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Sometimes having a solid skincare routine just isn’t enough to keep us looking as refreshed and rejuvenated as we feel. Suppose you’ve tried every serum and eye cream under the sun to improve the appearance of dark circles, puffiness, and under-eye bags to no avail. In that case, it may be worthwhile to consider having a noninvasive cosmetic treatment with an experienced and knowledgeable board-certified dermatologist like Dr. Michele Green in New York. Cosmetic dermatology has many new solutions to treat tired-looking eyes that don’t involve plastic surgery or downtime at all. These new non-invasive treatments make facial rejuvenation easier than ever. If you are unhappy with dark circles or under eye hollows, the wrinkles around the eye area, or other areas of the face, it’s time to consult with Dr. Green in NYC to develop a customized treatment plan that caters to your unique concerns and goals to achieve the best results.

Dark circles, puffiness, and under-eye bags might develop for several reasons. Whether they are genetic or appear due to sun damage, eye bags or wrinkles around the eyes can make us appear tired or prematurely aged. A tear trough is characterized by a deep crease that sits between the upper cheek and the lower eyelid, casting a shadow beneath the eyes. Unfortunately, no miracle serum or eye cream can be counted on to improve the appearance of tear troughs. However, quick and painless treatment with cosmetic dermal fillers in the tear trough area can provide the volume needed to erase the shadow underneath the eyes and result in a revitalized, rejuvenated, more youthful appearance.

Dr. Michele Green is a world-renowned expert in the field of cosmetic dermatology, with over 25 years spent treating the most discerning patients from around the globe for a myriad of skin concerns such as sun damage, fine lines and wrinkles, hyperpigmentation, acne, and acne scars. When you work with Dr. Green to treat your under-eye area, you can trust that you have a provider with the skill and knowledge to provide you with the most phenomenal, natural-looking, long-lasting cosmetic results. Dr. Green skillfully joins the science of dermatology and the art of aesthetics to enhance her patient’s natural beauty and help them look and feel their absolute best.

What causes under-eye dark circles?

Dark circles underneath the eyes might appear for several reasons. Some of the factors that contribute to the presence of dark under-eye circles include fatigue, sun damage, eye strain, dehydration, allergies, genetics, and age. These conditions can lead to the blood vessels underneath the eyes widening and cause the skin itself to become thinner and paler. This ultimately results in the blood vessels becoming more visible, creating the appearance of a darkened under-eye area. The efficacy of a specific treatment completely depends upon the underlying reason for the dark under-eye circles.

Some individuals have a facial anatomy that consists of a crease between the upper cheek and the lower eyelid region. This crease is called a tear trough. Tear troughs can cast a shadow that creates the appearance of a darkened under-eye area, making one look tired or prematurely aged. A tear trough deformity such as this can be corrected with a simple, minimally invasive cosmetic treatment utilizing dermal fillers. Even if the dark under-eye circles are unrelated to the presence of a tear trough deformity, Dr. Green is here to help. In her office, cosmetic treatments such as Mesopeels, microneedling with PRP, and Vbeam laser are often used to correct the appearance of dark under-eye circles, puffiness, and eye bags. When you work with Dr. Green, she will help determine which unique combination of specially formulated skincare products and targeted in-office treatments will remedy your tired-looking eyes.

What is the goal of tear-trough fillers?

The goal of treatment with tear trough fillers is to provide volume to the crease in the under-eye area that casts a shadow and leads to the appearance of dark circles and under-eye bags. Tear troughs can be genetic, but they may also present due to the natural loss of collagen that occurs as we age. The loss of collagen in the under-eye area leads to thin and transparent skin, which allows for increased visibility of underlying blood vessels, creating a darkened under-eye area. Tear trough fillers, with various hyaluronic dermal fillers, such as Belotero, Restylane, and Juvederm, will help correct this tear trough deformity.

Dermal fillers are designed to restore collagen production and replenish lost volume in the treatment area and can be injected into the tear trough to reduce the appearance of dark circles under the eyes. The preferred dermal fillers for this treatment area are composed of hyaluronic acid gel and have a small particle size. Hyaluronic acid is a component that is naturally produced by the body and helps aid collagen production, creating a more youthful-looking complexion. Using dermal fillers to treat the under-eye area can deliver natural-looking volume restoration and reduce the appearance of fine lines, puffiness, and dark circles.

