Botox for Crows Feet

Stella Desyatnikova, MD answers: Should there be wrinkles after Botox?

I had Botox injected into my crow's feet 5 days ago. It's certainly done the job on the deep lines I had around the corners of my eyes. However, I'm sure my eyes now look extra wrinkly underneath, which isn't what I intended.

Does this happen a lot and is there a remedy for it?


Stella Desyatnikova, MD
13 months ago

I think using Botox for crows feet area wrinkles is one of the most tricky applications. Occasionally, as you noticed, the area on the sides gets relaxed, and the wrinkles go away, but the area underneath can actually get worse, or seem worse.
Sometimes it needs additional Botox or Microbotox injection underneath the eyes, which can make it a lot better. Sometimes, when the patients smile, we notice the cheek really rising up and making this area appear more wrinkled. In these cases, less Botox will actually make it look better, and this is something to consider when injecting. Finally, under eye area resurfacing with Active FX or similar fractional CO2 lasers will help to build collagen, improve tissue elasticity and strength, and will also help it look better.

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