Introduction
Tear trough depression, a common cosmetic concern, can make individuals look tired or older than they actually are. 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, and loss of skin elasticity. In New York City, there are several hospitals that offer high - quality tear trough depression filling services. In this article, we will explore the top three hospitals for this treatment.
Understanding Tear Trough Depression and Filling
As we age, the skin under the eyes becomes thinner, and subcutaneous fat volume is lost, causing the tear trough area to appear more prominent. Some individuals are born with a lack of facial fat volume in this area, leading to an under - eye hollow. Tear trough filling is a cosmetic procedure that involves injecting a hyaluronic acid - based filler (HA) into the area under the eyes to reduce the appearance of dark circles, hollows, and bags in the lower eyelid. This can provide a more youthful and refreshed appearance.
Benefits of Tear Trough Filling
- May reduce the appearance of dark circles
- Camouflages under - eye bags and puffiness by filling out the depression below
- Restores volume to the under - eye area
- Non - surgical
- Requires little to no downtime
- Provides quick results
- Long - lasting
Top Three Hospitals for Tear Trough Depression 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. Here are the details:
Procedure and Approach
During a consultation, Dr. Cangello will determine the best treatment approach based on the patient's individual needs, goals, and medical history. He will work with the patient to develop a customized treatment plan. The tear trough filler procedure involves injecting a hyaluronic acid - based filler, such as Restylane® or Belotero, into the under - eye area using a small cannula. Results can typically be seen immediately.
Pre - treatment Preparations
Patients need to discuss their medical history and any medications they are taking with Dr. Cangello. They should avoid taking blood - thinning medications or supplements such as NSAIDs, anything containing ibuprofen, aspirin, or fish oil in the days leading up to the appointment. Alcohol and caffeine should also be avoided as they can increase the risk of bruising. On the day of the appointment, patients should arrive with a clean and makeup - free face.
Post - treatment Recovery
After the procedure, 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 strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours. The full effects may take a few days to be visible as any swelling or bruising subsides.
Patient Testimonials
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!”
2. Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough filler injections as an ideal alternative to surgery for many patients.
Procedure and Approach
The goal of the tear trough filler injections at Neinstein Plastic Surgery is to blend the eyelid with the cheek to give a rested and youthful appearance. They inject very deep (almost directly on the cheek bone 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 said to be safe, predictable, and dramatically reduces the risk of bruising in the area. The practice only uses cannulas (no needles under the skin), which means less trauma to the tissues.
Pre - treatment Preparations
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.
Post - treatment Recovery
After the treatment, patients should not rub or massage the treated area immediately. When cleansing the face or applying makeup, they should use gentle, sweeping motions. They should wait 24 hours before resuming strenuous activities that raise their heart rate and blood pressure, such as exercise and sex. Bruising at the treatment site may occur, and temporary, minimal to moderate swelling may be expected. Cool compresses can be applied to the area treated (avoiding pressure). Mild tenderness at the treatment site may last for a few hours or a couple of days, and patients can take acetaminophen/Tylenol if they experience any discomfort. They should wait a minimum of four weeks before receiving any laser treatments. The practice has led light therapy devices available for patients to bring home to speed healing and incorporation of the product into the skin.
Cost
The practice aims to price their tear trough filler injections to ensure the procedure is within reach for any patient eager to enhance their look. The specific cost depends on factors such as the amount of filler used, and patients can check the injections pricing page for details.
3. Dr. Michele Green's Private Dermatology Office
Dr. Michele Green, a world - renowned expert in the field of cosmetic dermatology, offers tear trough filler treatments at her private dermatology office in Manhattan’s Upper East Side neighborhood.
Procedure and Approach
During the consultation, Dr. Green will assess the patient's under - eye hollows to choose the right tear trough filler. She often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eye Light, and Belotero Balance. A local anesthetic is applied to the entire treatment area one hour before performing any injections. The dermal fillers are compounded with lidocaine to make the procedure as painless as possible. Dr. Green uses an ultrafine needle to allow for precision in the tear trough injections. Immediately upon completion of the procedure, ice is applied to the treatment area to help prevent swelling, and aftercare instructions are provided. A two - week follow - up is scheduled to ensure that the treatment was satisfactory and determine whether any touch - up of the hyaluronic acid dermal filler is needed.