Before and after 1 syringe of Restylane in Tear Troughs (under eyes)

What is the procedure for having under-eye dermal fillers?

The first step involved with any cosmetic treatment is to consult with Dr. Michele Green in her office in the Upper East Side of Manhattan. During your consultation, you will discuss your medical history, prior cosmetic treatments you may have undergone, and your cosmetic goals. Dr. Green will also evaluate the targeted treatment area and the skin’s elasticity and determine the appropriate dermal filler products and the number of syringes required to produce the best results. Depending on preference and time allowance, the treatment for under-eye fillers may be performed on the day of the consultation or scheduled for a later date.

On the day of treatment with tear trough fillers, a local anesthetic should be generously applied to the entire treatment area one hour before performing any injections. Using a topical numbing cream ensures the patient’s procedure is as comfortable as possible. Additionally, the dermal filler that Dr. Green uses for the under-eye area is compounded with lidocaine that is inside the syringe of the filler itself, helping to guarantee that the procedure is as painless as possible.

The numbing cream is cleaned from the treatment area, and the skin is sterilized using isopropyl alcohol. Afterward, the next step is to have photographs taken of areas that are to be treated to keep in your private records and a written treatment plan. Dr. Green recommends ceasing any blood thinning medications for two weeks before treating dermal fillers, especially for the tear trough area. Both blood thinners and herbal supplements may increase the chances of developing bruising in the injected area and should be avoided before an upcoming appointment for dermal fillers.

Dr. Green will inject the dermal fillers directly into the skin in tiny amounts using an ultrafine needle. Some injectors prefer to use a cannula rather than a needle, however, by using an ultrafine needle to inject the filler, patients will experience minimal discomfort and observe superior results. Dr. Green utilizes hyaluronic acid dermal fillers to treat the tear troughs. Since hyaluronic acid is a substance the body produces naturally, the risk of experiencing side effects is minute. The most common side effects include temporary redness and mild swelling at or near the injection sites. Ice is applied to the treatment area immediately upon completion of the procedure to help prevent any swelling that may occur.

To help patients realize their cosmetic goals, Dr. Green will often layer or combine dermal filler products with other cosmetic injectables, such as Botox, during the same visit. In addition to dermal fillers, chemical peels or laser treatments may be used to complete the under-eye area rejuvenation process. This combination approach to treatment depends on each patient’s needs and goals, although most patients elect to combine treatment methods to achieve a fully rejuvenated, youthful appearance.

The results of your dermal filler treatment should be visible almost immediately, although a mild amount of swelling may initially disguise them. Hyaluronic acid injections dissolve slowly over time, and the results from a single treatment generally tend to last anywhere between 6 to 9 months. The total duration of time for which your results are visible may vary depending on the total number of syringes used during treatment and the number of injected areas. After initial treatment with dermal fillers for correction of tear troughs, Dr. Green will see you for a two-week follow-up to ensure that treatment was satisfactory and determine whether any touch-up of the hyaluronic acid dermal filler is needed.

Which dermal fillers are used for tear trough rejuvenation?

Dr. Green often uses Restylane dermal fillers to effectively improve the look of under-eye hollows and under-eye bags. If your under-eye area is tired due to age-related volume loss or small pockets of fat in the tear trough area, using Restylane dermal filler in the area will reduce their appearance. Restylane® can also smooth out any fine lines and wrinkles present in the treatment area and be used to achieve a natural, youthful, beautiful look.

Belotero® Balance is a hyaluronic acid filler that is flexible and thin, making it an incredibly effective dermal filler for treating the sensitive under-eye area. The formulation of Belotero eliminates the risk of having the side effect known as the Tyndall effect. The Tyndall effect is the term for the appearance of a blue tint to the skin in a treatment area after having filler. The Tyndall effect occurs when light is reflected off the particles suspended in the gel filler. When a dermal filler is injected too superficially, when a treatment area is overfilled, or when the skin in the treatment area is very thin, the Tyndall effect may develop. The Tyndall effect can be corrected by injecting a filler dissolver, hyaluronidase, into the area.

