Introduction
As individuals age, the tear trough area under the eyes often becomes a concern. The tear trough refers to the sunken area beneath the lower eyelids, extending towards the cheeks. It can make people look tired or older than they actually are. Autologous fat filling of the tear trough has emerged as a popular cosmetic procedure to address this issue. In New York City, there are several hospitals and clinics that offer this service. This article aims to provide an updated ranking list of hospitals for autologous fat filling of the tear trough in New York City, along with a price list.
Understanding Tear Trough Deformity
Tear trough deformity can occur due to a combination of factors. Aging is a significant factor, as the skin under the eyes becomes thinner, and subcutaneous fat volume is lost. This loss of fat can cause the tear trough area to become more prominent. Genetics also play a role, as some individuals are born with a lack of facial fat volume in the tear trough area, resulting in an under - eye hollow. Other contributing factors include the loss of skin elasticity and the laxity of facial ligaments, which cause the fat covering the tear trough area to descend, creating a hollow.
The area beneath the eyes is particularly vulnerable to volume loss because the skin there is thinner and more delicate than other parts of the face. As the volume decreases, the skin starts to sag, giving a hollow or trough - like appearance.
Treatments for Tear Trough Deformity
Dermal Fillers
Dermal fillers, especially those based on hyaluronic acid (HA), are a common non - surgical treatment for tear trough deformity. Hyaluronic acid fillers like Restylane® or Belotero are safe, effective, and provide natural - looking results. These fillers are injected into the area to plump up the skin and restore volume loss. They can reduce the appearance of dark circles, camouflage under - eye bags and puffiness, and blend the lower eyelid with the cheek more seamlessly. The benefits of dermal fillers include quick results, little to no downtime, and long - lasting effects, which typically last for several months.
Fat Transfer (Autologous Fat Filling)
Autologous fat filling, also known as fat transfer, is another option for treating tear trough deformity. This procedure involves harvesting fat cells from the patient's own body, usually from the abdomen, thighs, or buttocks. The fat cells are then prepared and injected into the tear trough area. Since the fat is from the patient's own body, it is the most natural filler choice and has a lower risk of rejection. Fat transfer can provide long - lasting results as the fat grafts, once established, become a part of the patient's natural tissue. However, some resorption of the fat may occur, and in some cases, multiple sessions may be required to achieve the desired results.
Benefits of Autologous Fat Filling for Tear Trough
- Natural Results: Using the patient's own fat ensures a more natural look and feel compared to synthetic fillers.
- Long - Term Solution: Once the fat grafts are established, the results can be long - lasting, reducing the need for frequent touch - ups.
- Biocompatibility: Since the fat is from the patient's own body, there is a lower risk of allergic reactions or adverse effects.
Updated Ranking List of Hospitals in New York City for Autologous Fat Filling of the Tear Trough
1. Kolker Plastic Surgery
Dr. Adam Kolker at Kolker Plastic Surgery is well - known for his expertise in facial fat transfer. He takes a personalized approach to each patient, carefully evaluating their skin and soft tissue relationships. Dr. Kolker will plan the autologous fat graft or fat transfer techniques in combination with other cosmetic surgery procedures if necessary to achieve the most natural and desired result. His office - based surgical suite is accredited by the American Association for the Accreditation of Ambulatory Surgery Facilities (AAAASF), ensuring a high standard of safety. Many patients have reported excellent results and satisfaction with his services, citing his precision and gentle touch.
2. Neinstein Plastic Surgery
Neinstein Plastic Surgery offers tear trough fillers and has a great deal of experience in the field. Their approach to injection is unique, injecting very deep and slowly moving the hyaluronic acid up towards the tear trough area, which has been found to be safe and predictable and reduces the risk of bruising. Although the primary focus in the available information is on filler injections, they are likely to have proficiency in autologous fat filling as well, given their experience in the broader field of facial volume restoration. They provide detailed pre - and post - care instructions to ensure optimal results.
3. Cangello Plastic Surgery
Dr. David Cangello is a plastic surgeon with extensive experience in tear trough filler treatments. He can determine the best treatment approach for each patient based on their individual needs, goals, and medical history. While the information mainly emphasizes dermal fillers, it is reasonable to assume that his clinic would also offer autologous fat filling services, as it is a common alternative in treating tear trough deformity. Dr. Cangello's patients have praised his patience, ability to explain procedures in detail, and his skill in achieving natural - looking results.
4. Dr. Neal Goldberg's Practice
Dr. Neal Goldberg, an extensively trained aesthetic plastic surgeon, offers tear trough filler treatment with Restylane - L® to provide patients with effective and natural - looking results. His practice assesses each patient individually to determine the most suitable treatment option. While the available information mentions dermal fillers, it is possible that they also provide autologous fat filling as a treatment for tear trough deformity. They strive to help patients achieve a more energetic and youthful appearance.
