Introduction
Tear trough depression can make a person look tired and aged. In New York City, there are various plastic surgery hospitals and clinics offering tear trough filling treatments. This article will not only introduce the top - rated plastic surgery hospitals for tear trough depression filling but also provide a detailed look at the surgical price list. We'll explore the concept of tear trough fillers, their safety, effectiveness, and how to choose the right provider.
What are Tear Troughs and Tear Trough Fillers?
Understanding Tear Troughs
Tear troughs are the creases between the lower eyelids and cheeks. As people age, facial volume decreases, and these creases can become more pronounced. Some individuals may also be born with deep - set tear troughs, which can give an “always tired” appearance. The appearance of tear troughs can mask one's true emotions and affect self - confidence.
Function of Tear Trough Fillers
Tear trough fillers are typically made from hyaluronic acid, a naturally occurring substance in the body. When injected into the tear trough area, they can add volume, smooth out the hollows, and reduce the appearance of dark circles under the eyes. This results in a more vibrant and youthful appearance. Different hyaluronic - acid - based fillers like Restylane - L®, Juvederm Volbella, Restylane Eye Light, and Belotero Balance are commonly used. Each has its own unique properties and advantages.
| Filler Name | Characteristics |
|---|---|
| Restylane - L® | A clear hyaluronic acid - based dermal filler. Can add volume to various areas including tear troughs. Not derived from animal products, so no allergy testing is usually needed before treatment. |
| Juvederm Volbella | The first FDA - approved dermal filler for treating tear troughs. It has the thinnest formulation of the Juvederm family, and its patented Vycross technology allows for a smooth and even distribution under the skin. |
| Restylane Eye Light | Newer dermal filler, FDA - approved in 2023 for use under the eyes. 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. Has an ultra - thin and flexible formulation that can eliminate the risk of the Tyndall effect (a bluish hue in the injected area). |
Top Plastic Surgery Hospitals in New York City for Tear Trough Filling
Dr. Neal Goldberg's Practice
Dr. Neal Goldberg is an extensively trained aesthetic plastic surgeon. His practice offers tear trough filler treatment with Restylane - L®. The doctor and his aesthetic nurse injectors evaluate each patient individually to determine if the treatment can provide the desired results. In some cases, they may also advise combining injections with a more long - term treatment like lower blepharoplasty. The cost of tear trough correction is approximately $950 per injection, depending on factors such as the amount of filler needed and the patient's specific concerns.
Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough fillers as an ideal alternative to surgery for many patients. Their approach involves injecting very deep, almost directly on the cheek bone starting about half - way up the nose and slowly moving the hyaluronic acid towards the tear trough area. This technique is said to be safe, predictable, and reduces the risk of bruising. The clinic also provides comprehensive after - care instructions. To find out the exact cost of tear trough filler injections, patients need to refer to their injections pricing page.
Dr. Michele Green's Practice
Dr. Michele Green is a world - renowned expert in cosmetic dermatology. She offers a host of non - invasive cosmetic procedures, including tear trough fillers. Dr. Green uses a “less - is - more” approach, carefully assessing each patient's facial anatomy and aesthetic goals to determine the appropriate filler and the number of syringes needed. Commonly used fillers include Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. The total cost of treatment depends on several factors, such as the type of filler used and the amount required. Typically, fillers cost $1000 or more per syringe.
Factors Affecting the Cost of Tear Trough Filling
Type of Filler
Different fillers have different costs. Newer and more advanced fillers may be more expensive. For example, Restylane Eye Light, which is a relatively new filler, may cost more than some of the more established hyaluronic - acid - based fillers.
Amount of Filler
If the tear troughs are deep, more filler may be required to achieve the desired results. This will increase the overall cost of the treatment. For instance, some patients may need one syringe per side, while others with shallower tear troughs may only need one syringe for both sides.
Experience of the Provider
Highly experienced doctors and injectors may charge more for their services. Providers like Dr. Michele Green, who has over 25 years of experience, command a higher fee due to their expertise and track record of achieving excellent results.
Geographic Location
New York City is a major urban center, and the cost of living and doing business is relatively high. Plastic surgery clinics in the city may have higher prices compared to those in less expensive areas.
