Introduction
Tear trough filling has become a popular cosmetic procedure in New York City, especially for those looking to rejuvenate their under - eye area. The tear trough is a common cosmetic concern, making individuals appear tired or older than they actually are. This article aims to provide a comprehensive ranking of public doctors and institutions for tear trough filling in New York City, along with detailed information about tear trough filling itself, including what it is, how it works, and what to expect from the procedure.
What are 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.
How Tear Trough Fillers Work
Mechanism of Action
Tear trough fillers restore lost volume in the crease below the eye and improve the appearance of dark circles and under - eye bags. The most commonly used fillers for this area are hyaluronic acid - based, such as Juvederm, Restylane, or Belotero. Hyaluronic acid is a substance that occurs naturally in the body and helps plump the skin and increase collagen production. When injected into the tear trough area, these dermal fillers work to reduce the appearance of dark circles and shadowing under the eyes by replenishing lost volume and smoothing out the hollows.
Benefits of Tear Trough Fillers
- Non - invasive: Tear trough filler injections are a non - surgical alternative to plastic surgery, with little to no downtime.
- Natural - looking results: They can provide a more youthful and refreshed appearance without looking overdone.
- Quick results: The effects of the treatment are usually visible immediately after the procedure.
- Long - lasting: Results can last from six to twelve months, depending on the filler used.
Types of Tear Trough Fillers
| Filler Type | Description | Advantages |
|---|---|---|
| Juvederm Volbella | The first FDA - approved dermal filler for treating tear troughs. It has the thinnest formulation of the Juvederm family and uses patented Vycross technology for a smooth and even distribution under the skin. | Provides a natural - looking enhancement, well - suited for the delicate under - eye area. |
| Restylane Eyelight | 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. | Can effectively restore volume and reduce the appearance of fine lines and wrinkles in the treatment area. |
| Belotero Balance | Has an ultra - thin and flexible formulation. It can eliminate the risk of the Tyndall effect, which can cause a bluish hue in the injected area. | Provides a soft and even correction in the skin, ideal for tear troughs. |
Ranking of Public Doctors for Tear Trough Filling in New York City
Top Doctors
- Dr. Michele Green: A world - renowned expert in the field of cosmetic dermatology with over 25 years of experience. She is consistently rated as a top NYC dermatologist by Castle Connolly, Super Doctors, New York Magazine, and the New York Times. Dr. Green offers a host of non - invasive cosmetic procedures, including under - eye fillers, and can develop a customized treatment plan for each patient.
- Dr. Zuckerman: Can help reduce dark circles with under - eye dermal filler injections. He uses Restylane - L, a hyaluronic acid filler with lidocaine, which is FDA - approved for treating the under - eye area. Dr. Zuckerman injects deep into the tissues, near the bone, and can achieve long - lasting results.
- Dr. David Cangello: A plastic surgeon with extensive experience in tear trough filler treatments. He can recommend the best option for tear trough filler based on the patient's individual needs, goals, and medical history, and develop a customized treatment plan.
- Dr. W. Matthew White: An innovative facial plastic surgeon who has employed new techniques with injectables to restore fullness to the tear trough. He can also combine these techniques with surgery for more severe cases to meet the patient's needs.
Other Notable Doctors
According to Healthgrades, there are many other doctors in New York City who perform tear trough - related treatments. For example, for tear duct surgery, Dr. Ebrahim Elahi, MD, and Dr. Harsha Reddy, MD, both have a 5.00 rating out of 5 stars. For dermal filler treatments, Dr. Brendan Finnerty, MD, and Dr. David Otterburn, MD, also have perfect 5.00 ratings.
| Doctor | Specialty | Rating | Location |
|---|---|---|---|
| Dr. Ebrahim Elahi, MD | Tear duct surgery | 5.00 | 1034 5th Ave New York, NY 10028 |
| Dr. Harsha Reddy, MD | Tear duct surgery | 5.00 | 77 Worth St New York, NY 10013 |
| Dr. Brendan Finnerty, MD | Dermal filler | 5.00 | 520 East 70th Street Starr Pavilion, 8th floor New York, NY 10021 |
| Dr. David Otterburn, MD | Dermal filler | 5.00 | 525 East 68th street Starr 8 New York, NY 10065 |
Ranking of Public Institutions for Tear Trough Filling in New York City
Renowned Medical Spas and Clinics
- Smooth Synergy Medical Spa: Prides itself on being one of the best spas in NYC, offering a complete line of non - surgical facial treatments. They offer a variety of cosmetic fillers, including Restylane, Juvederm, and Belotero, and their medical director, Dr. George, MD, has experience in performing tear trough filler treatments.
