Introduction

The appearance of tear troughs can make individuals look tired and older. Fat removal or treatment in the tear trough area has become a sought - after cosmetic procedure. In New York City, a hub of advanced medical and cosmetic services, there are several institutions that excel in this field. In this article, we will explore the top 3 institutions on the ranking list for fat removal of tear troughs in New York City in 2025. But before we dive into the top institutions, let's understand more about tear troughs and the related treatments.

Understanding 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. As we age, the skin under the eyes can become thinner, and subcutaneous fat volume is lost. This, along with factors like loss of skin elasticity and laxity of facial ligaments, can cause the fat that normally covers the tear trough area to descend, creating a hollow appearance. Some individuals may also have a congenital lack of facial fat volume in this area, resulting in an under - eye hollow.

Tear trough deformities can be a common cosmetic concern, as they can make a person look tired or older than their actual age. To address this issue, various treatments are available, including dermal fillers, fat transfer, and surgical procedures.

Treatments for Tear Trough Deformities

Dermal Fillers

Dermal fillers are a popular non - surgical option for treating tear trough deformities. These are usually made of hyaluronic acid (HA), a substance that occurs naturally in the body. Hyaluronic acid fillers, such as Restylane® or Belotero, are commonly used for tear trough filler as they are safe, effective, and provide natural - looking results. The procedure involves injecting the filler into the area under the eyes to plump up the skin and restore volume loss. The benefits of using dermal fillers include reducing the appearance of dark circles, camouflaging under - eye bags and puffiness, restoring volume to the under - eye area, being non - surgical, requiring little to no downtime, providing quick results, and being long - lasting.

Good candidates for dermal fillers 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. However, fillers are only useful for dark circles caused by the effect of shadowing due to loss of volume in the tear trough area. Dark under - eye circles caused by pigmentation of the skin or by blood vessels beneath the skin must be treated with laser.

Fat Transfer

Fat transfer involves taking fat from one part of the body, usually the abdomen or thighs, and injecting it into the tear trough area. This procedure can provide a more natural - looking and long - lasting result compared to dermal fillers. However, it is a more invasive procedure and requires a longer recovery time. The fat used for transfer needs to be carefully harvested and processed to ensure its viability.

Surgical Procedures

If the under - eye hollows are accompanied by under - eye bags, the fat causing the bags can be transposed into the under - eye hollow with a lower eyelid blepharoplasty procedure. This is a surgical option that involves removing or repositioning the excess fat and skin around the eyes. It is a more permanent solution but also has a higher risk of complications and a longer recovery period compared to non - surgical treatments.

Top 3 Institutions for Fat Removal of Tear Troughs in New York City

1. Cangello Plastic Surgery

Expertise and Reputation

Cangello Plastic Surgery is well - known in New York City for its expertise in tear trough filler treatments. Dr. David Cangello, a plastic surgeon at the institution, has extensive experience in this area. He is able to recommend the best option for tear trough filler based on an individual's specific needs, goals, and medical history. He works closely with patients to develop a customized treatment plan to achieve the desired results.

The institution has received positive reviews from patients. For example, 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!”

Treatment Process

Before the tear trough filler procedure, patients are required to discuss their medical history and any medications they are taking with Dr. Cangello, as well as any allergies or sensitivities. In the days leading up to the appointment, patients should avoid taking blood - thinning medications or supplements such as NSAIDs, as this can increase the risk of bruising. They should also avoid alcohol and caffeine. On the day of the appointment, patients should arrive with a clean and makeup - free face.

The procedure involves injecting the filler into the under - eye area using a small cannula, and results can typically be seen immediately. 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 such as ibuprofen. Patients should avoid rubbing or massaging the area for at least 24 hours after the procedure and should also avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours.

Range of Services

In addition to tear trough filler treatments, Cangello Plastic Surgery offers a wide range of other cosmetic procedures, including facial plastic surgery, body contouring, and breast enhancement. This makes it a one - stop - shop for patients who may be interested in multiple cosmetic treatments.

2. Elite Body Sculpture

Unique Technology

Elite Body Sculpture is recognized for its patented AirSculpt technology. Although this technology is often associated with body fat removal, it can also be applied to more delicate areas like the tear troughs. The AirSculpt technology allows for fat removal without the use of a scalpel, needle, stitches, or general anesthesia. This provides a more comfortable experience for patients and reduces the risk of complications.

