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Botox with Juvederm

I recently purchased a promotion of 20 units of botox & a syringe of juvederm from a plastic surgeon in chevy chase Md. I have moderate crows feet & they drive me insane. I have had botox in the past but was not satisfied with the results which is why I decided to try juvederm. What is the best to administer these to achieve the best result.

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17 Doctor Answers | Asked by mistygray in Washington DC

Doctor Answers (17)
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Botox is the number one treatment for crows feet

Juvederm and Restylane are not great treatments for crows feet compared with botox. Juvederm sometimes creates more swelling than Restylane when close to the lower eyelids. Some doctors use, as an off-label indication, the fillers as more of a scaffolding support underneath the entire cheekbone region extending around the eyelid on the side towards the temple, to reduce the fine lines without injecting each line and potentially creating a lumpy area in place of the fine crease. ... more

Botox use for crow's feet

Botox is helpful in relaxing the "O"-shaped muscle around your eye that contributes to crow's feet. Volume loss and sun damage may also contribute to these changes around the eye. Consulting with a skilled, board-certified dermatologist or plastic surgeon will offer the best treatment to address your eye area.

Melanie D. Palm, MD

10 reviews

San Diego Dermatologic Surgeon

Botox and Juvederm for Crow's Feet

As Dr. Lupo and Dr. Johnson stated, it depends on your anatomy. An evaluation by a skilled injector can determine the most ideal treatment to meet your goals with the product you have.

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Treatment of Crows Feet

With 'moderate" crows feet,Botox is the best treatment. Although I have placed Juvederm in deep creases around the eyes, it is rarely necessary. I'm sure the Juvederm can be used in adjacent facial areas.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Botox or Juvederm for Crow's Feet

The decision as to what to use to improve the lines around your eyes is best determined by a dermatologist or plastic surgeon, skilled not only in anatomy, but also in beauty and the aging process. In many cases, when Crow's feet are due to movement, Botox is a terrific option. In other cases, when there is too much laxity due to genetics, sun damage or smoking, a filler such as Juvederm or Restylane by themselves, or often in fact with Botox is a great option. In some cases,... more

Benjamin Barankin, MD

10 reviews

Toronto Dermatologic Surgeon

Crows feet eradication

I agree 100% with Dr Lupo. You see, not all wrinkles are created equal. Depending on the laxity of your skin, and the amount of photoaging and intrinsic aging you possess, the answer for you might NOT be botox and hyaluronic acid filler. You may need sculptra. Or a facelift., Sometimes the "special"deals are designed to get you into the office. I have heard of this happening to some patients that were then given a "hard sell' to buy a more expensive procedure (ie... more

Beverly Johnson, MD

Washington DC Dermatologist

skinhairnails.com

Botox will not correct volume loss or sun induced wrinkles

Your questions highlights the problem with Botox (and Dysport) in crow's feet in some people. Botox improves whatever wrinkles are being caused by movement of the obicularis oculi muscle. Some people have crow's feet that are caused by loss of dermal collagen from sun exposure or tanning. Still other patients have a volume loss in the upper cheeks (from normal aging) and using a filler (like Juvederm) will improve these "lower" crow's feet. Be sure you talk to your... more

Botox with Juvederm

I have used Botox for over 20 years adding the newer neurotoxins Dysport and Xeomin to reduce unwanted lines and wrinkles of the face and forehead. IMHO, 20 units of Botox should give a very nice result in the Crow's Feet area. Save the Juvederm for the lips, nasolabial folds for somewhere else.

Botox with Juvederm for Crow's feet

Botox can provide great results to help smooth wrinkles around the eyes, such as Crow's feet. Patients can respond to Botox differently, but 20 units should be sufficient to help soften the area. Juvederm is typically not injected around the eyes for Crow's feet, but rather in areas around the mouth or lips. It's common to have combined procedures for enhanced results. Lastly, keep in mind non-surgical treatments typically can only do so much, so cosmetic surgery might be... more

Botox and /or Juvederm for cow's feet

I don't think this is a Botox vs. Juvederm situation. If you have true crow's feet then the botox is what you need and the juvederm will not be the right choice(might need it elsewhere though). However, if these lines are from the pushing up of the cheeks with smiling ebotox will not do all that you would hope for. In this case, fillers might be able to change some of the way that the skin is draped on the face and might be helpful to some extent. However, this correction takes a lot... more

Botox and Juvederm for crow's feet

Without seeing you in person, it's hard to say for sure. Usually Botox is the primary treatment for crow's feet. 10 units is often enough, so 20 is plenty. Make sure you see an expert because this is a delicate area that requires individualized microinjections for optimal results. Patients that have had it done elsewhere complain of bunching up under the eyes, excessive bruising and assymetry. A 1-2mm lift of the outside part of the eyebrow is a nice enhancement for many... more

Edmund Fisher, MD

7 reviews

Bakersfield Facial Plastic Surgeon

www.facebyfisher.com

Botox and juvederm

For the crow's feet, botox should be enough to take care of the concerns you have. Rarely, you need to do additional treatment with filler ie juvederm, or a laser treatment. The best way is to have someone experienced with the product give you the treatment and direction.

Rick Rosen, MD

3 reviews

Norwalk Plastic Surgeon

Choose the right injector

20 units of Botox really isn't a lot, but if you only want it in one area, like the crow's feet, it should be ok, considering you said they are "moderate". Injection of Juvederm around the eyes needs to be done by physicians with exceptional skill. Often improper injections leave a translucent coloring there, as well as bumps and ridges. It is not my syringe of choice for that area; Restylane would be, as it does not have these issues.

The best way to administer this is by having the right doctor.

Is the pastic surgeon from offering discount service the right person for your treatment? There is a lot of not so great care out there. Hopefully this doctor offering discount service really knows what they are doing and you will be very happy with your treatment. 20 units of Botox should be enough to make a significant difference for you. One syringe of Juevederm any only make a small difference. Study my website which has a lot of information on microdroplet... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Correction of crow's feet

It is important to know precisely what type of lines you have as well as their etiology. Botox works by paralyzing muscles and this will reduce some of the lines by preventing the muscles from working. However, if the lines are symptomatic of aging and wrinkling, then filler can be beneficial but I prefer to use Restylane around the eyes to avoid creating bumps. Discuss all of these concerns with your injector. One option is to have the Botox injected first and then to evaluate the result... more

Botox and Juvederm for craw's feet

Thank you for your question. 2 distinct group of the muscles play role in the development of the 'craw feet' wrinkles: periorbital (muscle encircling the eye orbit) and zygomatic ( the muscle which pushes up cheeks when we smile). In some people wrinkles will be due to effect of one or another group of these muscles, in others it will be combined action of these muscles causing skin creases. Botox normally used to switch off periorbital muscle but not the zygomatic, so... more

Botox and Juvederm for crows feet

I think the 20 units of Botox will likely lift the brows and decrease but not eliminate the crows feet, the effect of Botox on crows feet is not as dramatic as it is in the glabella. As to using Juvederm for the crows feet, it can help, but the crows feet lines are very superficial and the Juvederm has to be injected carefully as it can leave the wrinkle looking bulky.If you are going to have both injections done on the same day, I would use the filler first and follow with the Botox. more