Belotero was designed to eliminate the risk of the Tyndall effect because there are no suspended particles in the gel. As such, Belotero does not have the potential to cause the skin in the treatment area to have a blue hue. The result of having the delicate under eyes treated with Belotero injections is smoother skin and a younger-looking complexion, without concern for dark circles or hollowed appearance under the eyes.

The perfect dermal filler for treating your tear troughs and under-eye concerns depends on your facial anatomy and cosmetic goals. The best way to determine which dermal filler product is most appropriate for you is by consulting with Dr. Green.

18-24 year old woman treated with AquaGold (2 treatments) & 1 syringe of Restylane to tear troughs, 1 syringe Restylane to lips

What are the benefits of nonsurgical facial rejuvenation?

Patients in pursuit of a more youthful appearance appreciate the fact that cosmetic treatment methods for facial rejuvenation are available that provide them with final results comparable to plastic surgery without the discomfort or downtime associated. There are fewer risks and complications involved with a nonsurgical approach to facial rejuvenation, and treating dermal fillers won’t leave behind any visible scarring, incisions, or stitches. Discuss your aesthetic goals with Dr. Green to establish a plan for facial rejuvenation that caters to your needs.

What are the side effects of tear trough fillers?

There typically are no major side effects associated with receiving under-eye fillers. However, it is possible to develop a mild amount of swelling or bruising at or around the injection sites.

Bruising is another potential side effect as a result of dermal fillers.  After the bruising improves, the area can appear discolored for some time. This is a temporary side effect, and Dr. Green recommends using a good cover-up or makeup, along with good skincare products, to conceal the area until it resolves. It is important to use sunscreens daily after dermal fillers to help protect against this hyperpigmentation and to avoid increased sun damage and wrinkle formation.

Tyndall Effect is a bluish discoloration known to happen after some hyaluronic acid fillers are injected. The injection area can appear blue if the hyaluronic acid filler is injected too superficially. This color change can last several months in the treated area and can be reversed with hyaluronidase to dissolve the dermal filler.

Swelling and Redness are common side effects at the site of injection.  Icing the treated area immediately after your injections minimizes this reaction.

Some rare but more serious side effects include changes in vision, signs of infection at injection sites, allergic reaction to the dermal filler product, worsening bruising or swelling, and persistent pain. Should you experience any of these side effects, alert your provider immediately.

Who is a good candidate for tear trough filler?

The best candidate for injectable fillers in the tear trough is a healthy individual who has noted volume loss in the under-eye area. The skin under the eyes should be taut. Excessive skin elasticity or fat deposits under the eyes would preclude good cosmetic results. If there is excessive wrinkling or skin under the eyes with fat deposition, a conventional blepharoplasty would be the best course of treatment. During a consultation with Dr. Green, a physical evaluation of the treatment area will be done to determine whether you are a good candidate for tear trough fillers or may benefit more from another cosmetic procedure.

When is under-eye filler not effective?

Hyaluronic acid fillers, or HA fillers, are ineffective for treating naturally darker skin pigmentation in the under-eye area. If the appearance of dark under-eye circles is unrelated to the anatomy of the tear trough itself and is due to skin pigmentation, treating dermal fillers in the area will only emphasize the appearance of the dark circles. Dr. Michele Green recommends Mesopeel® to rejuvenate the delicate under-eye area in these cases. The Mesopeel is a specially formulated chemical peel designed to treat sensitive body areas such as the axillae, groin, and under-eye area.

A Mesopeel can remove under-eye discoloration by removing the dead skin cells of the top layer of the epidermis, revealing healthy new skin through rejuvenating ingredients. The Mesopeel Periocular is a very popular in-office treatment at Dr. Green’s Upper East Side office to treat under-eye circles and wrinkles in the eye area. The Mesopeel is composed of azelaic acid, citric acid, lactic acid, phytic acid, resorcinol, and salicylic acid. These ingredients work synergistically to reduce fine lines and wrinkles, hyperpigmentation, and discoloration around the upper- and under-eye areas. The Mesopeel Periocular treatment is a non-invasive chemical peel that requires no downtime, results in all-over eye rejuvenation, and is safe to treat patients with all skin tones.

