Introduction
The appearance of tear troughs can make individuals look tired and older than their actual age. Panda needle treatment, often involving the use of dermal fillers, has emerged as a popular solution for addressing tear trough deformities. In New York City, there are several hospitals and medical practices that offer this treatment. This article will provide an in - depth look at tear trough treatment, including what tear troughs are, the benefits of treatment, and a list of some of the top hospitals and practitioners in New York City.
Understanding Tear Troughs
What are Tear Troughs?
Tear troughs refer 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, causing the tear trough area to appear more prominent, a condition known as tear trough deformity. Some individuals may also be born with a lack of facial fat volume in this area, resulting in an under - eye hollow from a young age.
The tear trough deformity 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. The area beneath the eyes is particularly prone to losing volume because the skin there is thinner and more delicate than other parts of the face. As the volume decreases, the skin can start to sag, creating a hollow or trough - like appearance. This can cast a shadow, giving the appearance of dark circles and making the person look tired or older.
The Impact of Tear Troughs on Appearance
Tear troughs can have a significant impact on a person's appearance. They can make an individual look perpetually tired, even when they have had a full night's sleep. Dark circles and under - eye hollows associated with tear troughs can also age a person's appearance, as these are often common signs associated with the aging process. This can affect a person's self - confidence and how they are perceived by others.
Tear Trough Treatment Options
Dermal Fillers
Dermal fillers are one of the most common treatments for tear troughs. These are injectable substances that are used to plump up the skin and restore volume loss in the tear trough area. Hyaluronic acid - based fillers, such as Restylane®, Belotero, Juvederm Volbella, and Restylane Eyelight, are commonly used for tear trough filler treatment. These fillers are safe, effective, and provide natural - looking results.
When injected into the tear trough area, hyaluronic acid fillers bind to water, softening and plumping the skin to produce a youthful appearance. They can reduce the appearance of dark circles, camouflage under - eye bags and puffiness by filling out the depression below, and restore volume to the under - eye area. The procedure is non - surgical, requires little to no downtime, and provides quick results that can last for several months.
| Filler Type | Features |
|---|---|
| Restylane | Helps restore lost volume in the tear trough area, reduces the appearance of fine lines and wrinkles in the treatment area. Restylane Eyelight is a newer option, fda - approved in 2023 for use under the eyes, using crosslinking and patented nasha technology to erase under - eye hollowing and dark circles caused by lost volume. |
| Juvederm Volbella | The first fda - approved dermal filler for treating tear troughs, containing the thinnest formulation of the Juvederm family. Its patented Vycross technology allows for a smooth and even distribution under the skin. |
| Belotero Balance | Provides a soft and even correction in the skin. It has an ultra - thin and flexible formulation that can eliminate the risk of the Tyndall effect, a bluish hue that can occur in the injected area with some fillers. |
Fat Transfer
Fat transfer is another option for treating tear troughs. In this procedure, fat is harvested from another part of the patient's body, such as the abdomen or thighs, and then purified and injected into the tear trough area. The advantage of fat transfer is that it uses the patient's own tissue, which can result in a more natural - looking and long - lasting outcome. However, the procedure is more invasive than dermal filler injections and may require a longer recovery time.
Blepharoplasty
If the under - eye hollows are accompanied by under - eye bags, a lower eyelid blepharoplasty procedure may be recommended. In this surgical procedure, the fat causing the bags can be transposed into the under - eye hollow, and excess skin and fat may be removed from the lower eyelids. Blepharoplasty is a more permanent solution but involves a longer recovery period and carries more risks compared to non - surgical treatments.
Preparing for Tear Trough Treatment
Preparing for tear trough treatment, especially when using dermal fillers, is crucial to ensure a smooth and successful procedure. Before the treatment, patients should discuss their medical history, including any medications they are taking, allergies, or sensitivities with their doctor. They should also avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil) in the days leading up to the appointment, as these can increase the risk of bruising. Additionally, it is recommended to avoid alcohol and caffeine, as they can also increase the risk of bruising.
On the day of the appointment, patients should arrive with a clean and makeup - free face. Some doctors may also apply a local anesthetic to the treatment area to minimize discomfort during the injection.
Recovery and Aftercare
After getting tear trough filler, 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, as this can cause the filler to shift or become dislodged. It is also recommended to avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours after the procedure.