Patient Suitability
The best candidate for dermal filler injections in the tear trough is a healthy individual with noted volume loss in the under - eye area. If there is excessive wrinkling or skin under the eyes with fat deposition, tear trough fillers may not be the best course of treatment. Dr. Green will physically evaluate the under - eye area to determine if tear trough fillers are the correct treatment or if another cosmetic procedure is better suited.
Potential Side Effects
There typically are no major side effects associated with receiving under - eye fillers. However, mild swelling or bruising at or around the injection sites may occur. Swelling and redness are common side effects at the site of injection, and icing the treated area immediately after the injections will minimize this reaction. Bruising can be decreased by discontinuing blood thinners and NSAIDs. Some rare side effects include the Tyndall effect (a bluish discoloration), changes in vision, vascular occlusion, signs of infection at injection sites, allergic reaction to the dermal filler product, worsening bruising or swelling, numbness, and persistent pain. To prevent serious or adverse side effects, it is important to have the tear trough filler injections performed by an expert like Dr. Green.
Complementary Treatments
Dr. Green often combines tear trough fillers with other treatments for facial rejuvenation. Botox can be used to treat the outer canthal lines (crow’s feet) around the eyes. Microneedling can improve under - eye dark circles and wrinkles, and its effects can be enhanced by combining it with platelet - rich plasma (PRP). Thermage can improve skin elasticity in the under - eye area, and chemical peels can revitalize baggy or sagging skin under the eyes. Non - ablative laser resurfacing treatments, such as Fraxel and Ematrix, can be used to tighten and firm wrinkly skin under the eyes and diminish the appearance of pigment discoloration.
Comparison of the Three Hospitals
| Hospital | Doctor | Treatment Approach | Pre - treatment Preparation | Post - treatment Recovery | Cost | Complementary Treatments |
|---|---|---|---|---|---|---|
| Cangello Plastic Surgery | Dr. David Cangello | Customized plan, injection with small cannula | Avoid blood - thinners, alcohol, caffeine; clean face | Mild swelling, bruising; avoid rubbing for 24 hours | Not specified, depends on filler type and amount | Not mentioned |
| Neinstein Plastic Surgery | Not specified | Deep injection, use of cannulas | Avoid aspirin for 5 days, remove makeup, numb skin | Avoid rubbing, strenuous activities for 24 hours; led light therapy available | Depends on amount of filler; pricing page available | Not mentioned |
| Dr. Michele Green's Private Dermatology Office | Dr. Michele Green | Assess under - eye area, use of ultrafine needle | Apply local anesthetic one hour before; use fillers with lidocaine | Ice after injection, two - week follow - up | Depends on filler type and amount; assessment during consultation | Botox, microneedling, PRP, thermage, chemical peels, laser resurfacing |
Conclusion
In 2025, Cangello Plastic Surgery, Neinstein Plastic Surgery, and Dr. Michele Green's Private Dermatology Office stand out as top choices for tear trough depression filling in New York City. Each hospital has its own unique approach, experienced doctors, and considerations for patients. Cangello Plastic Surgery offers customized treatment plans and a smooth patient experience. Neinstein Plastic Surgery focuses on a safe and low - bruising injection technique. Dr. Michele Green's office provides a comprehensive range of treatments and in - depth patient assessments. When considering tear trough filling, patients should carefully evaluate these options based on their individual needs, preferences, and budget.
If you are interested in tear trough depression filling, we encourage you to contact these hospitals for consultations. You can learn more about the procedures, ask questions, and determine which hospital is the best fit for you. Share this article with others who may be interested in this treatment, and explore more about cosmetic procedures to achieve the youthful appearance you desire.