Price List for Autologous Fat Filling of the Tear Trough in New York City
The cost of autologous fat filling of the tear trough can vary significantly depending on several factors. These factors include the amount of fat needed, the complexity of the procedure, the experience and reputation of the surgeon, and the location of the hospital or clinic. Here is a general price range based on the nature of cosmetic procedures in New York City:
| Factor | Impact on Price |
|---|---|
| Amount of Fat | If more fat needs to be harvested and transferred, the price will be higher. This may depend on the depth of the tear trough and the desired level of correction. |
| Surgeon's Experience | Highly experienced and well - known surgeons may charge more for their services. Their expertise can often lead to better results and a lower risk of complications. |
| Clinic Location | Clinics in prime locations in New York City may have higher overhead costs, which can be reflected in the price of the procedure. |
On average, the cost of autologous fat filling of the tear trough in New York City can range from $3,000 to $8,000. However, it is important to note that this is just an estimate, and patients should consult with individual hospitals or clinics to get an accurate price quote based on their specific needs.
Preparing for Autologous Fat Filling of the Tear Trough
Before undergoing autologous fat filling of the tear trough, patients should take several steps to ensure a smooth and successful procedure.
Medical Consultation
Patients should have a thorough consultation with their surgeon. During this consultation, the surgeon will evaluate the patient's medical history, including any allergies, current medications, and previous medical conditions. They will also assess the tear trough area and discuss the patient's goals and expectations for the procedure. Based on this assessment, the surgeon will determine if the patient is a suitable candidate for autologous fat filling and develop a personalized treatment plan.
Lifestyle Adjustments
In the days leading up to the procedure, patients should avoid taking blood - thinning medications or supplements such as NSAIDs (non - steroidal anti - inflammatory medications, anything containing ibuprofen, aspirin, or fish oil). These substances can increase the risk of bruising during and after the procedure. Patients should also avoid alcohol and caffeine, as they can also contribute to increased bruising. On the day of the procedure, it is best to arrive with a clean and makeup - free face.
The Autologous Fat Filling Procedure
The autologous fat filling procedure typically involves the following steps:
Fat Harvesting
The first step is to harvest fat from the patient's body. A small cannula or tube is used to remove fat cells from the donor site, usually the abdomen, thighs, or buttocks. The harvested fat is then carefully processed to remove any impurities and excess fluid.
Fat Injection
The processed fat is then injected into the tear trough area using a small needle. The surgeon will use a precise technique to distribute the fat evenly, ensuring a natural - looking result. The injection process may take some time, depending on the amount of fat being transferred and the complexity of the correction.
Recovery and Aftercare
After the autologous fat filling procedure, patients can expect some swelling, bruising, and redness around the injection site. These symptoms are normal and usually subside within a few days to a week.
Immediate Aftercare
Patients should avoid rubbing or massaging the area for at least 24 hours after the procedure to prevent the fat from shifting. Ice packs can be applied to the area to reduce swelling and discomfort. Patients may also be prescribed over - the - counter pain medications to manage any pain or tenderness.
Long - Term Aftercare
Patients should avoid strenuous exercise, alcohol, and blood - thinning medications or supplements for at least 24 hours after the procedure. They should follow any additional aftercare instructions provided by their surgeon, such as keeping the area clean and avoiding direct sunlight. It may take a few weeks for the final results of the fat transfer to become visible as any swelling or bruising subsides.
FAQs about Autologous Fat Filling of the Tear Trough
Is the procedure painful?
The level of discomfort during the procedure can vary depending on the patient's pain tolerance and the technique used by the surgeon. However, the area is usually numbed with a local anesthetic, so most patients report only minor discomfort.
How long do the results last?
The results of autologous fat filling can be long - lasting, but some resorption of the fat may occur over time. In general, the results can last for several months to a few years, depending on the individual and how well the fat grafts are established.
Are there any side effects?
While the procedure is generally safe, there are some potential side effects, including swelling, bruising, redness, and infection. These side effects are usually mild and temporary and can be managed with proper aftercare.
Can I combine autologous fat filling with other treatments?
Yes, many patients choose to combine autologous fat filling with other injectables such as Botox® or dermal fillers for more comprehensive facial rejuvenation. Some patients may also combine it with other cosmetic surgery procedures like facelifts or eyelid lifts.
Conclusion
Autologous fat filling of the tear trough is an effective and natural - looking solution for treating tear trough deformity. In New York City, there are several hospitals and clinics that offer this service, each with its own level of expertise and reputation. By understanding the procedure, preparing properly, and choosing a qualified surgeon, patients can achieve the desired results and improve their appearance. Remember to consult with a professional to determine if autologous fat filling is the right option for you.
If you are considering autologous fat filling of the tear trough in New York City, take the time to research the hospitals and surgeons on our ranking list. Contact them for a consultation to discuss your goals and get a personalized treatment plan. Share this article with friends or family who may also be interested in this procedure, and explore related topics on cosmetic surgery and facial rejuvenation to stay informed about the latest trends and options.
