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Crow's Feet Not Completely Gone Post-Botox

asked 3 years ago by cindy101 in colonia,nj ,usa
Latest answer by Francis R. Palmer, III, MD
Question viewed 2,186 times
Tags: crows feet, wrinkles

I had Botox a week ago for my crow's feet around the eyes. However, not all the wrinkles are smoothened out, I see three lines on the corner of each eye, looks like a cat's whisker. Why weren't these lines completely smoothened out by Botox?

15 answers to Crow's Feet Not Completely Gone Post-Botox

Still have crow's feet after Botox

It's hard to say what's happening for sure without seeing the wrinkles you are speaking about. It's possible that a bit more Botox might be required. It's also possible that the lines you are speaking about need to be addressed with fillers rather than Botox. It depends on how close to the eye the lines are, whether they get worse when you smile and whether they are located at the outside of the eye or under the eye. We'd suggest getting back in touch with your injector and going back for a... more

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon

www.celibre.com

Ways to Enhance Botox For Crow's Feet

Botox work on muscular related wrinkles, or movement wrinkles. Static wrinkles, the ones you have at rest, do not respond as much. As such, there are several ways to improve the results of botox for crow's feet: 1. first, botox the area 2. then, after waiting the effect of botox takes place, consider one of the following: a. chemical resurfacing b. laser resurfacing with either fractionated laser or subablative fractioned laser... more

George Sun, MD
Los Angeles Facial Plastic Surgeon

Botox and Crow's Feet

Botox does not remove all the lines. There are many muscles on your face that trigger different facial expressions. Botox is effective in removing lines from one source or muscle. You may be seeing lines forming from another muscle that has not been relaxed by Botox. Also, botox can take up to 2wks for final effect. If after two weeks you still have concerns, discuss them with your doctor. At times you may require a touch-up.

Bahram Ghaderi, MD
Chicago Plastic Surgeon

Botox Adjustment Not Unusual

It takes 4-7 days for the full effects of a Botox injection to appear and Botox is a dose dependant treatment. This means that to achieve similar results, patients require varying amounts of Botox...some more, some less. To get full correction, it's not unusual to have an adjustment or added Botox within the first month after the initial Botox treatment.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Botox is not an immediate wrinkle releaser.

It's not a total surprise that after Botox for crow's feet next to your eyes, you might still see a few fine lines persist, especially if this was your first time getting treated. Botox works by relaxing or preventing muscle contraction. The line smoothing is a secondary side effect. Understanding this helps you understand why it's important to continue regular follow up for Botox treatments to keep the area from re-crinkling, because it's over time that the lines will... more

Jessica J. Krant, MD, MPH
Manhattan Dermatologic Surgeon

www.ArtofDermatology.com

Unrealistic Expectations from Botox

Everyone has to have realistic expectations from Botox. Botox truly is a wonderful treatment and is very effective with very few side effects. However, there is a balance between smoothing wrinkles and maintaining function in your expressions. Sure, so much Botox could be injected that you do not move your face at all - but you would look like you had a stroke. I am sure that is not what you are looking for. Also, Botox works by temporarily paralyzing the... more

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Botox in the Crow's Feet Area

It might simply be that not enough Botox was placed to effectively control the muscle movement in the crow's feet area. You also may need to have Botox placed below the corner of the eye into the high cheek zone to stop this portion of the muscle from moving. If a sufficient amount of Botox was already placed and the distribution area was correct, you might need to consider a skin resurfacing procedure to provide further improvements.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon

Incomplete result after Botox for crows feet

Botox is a very effective and powerful medication. We commonly use it to help erase wrinkles in the upper face that are caused by muscle action. Every patient is different and has a different amount in concentration of muscle. For patients that have more muscle, more Botox is necessary. At this time should we visit with your doctor to determine if this incomplete result can be fixed with additional Botox to these areas.

B. Pat Pazmino, MD
Miami Plastic Surgeon

Resolving Incomplete Botox smoothing of Crow's Feet Wrinkles

The wrinkles you are referring to may be either DYNAMIC (seen only when you smile) or PASSIVE (seen at rest as well). To assure ourselves that enough active Botox was placed, I would start by re-treating the persistent wrinkles with a few more units of Botox. Then in a week's time, when the effect of Botox would be fully established, we would re-asses and see if we have the situation corrected. If not, the wrinkles are most likely PASSIVE (seen at rest) and less dependent of muscle... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Wait for one week, more Botox might be needed or resurfacing

A few thoughts on this: You might need another dose of Botox to relax the lateral orbicularis muscle. Wait for one more week for full Initial Botox effect. Static lines as previously mentioned here will not go away with Botox but will require fillers or resurfacing with laser or peel. There is a surgical procedure done to cut the lateral orbicularis and make these lines go away completely.However, this is only done during a face lift or lower eye lid surgery. Hope that helps!... more

Hisham Seify, MD, PhD
Los Angeles Plastic Surgeon

Botox has its limits

There is only so much Botox can do. If a person still has lines after Botox, they may need some other form of treatment like a filler or resurfacing to enhance the result. Remember that it is impossible to have totally smooth wrinkle free skin especially in an area of significant expression like the corner of the eyes.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Crow's feet and Botox

First, Botox may take a bit longer than 1 week to really kick in. Second, these lines may be static lines that require a little filler.

Steven Wallach, MD
Manhattan Plastic Surgeon

Static wrinkles take longer to "iron out"

Over time (several months to a year, depending on how established your static wrinkles are), with a series of Botox treatments, the wrinkles present with muscle contraction begin to smooth out, as Dr. Cohen has indicated. If there is still more movement of the crows feet than you would like after 2 weeks, you might need a touch-up of a few more units of Botox. Botox is probably the best for crows feet wrinkles if you were to select a single cosmetic procedure to treat them. Regional... more

Bryan K. Chen, MD
San Diego Dermatologist

There are different types of wrinkles

There are different types of wrinkles. Dynamic lines form when you make an expression (like smile). Static lines are there even when your face is at rest. Often the static lines form in the same area as dynamic lines because of the repeated folding of the skin in that area. Botox relaxes muscles. It helps dynamic lines. If you have some static lines in the same area, those will not initially go away with Botox. Over time, if he Botox keeps the dynamic lines from forming, the skin will... more

Marc Cohen, MD
Philadelphia Oculoplastic Surgeon

Few more units of Botox for crow's feet

Many physicians underdose this area. This includes myself. The last patient of the week for me, in fact, had an excellent result, everywhere but in the crow's feet. So it was simple to just add a few more units of BOTOX, If after two weeks you still are unhappy, the judicious use of a filler should complete the picture. I prefer Cosmoderm, but Restylane or Juvederm could also be placed.