Under eye filler versus blepharoplasty

Blepharoplasty is a type of plastic surgery that improves the appearance of the upper or lower eyelids. Excess skin, droopy eyelids, under-eye bags, puffiness, and dark circles can all be corrected with blepharoplasty. Consult with a board-certified plastic surgeon before having any treatment for altering the eye area. Before undergoing any elective cosmetic plastic surgery, expectations, side effects, and risks should always be discussed. Many patients choose to undergo a facelift at the same time that they have a blepharoplasty to achieve total facial rejuvenation.

If you need a refreshed look but don’t want the downtime or risk associated with plastic surgery, dermal fillers may be your treatment option. Both procedures, blepharoplasty and dermal filler treatment, will effectively revitalize the under-eye area and result in a more youthful appearance. Tear trough filler treatment benefits those who want immediate results, don’t want any downtime, and understand that fillers are not a permanent solution. Blepharoplasty may be ideal for someone who doesn’t mind the downtime, has an excessive amount of skin laxity, has little skin elasticity, and wants permanent results. By discussing your cosmetic goals with a dermatologist like Dr. Green or a plastic surgeon, you can best determine which procedure is suited to your needs.

43 male restylane 1 syringe 4w MGWatermark

Restylane – 1 syringe, 4 weeks

Who is not a good candidate for under-eye tear-trough fillers?

Patients with a moderate to severe degree of skin laxity or excess fat in the under eye are not good candidates for under-eye filler injections. Patients with undereye bags that are caused by excess fat or skin laxity would likely benefit more from a surgical procedure such as blepharoplasty. In addition, patients with a dark undereye area due to hyperpigmentation should not have tear trough filler treatment, as this could exacerbate the appearance of the dark circles. For these patients, Dr. Green instead recommends non-invasive treatment options for reducing the hyperpigmentation of the undereye area, such as microneedling, chemical peels, or skin-brightening skincare products. When you consult with Dr. Green regarding the rejuvenation of the undereye area, she will work with you to determine which cosmetic procedure best suits your specific needs and goals. If you are not a suitable candidate for tear trough fillers or other non-invasive cosmetic treatment options, Dr. Green will refer you to a trusted board-certified plastic surgeon for a surgical consultation.

Can you reverse tear trough filler treatment?

The types of fillers used to correct the appearance of eye hollows and eye bags and rejuvenate the tear trough area are composed of hyaluronic acid gel. Should you receive treatment that you aren’t satisfied or comfortable with, your injector can reverse the effects of the filler treatment using a product called hyaluronidase. Hyaluronidase injections can be used to dissolve any unwanted facial filler product that is made of hyaluronic acid.

Dr. Michele Green has utilized hyaluronidase to correct the appearance of poorly placed or inappropriately injected hyaluronic acid filler that patients had performed elsewhere, typically with an inexperienced injector. Reducing unwanted side effects such as puffiness underneath the lower eyelid and tear trough area is completely possible with hyaluronidase injections.

MS before and after restylane under eye and Voluma for cheeks 2 months MGWatermark 1

Which complementary treatments can be performed with tear trough fillers for facial rejuvenation?

Botox is one of the most popular cosmetic treatments in the United States because of its outstanding ability to soften the appearance of fine lines and wrinkles, including around the eyes. Botox is popularly used to treat the outer canthal lines (crow’s feet) that tend to appear as a result of smiling, squinting, and other repeated expressive movements. Natural, beautiful results can easily be achieved when treating crow’s feet with Botox by injecting the orbicularis-oculi muscle. This is the ring-shaped muscle surrounding the eye that, when injected with Botox, relaxes- softening the appearance of wrinkles or helping to prevent them from forming in the first place! Dr. Green often treats patients for tear troughs and crow’s feet in the same visit, using dermal filler and Botox to achieve total rejuvenation of the eye area.

Total facial rejuvenation is now achievable without plastic surgery, all thanks to dermal fillers. Not only are fillers used for the tear trough area, but by using cosmetic injectables such as Juvederm®, Sculptra®, Belotero®, and Restylane®, Dr. Green works to replace lost volume in areas of the face such as the cheeks, chin, and jawlines, temples, and nasolabial folds. It is also possible to smooth out fine lines and wrinkles and plump up the skin to restore and rejuvenate the entire face. With dermal fillers, patients achieve a natural-looking, more youthful appearance without plastic surgery and with no recovery time involved.

