Botox, fillers or skin resurfacing

Dynamic wrinkles are usually caused by muscle contraction. However, there is an underlying skin excess as well.

Botox works on relaxing the muscles and could help to eliminate some of these wrinkles that exist on the outside of the eye (crow feet)

As a general rule, I do not like to inject Botox too close to the lower lid or beyond the iris (color of the eye).  Injecting Botox too close to the eyelid could weaken the muscle in this area (temporary).

A combination of Botox and skin resurfacing could address this problem.