Aquamid Vs. Botox for Crow's Feet?

Hi Aussie in Beautiful Melbourne, Crow's feet are best treated with Botox. "Line" fillers should not be used in this area because of the dynamic muscles. Volume fillers such as your own fat or Sculptra may help by replacing lost volume. Stay away from Aquamid anywhere in your body. The product has been associated with severe infections in many cases. Good day, Dr. P

Because of the nature of our practice, we see many patients from Europe. We have unfortunately already operated on several unhappy Aquamid patients. Unfortunately, the Aquamid had infiltrated into the tissues and only a partial correction was possible. The Aquamid seems to behave much like silicone. I would personally put it in the category of the worst of the worst. Just my opinion.

In general, Botox is the best treatment for the crows feet because these wrinkles are the result of underlying muscle contraction. Fillers are not appropriate for the Crows feet because of the significant degree of movement of this area in combination with thin skin which frequently results in lumpiness. I would strongly discourage you from having Aquamid injected to your Crows feet since Aquamid is a permanent filler (not yet FDA approved in the US). Crows feet wrinkles can be... more

Hello ~ I would not recommend an injectable filler for correction of crows feet as a first line treatment. A chemodenervation agent, such as Botox or Dysport would be a first line treatment. In patients who have static rhytids or wrinkles that are present both in the presence and absence of animation, a resurfacing treatment may be beneficial in conjuction with the chemodenervation agent. Common treatments include chemical peels, such as TCA, and fractionated lasers. Consult with a... more

Aquamid is a filler for deeper tissues. Crow's feet are primarily a problem caused by repeated muscle contraction and not by true or relative soft deficits . Botox is the preferred and more targeted approach to managing crow's feet.

There is a great deal of confusion regarding the appropriate use of fillers (such as Aquamid) and Botox. Botox is the brand name for a product naturally produced by a bacteria. The product disables the movement of facial muscles. By stopping the muscle from moving, it allows wrinkles to smooth out over time. Botox has no filling effect. By contrast, fillers fill the space under the wrinkle making it less noticeable. The muscles will still move normally. Examples of fillers are ArteFill,... more