Under-eye dark circles and wrinkles can be improved through Microneedling. Microneedling® is done with a tool called a Micropen (or Dermapen) with tiny surgical-grade needles embedded in the tip. These needles are used to create microscopic wounds on the surface layer of the skin (the epidermis). Through the natural wound-healing process of the skin, these micro-injuries are repaired as new, healthier skin cells grow, and new collagen and elastin are produced. This helps to plump and firm skin, diminish signs of aging, and minimize the overall appearance of dark circles. To treat the delicate and sensitive skin around the under eyes, Dr. Green performs treatment at a more shallow depth than what is typically used for the rest of the face.

The effects of Microneedling can be further enhanced by combining the treatment with Platelet Rich Plasma (PRP). PRP employs the cytokines and growth factors in plasma derived from a sample of the patient’s blood to boost the effects of Microneedling. The solution penetrates the skin more readily through the newly created micro-channels made by microneedles, helping to speed up the healing process and promote even more regeneration at the cellular level to rejuvenate your skin.

To determine which combination of cosmetic treatments is most appropriate for you, it’s best to first have a consultation with a board-certified expert in dermatology, like Dr. Michele Green. Dr. Green takes a holistic approach to customize each of her patient’s treatment plans to achieve the best results. During a consultation, your medical history will be discussed in depth, and an individualized plan will be established to address your unique skin concerns.

What are tear trough fillers?

Dermal fillers used to treat the tear trough area should ideally be composed of a hyaluronic acid gel. Hyaluronic acid is a naturally occurring substance that is already produced by the body. Hyaluronic acid fillers are gel-like substances that are often used to replace lost volume and reduce lines and deep wrinkles. When injected, hyaluronic acid binds to water, softening and hydrating the skin to produce a youthful appearance.

After 2010, the FDA approved hyaluronic acid fillers compounded with lidocaine to make these dermal injections more comfortable for patients. Hyaluronic acid has the unique ability to plump and hydrate the skin. Hyaluronic acid injectable treatments are believed to have long-lasting effects. Recent studies show that repeated injections of hyaluronic acid fillers stimulate the body to produce collagen. Over time, with the new collagen that is produced, there may be less dermal filler needed to achieve the same cosmetic effect.

How long do under-eye fillers last?

Dermal fillers typically last for anywhere from six months to two years. The rate of absorption of a dermal filler varies for each patient depending on their metabolism and the location the filler was injected. Areas that are subject to a lot of repetitive movement and used for facial expressions tend to metabolize filler more quickly. Since the under-eye area doesn’t have a lot of mobility, the hyaluronic acid filler is not metabolized as quickly when injected in the tear trough as when injected in the cheeks or the lips.

How much do tear-trough fillers cost?

The total cost of your tear-trough filler treatment depends on several factors. An experienced board-certified dermatologist, who is an expert injector, like Dr. Michele Green, will be more expensive than an injector at a medspa.  Although it will be more costly to have the procedure done by a more experienced injector, it is important to be very selective about your provider to ensure that unwanted side effects are avoided, such as the Tyndall effect or uneven filler placement. One should never have dermal filler injections with a provider who is not a board-certified dermatologist or plastic surgeon.

Other factors that play into the total cost of your treatment include the geographic location of the office in which you are treated, the type of dermal filler product used to treat the tear trough area, and the total number of syringes of filler used to achieve your final results. You can discuss your cosmetic concerns and goals during your consultation with Dr. Green. Then it will be determined which dermal filler products and the total number of syringes are required to provide you with the best cosmetic results, and at that time, the total cost of treatment will be specified.

Are under-eye fillers safe?

The FDA approves dermal fillers for use in the midface, cheeks, nasolabial folds, nasojugal grooves, and lips. Although the FDA has not yet approved the use of tear trough fillers, the treatment is entirely safe so long as it is performed by a board-certified expert in dermatology, like Dr. Green. It can be potentially dangerous to have tear trough filler injections done by an inexperienced or unqualified injector.  By choosing to have tear trough filler treatment with an expert cosmetic injector, you will have someone with experience and knowledge of facial anatomy provide your care.