The treatment process starts with the physician numbing the treated areas with the Air Pen, a squirt gun - like device that applies pressurized air to administer a tumescent solution. Then, a perfectly symmetrical two - millimeter - wide hole is formed with a biopsy punch, and a local anesthetic solution is applied to prepare the excess fat for extraction. The patented AirSculpt cannula is used to pluck the fat cell by cell from the area, and the tiny aperture is left to heal naturally without the need for stitches.

Recovery and Results

One of the major advantages of Elite Body Sculpture's approach is the short recovery time. It is recommended that patients rest for at least a day, but they are able to resume normal activities relatively quickly, such as attending a dinner party on the same night. Patients are required to wear compression garments for around two weeks. The results of the fat removal are immediate, and the precise nature of the AirSculpt technology ensures smooth and natural - looking outcomes.

Patient - Centric Approach

Elite Body Sculpture focuses not only on removing fat but also on boosting the patient's confidence. The institution understands that undergoing a cosmetic procedure is often about more than just physical appearance, and they strive to make the patient feel comfortable and confident throughout the process.

3. Greenberg Cosmetic Surgery

Experienced Surgeon

Dr. Stephen T. Greenberg, a renowned double board - certified plastic surgeon at Greenberg Cosmetic Surgery, is well - versed in liposuction and fat removal procedures. He utilizes the latest technologies in liposuction procedures to remove unwanted fat from various areas of the body, including the tear trough area. His expertise and experience make him a trusted choice for patients seeking fat removal treatments.

Dr. Greenberg is continually voted the best cosmetic surgeon and is often called upon by media outlets for his plastic surgery expertise. He makes frequent appearances on Fox Good Day New York and has been featured on CBS New York Eyewitness News, WABC, Fox News, NBC, News 12 Long Island, The Doctors, Dr. Oz, and Good Morning America.

Range of Technologies

Greenberg Cosmetic Surgery offers a variety of liposuction technologies. Smart Lipo is one of the newest technologies provided as an alternative to traditional liposuction. By using laser technology to remove fat cells from the body, patients can experience optimum results with less scarring and a faster recovery period. For patients interested in non - surgical procedures to reduce body fat, the institution also offers SculpSure® body contouring treatments.

Patient Experience

The institution is committed to providing an unparalleled patient experience. From the initial consultation to the surgical recovery period, the medical team at Greenberg Cosmetic Surgery takes exceptional care of each patient. They work closely with patients to understand their goals and create a personalized treatment plan to achieve the best possible results.

Comparison of the Top 3 Institutions

Considerations When Choosing an Institution

Doctor's Expertise

The expertise of the doctor is crucial when choosing an institution for fat removal of tear troughs. Look for a doctor who is board - certified and has extensive experience in performing the specific procedure you are interested in. Check their credentials, reviews from past patients, and any media recognition they have received.

Treatment Options

Consider the range of treatment options offered by the institution. Different patients may have different needs and preferences, so it's important to choose an institution that can provide a variety of treatments, such as dermal fillers, fat transfer, or surgical procedures. This allows you to discuss with the doctor and choose the most suitable option for you.

Recovery Time

Your lifestyle and schedule should also be taken into account when considering the recovery time. Non - surgical treatments like dermal fillers usually have a shorter recovery time compared to surgical procedures. If you have a busy schedule, you may prefer a treatment that allows you to resume your normal activities quickly.

Cost

The cost of the treatment is another important factor. The cost can vary depending on the type of treatment, the amount of fat to be removed, and the reputation of the institution. It's important to get a detailed quote from the institution and understand what is included in the cost. Some institutions may also offer financing options.

Conclusion

In conclusion, New York City offers a wealth of options for individuals seeking fat removal of tear troughs. The top 3 institutions - Cangello Plastic Surgery, Elite Body Sculpture, and Greenberg Cosmetic Surgery - each have their own unique strengths and specialties. Cangello Plastic Surgery is known for its customized dermal filler treatments and patient - centered care. Elite Body Sculpture stands out with its patented AirSculpt technology and short recovery time. Greenberg Cosmetic Surgery offers a range of advanced liposuction technologies and is led by a renowned surgeon.

If you are considering fat removal of tear troughs, take the time to research these institutions, consult with the doctors, and weigh the factors discussed in this article. By making an informed decision, you can achieve the desired results and enhance your appearance. We encourage you to share this article with others who may be interested in this topic and explore related cosmetic procedures on our platform for more information.