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Botox for Crow's Feet and Smoker's Lines?

I am 31 years old and sadly smoked for about 13 years. During the last year or two I have started to see more and more of the crow's feet and "smoker's line" around my eyes going down to my cheekbone, especially when I smile. Will Botox typically correct all of these lines?

Asked 35 months ago by too young to look old in greensboro, nc

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crows feet smokers lines

Botox for Crow's Feet and Smoker's Lines

Hi TYTLO, Botox is a great option for crow's feet and smoker's lines. We typically use about 12-25 units in the crow's feet. Botox used for the smoker's lines above the upper lip is very technique dependent and in our practice we rarely use more than 4 or 5 units. The Botox in the upper lip is usually combined with dermal fillers to offer a more complete solution for smoker's lines. Good luck.

Doctor's Website

Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

Botox is great but be careful

Botox is the treatment of choice for wrinkles around the eyes. Unfortunately, the wrinkles around the lips is slightly more difficult. Botox for upper lip wrinkles can but done but is very delicate;too much and you'll have problems closing your lips (for several weeks), too little and there won't be an noticable result. Most plastic surgeons prefer to fill these depressions with dermal fillers such as Restylane, Perlane, or Juvederm. First, stop smoking. Then see your surgeon for... more

Christopher L. Hess, MD

Fairfax Plastic Surgeon

ASPS

Yes and no

Dear Too Young, The first signs of aging occur around the eyes, usually in the form of crow's feet, and usually around the age of 30. So you may not be too young. Smoking has probably advanced your aging process though. At any rate, the crow's feet should respond to Botox. The smile lines are more difficult to treat, at least with Botox. You may need some filler or resurfacing treatments to address these. Good luck!

Kenneth R. Francis, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Botox Cosmetic is great for crow's feet

Botox Cosmetic is great for crow's feet. You have to be careful about the cheek lines. Too much Botox in this area can cause you to loose the ability to smile or eat properly until the Botox wears off. Additionally, if your wrinkles are static (present at rest) then the Botox will be minimally effective. Botox works best for dynamic lines (lines that appear when you move). Good luck.

Doctor's Website

David Shafer, MD

New York Plastic Surgeon

ASPS

Reversible wrinkles are caused by skin creasing with muscle action

It is difficult to predict how effective Botox will be on your specific wrinkles. Although Botox is very good for early reversible wrinkles caused by muscle action, at some point in time the wrinkles become irreversible. Let me give an overly simplified example. IF you walk all day in your new pants, you will create wrinkles. At the end of the day when you hang them up, the next day many of the finer wrinkles were disappear. However, the deeper wrinkles or folds will be softened but not... more

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Botox is great for crow's feet and wrinkles

Botox is great for the areas of wrinkles known as Crow's feet. The deep wrinkles that go down your cheekbone, however, are not great with Botox. You can interfere with the facial nerve and look like you have a palsy it you try to inject too far down near the cheekbone. This is why an experienced injector is very important.

Michele S. Green, MD

New York Dermatologist

Botox, Dysport, Wrinkle Treatment, Beverly Hills Botox Dysport, Los Angeles Botox Dysport

I have used Botox for over 20 years. You can use Botox or Dysport to soften the lines and wrinkles of the Forehead, around the eyes or lips. If you want to treat lines over the cheek area, use it sparingly along those lines so you don't over-weaken the muscles that animate the center of the face. With patience, I believe that you could indeed soften these unwanted lines and wrinkles.

Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

Be cautious about using Botox around the mouth

The crow's feet will improve somewhat better than the lines that extend down to the cheekbone when you smile. That is because if the latter are treated, you would weaken the smile muscles which may cause you to have an unbalanced smile. You might not be able to pronounce all the letters of the alphabet correctly, and you may have difficulty eating or drinking because the lip loses function. Smoker’s lines would improve. However, it cannot be injected in the sufficent dose due to the... more

Ronald Shelton, MD

Manhattan Dermatologist

Botox for eliminating fine lines and wrinkles

Botox is one of the best things around for eliminating fine lines and wrinkles such as crow's feet and smoker's lines. Rather than "plumping" like collagen and fat, Botox blocks the impulses that nerves send to muscles, essentially paralyzing the muscles and diminishing their ability to tense. Using a very fine needle, the surgeon injects botox in small doses where the facial muscles are most active--between the eyebrow and at the sides of the eyes, or beside the mouth. After receiving... more

Michelle Copeland, MD, DMD

New York Plastic Surgeon

ASAPS ASPS

Botox and filler in the lips may reverse mild chronic smoking effects

Smoking increases the appearance of wrinkles and makes photoaging more apparent. Botox is mainly used for dynamic lines mainly in the upper half of the face. I usually start by putting 24 units (12 units on each side) in addition to 2-3 units to raise the eyebrows if the patient wants. For the lower face, especially if the patient is young, major laser resurfacing may not be necessary. 1-2 units in about 8 injection sites on the upper and lower cutaneous lips in addition to filler... more

Hassan Galadari, MD

Dubai Dermatologist

Botox for eyelid and cheek wrinkles.

Botox would address the dynamic wrinkles (with muscle activity) but may not fully correct the static wrinkles (at rest). You may benefit from Botox, followed by laser or chemical resurfacing 2 weeks later. The effect of decreased skin movement with Botox would allow for improved wound healing and yield better results with resurfacing.

Bryan K. Chen, MD

San Diego Dermatologist

Botox and/or laser resurfacing

Botox can be very successful for the crow's feet depending upon how deep the lines are. If the lines are relatively new and not terribly deep, then 2-3 treatments (each lasts about 3 months) can fade those lines. If the lines are deeper, then Botox may only soften those lines partially. In this case, laser resurfacing would be the solution. Wrinkles around the mouth are the most stubborn lines to treat. Botox can also be used here, but only VERY CAREFULLY and only by someone well trained... more

Edgar Franklin Fincher, MD, PhD

Beverly Hills Dermatologic Surgeon

Botox is a very good thing to start with.

Hi! I use about 25 units of Botox for the crow's feet. You will see the peak result in 2 weeks, and it lasts 4 months. The Botox has to be injected skillfully; so go to someone who does a lot of it. If you want more improvement, there are other things that can be done. Deep laser resurfacing is very effective, but you should think of that as a more major procedure, only because it has a one week recovery period.

George J. Beraka, MD

Manhattan Plastic Surgeon

ASAPS ASPS

Smoking Will Age You Quickly

I am happy that you have made the smart choice to stop smoking. I have a 1,2,3, 4 approach: Botox to treat the dynamic (moving) muscle underneath the skin of the eyelid. Laser skin resurfacing to build up collagen and tighten the surround skin. Filler may occasionally be necessary in the transition zone between your lower lid and cheek. Some patients may also benefit from skin tightening through procedures like Thermage Not everyone needs all 3 parts of this puzzle to repair their problem... more