Does under-eye filler hurt?

One hour before performing under-eye filler treatment, a local anesthetic is applied to the treatment area to minimize patient discomfort. In addition, the dermal filler is compounded with lidocaine, making the process painless for the patient.

How long does it take for tear-trough fillers to settle?

It can take up to two weeks for the dermal filler to settle in the treatment area and for the final results to be observed. Dr. Green likes to schedule a two-week follow-up appointment for her patients with tear-trough fillers to evaluate the treatment and determine if any touch-up is required after the filler has fully settled.

How long do under-eye fillers last?

Undereye fillers typically last 6 months to a year, depending on the type of dermal filler used and the patient’s metabolism. Though the filler treatment results are temporary, the procedure can be repeated annually to maintain the results of the treatment. When you have your consultation with Dr. Green, she will help create the best treatment schedule for you.

Where is tear trough filler injected?

Tear trough filler should be injected by an experienced board-certified dermatologist to guarantee satisfactory cosmetic results and prevent unwanted side effects. Tear trough filler is injected deep into the tear troughs to smooth out the grooves contributing to a tired-looking appearance.

What are tear trough fillers?

Tear trough fillers are cosmetic injectables composed of hyaluronic acid. Whether Belotero, Restylane, or Volbella, the tear trough filler is injected into the eye area beneath the lower lid. Dermal fillers, such as Restylane, Juvederm, and Belotero, comprise a smooth gel made of hyaluronic acid. Hyaluronic acid is naturally occurring in the body. Still, it decreases in prevalence as we age, contributing to the loss of volume in various areas of the face, including under the eye. The hyaluronic gel is injected using a thin needle into the mid-dermal layer of the skin. The gel immediately adds volume to the skin and provides more moisture, restoring a youthful appearance in the treatment area. Each different family of dermal filler has slightly different properties. No family of fillers is inherently better than the other. Rather, when you have your initial consultation with Dr. Green, she will determine the filler or combination of fillers that works best for your specific needs.

Is tear trough filler worth it?

For the right candidate, tear trough fillers can revitalize non-invasive treatment. Under-eye filler is injected into the tear trough, which is the crease that goes from the tear duct to the upper cheek. While the tear trough itself is present even in youth, it can deepen as we age, creating the appearance of shadows under the eye. When the dermal filler is injected into the tear trough, it helps boost collagen production, restore lost volume, and reduce the appearance of fine lines and wrinkles. The result is a natural-looking, long-lasting, more youthful appearance.

How long does Restylane under eye filler last?

The Restylane injection was FDA approved in 2003. Restylane is a non-animal dermal filler that is biodegradable and fully biocompatible with the hyaluronic acid present in your skin. Hyaluronic acid is a natural substance that exists in your body and, when injected, restores volume to your skin. The Restylane family of products comprises several distinct products and utilizes the unique NASHA technology, which gives each product its unique particle size.

How long does it take for tear trough fillers to settle?

Aftercare for undereye injections is fairly straightforward. It is important to avoid taking blood thinners, such as aspirin and ibuprofen, and herbal supplements for one week after your treatment. You should also minimize strenuous exercise and avoid exposure to the sun, saunas, steam rooms, heat, or UV light, for 24 hours after the treatment to avoid swelling, redness, or other vascular complications. Applying ice packs immediately after the procedure helps minimize any swelling. The thin skin in the undereye area is more susceptible to bruising than other treatment areas. Arnika Forte is an oral herbal supplement that can help prevent bruising and accelerate the healing rate. Tear trough fillers should completely settle within two weeks of having the procedure. When you have your tear-trough filler with Dr. Michele Green in NYC, you will have access to all the pertinent aftercare information to achieve and maintain the best results.

What age should you get a tear-trough filler?