General Cost Range and Comparison with Other Procedures
The average cost of hyaluronic acid tear trough fillers ranges between $684 to $1,500, according to the American Society of Plastic Surgeons. However, in New York City, prices can be higher due to the factors mentioned above. When compared to other eye - related plastic surgery procedures like blepharoplasty, tear trough filling is generally less expensive. Blepharoplasty is a surgical procedure that involves removing excess skin from the eyelids and can cost significantly more, often starting from several thousand dollars.
| Procedure | Cost Range |
|---|---|
| Tear Trough Filling | $684 - $1,500+ (higher in NYC depending on factors) |
| Blepharoplasty | Several thousand dollars and up |
Pre - treatment Considerations for Tear Trough Filling
Candidate Assessment
Not everyone is a good candidate for tear trough filling. Ideal candidates have mild to moderate sagging under the eyes, healthy and thick skin, realistic expectations, and understand that the treatment is temporary. On the other hand, people with very thin skin, excess skin beneath the eyes, very deep tear troughs, excess fat under the eyes, an active skin infection in the area, a medical condition that increases the risk of complications, or very dark circles may not be suitable candidates. During the consultation, the provider will assess the patient's under - eye area, skin texture, and overall health to determine eligibility.
Preparation Steps
Patients are usually advised to avoid blood thinners like aspirin for a certain period before the procedure to reduce the risk of bruising. For example, at Neinstein Plastic Surgery, patients are asked to stop using blood thinners 5 days before the injections. On the day of the treatment, makeup is removed, and the skin is numbed for a period of time to ensure patient comfort during the injections.
The Tear Trough Filling Procedure
Anesthesia and Injection
Most tear trough filling procedures use a local anesthetic. For example, Restylane - L® contains lidocaine to increase patient comfort during injections. An additional numbing agent may also be applied to the skin beforehand. An ultra - fine needle or a cannula is used to deliver the filler into the tear troughs. Some providers, like Dr. Michele Green, prefer using an ultrafine needle for precision.
Post - injection Care
After the injections, patients may experience swelling, redness, and bruising, which are normal side effects. They are advised not to rub or massage the treated area immediately. Ice can be applied to the area to reduce swelling. Strenuous activities that raise the heart rate and blood pressure should be avoided for 24 hours. It may take 1 - 2 weeks to see the full results of the treatment, and a follow - up appointment is usually scheduled to ensure satisfactory results.
Potential Risks and Complications
Common Side Effects
Common side effects of tear trough filling include swelling, bruising, redness, and mild tenderness at the injection site. These side effects usually subside within a few days to a week. Temporary, minimal to moderate swelling can be expected, and cool compresses can be applied to the area (avoiding pressure).
Rare but Serious Complications
In rare cases, more serious complications can occur. These include the Tyndall effect (a bluish discoloration), vision changes, vascular occlusion (when a filler blocks a blood vessel), signs of infection at injection sites, allergic reactions to the dermal filler product, worsening bruising or swelling, numbness, and persistent pain. Permanent blindness due to central retinal artery occlusion is an extremely rare but possible complication. To minimize these risks, it is crucial to have the treatment performed by an experienced and board - certified provider.
Choosing the Right Plastic Surgery Hospital or Provider
Credentials and Experience
Look for a board - certified plastic surgeon, dermatologist, or other trained medical professional. Check their years of experience, especially in tear trough filling procedures. For example, Dr. Michele Green has over 25 years of experience in cosmetic dermatology, which gives patients confidence in her ability to perform the procedure safely and effectively.
Patient Reviews and Testimonials
Read reviews from previous patients to get an idea of the provider's quality of care, results, and patient satisfaction. Many clinics and doctors have online reviews on various platforms that can provide valuable insights.
Before - and - After Photos
Ask to see before - and - after photos of past patients who have undergone tear trough filling. This will help you assess the provider's skill and the potential results you can expect.
Conclusion
Tear trough filling is a popular non - surgical option for rejuvenating the under - eye area in New York City. There are several top - rated plastic surgery hospitals and providers offering this treatment, each with its own approach and pricing. When considering tear trough filling, it is important to understand the procedure, its potential risks and benefits, and choose a qualified provider. The cost of the treatment can vary depending on multiple factors, but it generally offers a more affordable and less invasive alternative to surgical procedures.
If you're interested in tear trough filling, take the time to research different providers, schedule consultations, and ask questions. By making an informed decision, you can achieve a more youthful and refreshed appearance. Share this article with others who may be interested in tear trough filling or explore related topics such as other non - invasive cosmetic procedures in New York City.