While the results of tear trough filler are immediate, it may take a few days for the full effects to be visible as any swelling or bruising subsides. Following the aftercare instructions provided by the doctor will ensure optimal results and reduce the risk of complications.
Hospitals and Medical Practices in New York City for Tear Trough Treatment
Dr. David Cangello's Practice
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He offers personalized treatment plans based on each patient's individual needs, goals, and medical history. During the consultation, Dr. Cangello will determine the best treatment approach that will achieve beautiful and natural results. His office is located in New York City, where tear trough filler appointments take place. He uses a cannula for injection, which helps to minimize pain during the procedure. Patients have reported high satisfaction with his services, noting his professionalism, patience, and excellent results.
Dr. Michele Green's Office
Dr. Michele Green is a world - renowned expert in the field of cosmetic dermatology. With over 25 years of experience, she treats patients from around the globe for a variety of skin concerns, including tear troughs. At her private dermatology office in Manhattan's upper east side neighborhood, Dr. Green offers a host of non - invasive cosmetic procedures for rejuvenation, including under - eye fillers. She is an expert injector who can work with patients to ensure that they are good candidates for tear trough fillers and develop a customized treatment plan that caters to their unique skin care concerns and aesthetic goals.
Dr. Green often uses hyaluronic acid fillers such as Juvederm Volbella, Restylane, Restylane Eyelight, and Belotero Balance for tear trough treatment. She uses an ultrafine needle for precise injections and applies ice to the treatment area immediately after the procedure to help prevent swelling. She also provides aftercare instructions and schedules a two - week follow - up to ensure that the treatment was satisfactory and determine if any touch - up is needed.
Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough filler injections as an alternative to surgery for many patients. The goal of these injections is to blend the eyelid with the cheek to give a rested and youthful appearance. Prior to the appointment, patients are asked to not 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.
At Neinstein Plastic Surgery, the approach is to 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. After the injections, ice is placed on the eyes for 5 minutes, and the patient takes a one - time dose of steroids to reduce swelling.
NYU Langone Eye Center
While the NYU Langone Eye Center is mainly known for its comprehensive eye care services, including diagnosis and treatment of glaucoma, cataract, macular degeneration, and diabetic retinopathy, it also specializes in oculoplastic surgery. Oculoplastic surgery can be used to treat conditions that affect the eyelid and tear duct, which may be related to tear trough deformities in some cases. The center is led by Dr. Kathryn Colby, whose research has led to significant advances in treating complex diseases of the cornea and ocular surface. The team of ophthalmologists at NYU Langone performs the latest surgical techniques and uses advanced diagnostic tools to provide high - quality care to patients.
Mount Sinai - New York
The Mount Sinai Health System offers a combination of science and personalized care for patients with routine and complex eye conditions. The New York Eye and Ear Infirmary of Mount Sinai (NYEE), affiliated with Mount Sinai, has been a leader in clinical practice, research, and education since its opening in 1820. The ophthalmology department at Mount Sinai provides a wide range of services, including oculoplastic, orbital, and reconstructive surgery. This can potentially include treatments for tear trough - related issues, as well as comprehensive eye care for other conditions.
Weill Cornell Medicine - Ophthalmic Plastic, Reconstructive, and Orbital Surgery
The oculoplastic surgery service at Weill Cornell Medicine provides evaluation and treatment for pediatric and adult diseases that affect the eyelids, tear ducts, and orbit. They offer a variety of non - invasive, minimally invasive, and surgical treatments for periocular rejuvenation. Possible treatment options for tear troughs may include blepharoplasty, Botox, and facial rejuvenation with fillers. The service takes a multidisciplinary approach when necessary and uses board - certified physicians to administer treatments and create personalized treatment plans.
Conclusion
Tear trough treatment, especially with dermal fillers, has become a popular way to improve the appearance of the under - eye area and achieve a more youthful and refreshed look. In New York City, there are several top - notch hospitals and medical practices that offer high - quality tear trough treatment services. Whether you are looking for a non - surgical option with dermal fillers or a more invasive surgical procedure, it is important to choose a qualified and experienced provider.
If you are considering tear trough treatment, take the time to research different hospitals and doctors, read patient reviews, and schedule consultations to find the best fit for your needs. By doing so, you can increase your chances of achieving the desired results and having a positive treatment experience. So, why wait? Take the first step towards enhancing your appearance and boosting your confidence by exploring the tear trough treatment options available in New York City today.