Tear trough fillers are an appropriate treatment option for anyone with noticeable hollows in the undereye area. Patients treated with tear trough fillers are typically between the ages of 20 and 60. The best way to determine whether you are a candidate for tear-trough filler treatment is by consulting with an expert in cosmetic dermatology, such as Dr. Michele Green in New York City. Dr. Green has over two and a half decades of experience providing her patients worldwide with the best non-invasive treatment options available, including tear trough filler. She will work with you to develop a customized treatment plan for rejuvenation that best addresses your concerns and achieves your ideal aesthetic results.

wedding botox shutterstock 678404389

What can I do instead of tear-trough filler?

Microneedling, or collagen induction therapy, is an excellent non-invasive way to revitalize the skin. Microneedling uses tiny pinpricks to activate the body’s natural healing process, rejuvenating and strengthening the skin below the lower eyelid. When the natural healing process is triggered, the body’s production of collagen protein increases. Collagen is responsible for maintaining volume and the firm, smooth texture of the skin. The increase in collagen production results in firmer, healthier skin under the eyes, which decreases the appearance of bags and hollows. Microneedling is a fast and easy way to reduce the appearance of eye bags without the need for invasive surgery or downtime.

Thermage is the gold standard in facial skin tightening. Thermage can improve skin elasticity in many body areas, including the delicate under-eye area. Thermage uses radiofrequency energy to stimulate collagen production in the skin. Thermage can produce skin-tightening results that last up to two years in a single treatment. Most patients, however, choose to engage in annual maintenance treatment sessions to keep up the best results. There is zero downtime involved with Thermage, meaning patients can resume their normal daily activities immediately after the procedure and easily schedule their treatment sessions.

A chemical peel can revitalize baggy or sagging skin under the eyes by removing dead skin cells along the superficial top layer of the skin. This then allows healthy new skin cells to be exposed, which can help make the skin firmer and reduce fine lines, discoloration, pigment, and other visible signs of aging on the skin. Dr. Green uses custom formulations for her chemical peels to incorporate the best nourishing serums and skin care treatments for each patient.

Non-ablative laser resurfacing treatments, such as Fraxel and eMatrix, can be used to tighten and firm, wrinkly skin under the eyes, as well as diminish the appearance of pigment discoloration in the eye area. The amount of collagen production that laser resurfacing activates can lead to lasting improvement in under-eye bags with virtually no recovery time. The eMatrix laser was developed with a special tip to treat the delicate under-eye area. Through radiofrequency technology, the eMatrix can tighten the skin around the delicate under-eye, remove fine lines, decrease pigmentation, and increase collagen production.

Under-eye bags can be removed through eyelid cosmetic surgery, also known as blepharoplasty. In this procedure, the surgeon removes excess fat from an incision in the upper eyelid’s natural crease or inside the lower lid. However, the increased risk of side effects, ample recovery time, and imperfect results have made the surgical eyelift a far less popular treatment option in recent years.

The best way to determine which combination of treatment options and skin care products suits your concerns and aesthetic goals is to have a consultation with a board-certified cosmetic dermatologist, such as Dr. Michele Green, in New York City. Dr. Green has over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive cosmetic procedures available, including tear trough fillers, laser treatments, microneedling, chemical peels, and more. Dr. Green will work with you to establish a personalized treatment plan that caters best to your needs and goals.

How to get started with tear trough fillers today

In her boutique Upper East Side NYC dermatology office, Dr. Michele Green treats men and women alike for tear trough deformities, skin laxity, fine lines, wrinkles, hyperpigmentation, sun damage, and many other areas of cosmetic concern. If you are unhappy with dark circles under your eyes, or under-eye hollows, correction with hyaluronic acid fillers, lasers, or chemical peels may be the best treatment for you.

Dr. Michele Green is an internationally renowned board-certified cosmetic dermatologist and expert injector. With over 25 years of experience in cosmetic dermatology, Botox, Restylane and Juvederm injections, chemical peels, Thermage®, and Fraxel® lasers, Dr. Green will work with you to develop a personalized treatment plan for skin rejuvenation that best suits your needs and goals. Dr. Green is consistently voted as one of the best dermatologists in New York by Castle Connolly, New York Magazine, Super Doctors, and the New York Times for her dedication to her patients and expertise, and is here to help you restore a more youthful appearance and minimize dark under eye circles, puffiness, and under eye bags. Please contact us online today or call 212-535-3088 to begin your cosmetic rejuvenation process today.

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