Juvederm , Elevess and Cosmoderm are all very good for superficial or medium creases.

Dear Rosane,

If you have superficial or medium depth creases then Juvederm, Elevess or Cosmoderm are good choices.  If the lines are dynamic creases which means that they show up mainly only when you smile then Botox is a good choice.  There are no allergies to any of these materials and can be injected at your initial consultation very easily.  Juvederm and Elevess are similar to Restylane but last alittle longer.  (approx 6-9 months)   Cosmoderm lasts approx 3-4 months which  lasts about the same as Botox.  Bruising and alittle swelling or redness is normal and goes away in a day or two.  Some patients need both a filler and botox together which can be done on the same day.

David Hansen,MD

It really depends on which wrinkles you are referring to - if it is the crow's feet area (just to the sides of the eyes, which become more apparent when you squint), then Botox is the best way to soften these, althought it is unlikely that you will get rid of them completely. Now if you have many fine lines and wrinkles at rest (from sun exposure, smoking, etc), some type of resurfacing (fractional CO2 or Chemical peel) would probably be the way to go. A filler would not be the recommended for either types of these wrinkles around the eye.