- Zuckerman Plastic Surgery: Dr. Zuckerman's practice is known for its expertise in under - eye rejuvenation with dermal fillers. They provide high - quality treatments and focus on patient safety and satisfaction.
- Cangello Plastic Surgery: Under the leadership of Dr. David Cangello, this institution offers comprehensive tear trough filler treatments. They provide personalized treatment plans and ensure the best possible results for their patients.
- Dr. Matthew White's Practice: This practice offers innovative solutions for tear trough deformity correction. Whether through non - surgical injectables or a combination with surgery, they can meet the diverse needs of patients.
The Tear Trough Filling Procedure
Consultation
The first step is to consult with a qualified doctor. The doctor will evaluate the targeted treatment area and the skin's elasticity, confirm if the patient is a good candidate for tear trough fillers, and determine the appropriate dermal filler product and the number of syringes required to produce the best results.
Preparation
Before the procedure, patients are usually advised to avoid blood - thinning medications, alcohol, and caffeine in the days leading up to the appointment to reduce the risk of bruising. On the day of the appointment, it is best to arrive with a clean and makeup - free face.
Injection
A local anesthetic is often applied to the treatment area one hour before the injections to minimize discomfort. The doctor will then inject the dermal filler directly into the skin in tiny amounts using an ultrafine needle or a cannula. The procedure usually takes between 15 minutes to an hour, depending on the treatment area.
Aftercare
After the procedure, ice is typically applied to the treatment area to help prevent swelling. Patients are advised to avoid rubbing or massaging the area for at least 24 hours and to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours. A two - week follow - up appointment is often scheduled to evaluate the treatment and determine if any touch - up is required.
Who is a Good Candidate for Tear Trough Filler?
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. Additionally, under - eye fillers are ineffective for treating naturally darker skin pigmentation in the under - eye area. A qualified doctor will evaluate the patient's condition during the consultation to determine if tear trough fillers are the correct treatment or if another cosmetic procedure is better suited.
Potential Side Effects of Tear Trough Filler
While tear trough filler treatment is generally safe, there are some potential side effects:
- Swelling and redness: These are common side effects at the injection site. Applying ice immediately after the injections can minimize this reaction, and they usually resolve within a week.
- Bruising: To decrease bruising, patients are recommended to discontinue blood thinners and NSAIDs before the procedure. Taking arnica forte, an herbal supplement, can also help prevent and heal bruises faster.
- Tyndall effect: A rare side effect that leads to a bluish discoloration if the hyaluronic acid filler is injected too superficially. This can be reversed with hyaluronidase.
- Other rare side effects: These include 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 these serious side effects, it is crucial to have the treatment performed by an expert, board - certified injector.
Cost of Tear Trough Filler
The total cost of tear - trough filler treatment depends on several factors, such as the medical professional performing the procedure, the geographic location of the office, the type of filler used, and the amount of filler needed. Typically, fillers cost $1000 or more per syringe. During the consultation, the doctor will assess the patient's tear trough, cosmetic concerns, and goals to choose the best - suited dermal filler product and recommend the total number of syringes needed and the cost of treatment.
Conclusion
Tear trough filling is an effective non - invasive cosmetic procedure for rejuvenating the under - eye area. In New York City, there are many highly qualified doctors and institutions that offer this treatment. When considering tear trough filling, it is important to choose a reputable doctor or institution, understand the procedure and its potential side effects, and have realistic expectations about the results. By doing so, you can achieve a more youthful and refreshed appearance.
If you are interested in tear trough filling, we encourage you to schedule a consultation with one of the top doctors or institutions mentioned in this article. Share your concerns and goals with them, and they will be able to provide you with personalized advice and treatment options. Also, feel free to share this article with others who may be interested in tear trough filling, so that they can make informed decisions.
