What's the Best Filler for Crow's Feet ?

Botox is a better more effective solution to most crow's feet than an injectable filler especially if they are fine lines. Botox temporarily paralyzes the eyelid squinting muscle just in the area of the crow's feet when injected there so the muscle cannot create the wrinkle. In severe cases with hooding surgery is a better option.

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Since crow's feet are mainly caused by muscle contraction of the muscles that encircle the eye, Botox or Dysport is usually the first choice to reduce these lines.  Once the muscle is relaxed, there are many options to achieve a natural look.  Laser resurfacing, such as with the Fraxel laser, can smooth out these lines.  Typically, most patients do Botox or Dysport injections.  Only rarely is filler usually needed after Botox injections.

The first step in treating crow's feet wrinkles is to do Botox. Lines and wrinkles in the outer eye area are caused by the repetitive motion of squinting and "scrunching up" of our eyes. The most direct treatment is to reduce this motion with Botox. This is a highly rewarding area to treat with Botox. I find that the use of Botox generally relaxes the stress on the skin so well that with time early lines and wrinkles will relax and continued use of Botox will prevent the worsening or deepening of wrinkles.

Occasionally, with very deep lines or in someone who has had decades of motion, Botox alone may not be enough. The best filler for this is usually a hyaluronic acid filler, such as Juvéderm or Restylane done with great care in this very thin delicate skin by an experienced injector. But, the filler should always be a secondary treatment, not a substitute for Botox.