied to the treatment area one hour before the injections, and the fillers are compounded with lidocaine to ensure a painless procedure. Dr. Green uses an ultrafine needle for precision in the tear trough injections.
Unique Filler Selection
| Filler Name | Features |
|---|---|
| Juvederm Volbella | The first FDA - approved dermal filler for treating tear troughs. It has a patented Vycross technology for smooth and even distribution under the skin. |
| Restylane Eyelight | Newer dermal filler, 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 eliminates the risk of the Tyndall effect. |
Side Effects and Reversibility
While there are typically no major side effects, mild swelling, bruising, or redness may occur. The Tyndall effect, a rare side effect resulting in a bluish discoloration, can be reversed with hyaluronidase. If a patient is not satisfied with the results, Dr. Green can use hyaluronidase to dissolve the hyaluronic acid filler.
3. Zuckerman Plastic Surgery
Dr. Zuckerman at Zuckerman Plastic Surgery can help patients reduce dark circles and achieve a refreshed appearance with under - eye dermal filler injections.
Treatment and Filler Choice
- For the sensitive under - eye area, Dr. Zuckerman uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for treating the under - eye area. It is the least hydrophilic of hyaluronic acid fillers, minimizing swelling.
- He injects deep into the tissues, near the bone, and can inject up to 1 cc + of filler per eye. This treatment helps patients appear rested and refreshed both at rest and while smiling or making facial expressions.
Procedure and Recovery
The treatment takes 10 - 20 minutes per session. Patients are recommended to 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. There may be mild bruising or swelling, which usually resolves within a few days to a week. Dr. Zuckerman can minimize bruising using his techniques and by icing the affected area post - treatment.
Risks and Safety
While the treatment is generally safe in the hands of an expert injector like Dr. Zuckerman, there are some rare risks, such as swelling, bruising, and lumps. The risk of blindness, although technically possible, is very remote in the hands of an experienced board - certified plastic surgeon.
4. Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough fillers as an ideal alternative to surgery for many patients. The goal is to blend the eyelid with the cheek to give a rested and youthful appearance.
Preparation and Injection Technique
- Patients are asked not to use 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.
- The injection approach 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 reported to be safe, predictable, and dramatically reduces the risk of bruising in the area. Only cannulas (no needles under the skin) are used, which means less trauma to the tissues.
Recovery and Aftercare
After the treatment, patients should not rub or massage the treated area immediately. They should wait 24 hours before resuming strenuous activities. Bruising and temporary, minimal to moderate swelling may occur. Applying cool compresses to the area (avoiding pressure) is recommended. Some tenderness at the treatment site may last for a few hours or a couple of days, and patients can take acetaminophen/tylenol if needed. It is advised to wait a minimum of four weeks before receiving any laser treatments. The practice also has led light therapy devices available for patients to bring home to speed healing and incorporation of the product into the skin.
5. Doctor Goldberg Aesthetic Practice
Dr. Neal Goldberg, an extensively trained aesthetic plastic surgeon, offers tear trough filler treatment with Restylane - L® at his practice.
Treatment Assessment and Procedure
- Each patient is assessed individually to determine if Restylane - L® can provide the desired results. Ideal candidates are those who want a fuller, smoother look under the lower eyelids, less pronounced tear troughs, reduced puffiness and dark circles under the eyes, and a more energetic and youthful appearance.
- During the treatment, a local anesthesia (lidocaine) is included in the Restylane - L® formula to increase patient comfort. An additional numbing agent can be applied to the skin beforehand if desired. An ultra - fine needle is used to deliver the filler into the tear troughs, and swelling and redness may occur but should subside naturally. Patients are advised to avoid anti - inflammatory pain relievers and certain other medications to reduce bruising.
Results and Cost
Rejuvenation can be visible soon after injections, but it can take two to four weeks to realize the full results. The effects typically last between six months and one year. The cost of tear trough correction is approximately $950 per injection, depending on various factors such as the amount of filler needed and the extent of the concerns. The practice accepts patient financing via Care Credit® and Alphaeon™ credit.
Choosing the Right Hospital for Hyaluronic Acid Tear Trough Filling
Experience and Expertise of the Doctor
It is crucial to choose a doctor who has extensive experience in tear trough filler treatments. A well - experienced doctor is more likely to understand the nuances of the procedure, choose the right filler, and minimize the risk of complications. Doctors like Dr. David Cangello, Dr. Michele Green, and Dr. Zuckerman have proven track records in this field.
Filler Selection
Different hospitals may offer different types of hyaluronic acid fillers. Consider the properties of each filler, such as its consistency, duration of effect, and the risk of side effects. For example, some fillers are better at preventing the Tyndall effect, while others may have a longer - lasting effect.
Patient Reviews and Testimonials
Reading patient reviews and testimonials can give you an idea of the patient experience at a particular hospital. Positive reviews about the doctor's bedside manner, the effectiveness of the treatment, and the aftercare can be reassuring.
Cost and Financing Options
The cost of tear trough filler treatments can vary from one hospital to another. Consider your budget and look for hospitals that offer financing options if needed. Some hospitals, like Doctor Goldberg Aesthetic Practice, accept patient financing, which can make the treatment more accessible.
Conclusion
Hyaluronic acid tear trough filling is an effective non - surgical solution to address under - eye concerns such as dark circles, hollows, and puffiness. In New York City, the top 5 hospitals - Cangello Plastic Surgery, Michele Green MD, Zuckerman Plastic Surgery, Neinstein Plastic Surgery, and Doctor Goldberg Aesthetic Practice - offer unique treatment approaches and expertise. Each hospital has its own strengths, whether it's the doctor's experience, the selection of fillers, or the patient - centric approach.
If you are considering hyaluronic acid tear trough filling, take the time to research these hospitals, consult with the doctors, and choose the one that best suits your needs and expectations. Remember to have realistic expectations about the results and follow the aftercare instructions carefully for the best outcome. Now, go ahead and take the first step towards a more youthful and refreshed appearance!
