How do I choose between different wrinkle treatments for crow's feet?
Choosing Between Different Crows Feet Treatments?
Doctor Answers (5)
Crow's feet treatment
The best choice you can make is to choose an expert and experience physician who understands your objectives. He/she can then help guide you with the best possible treatment. Botox is the preference for most physicians to treat crow's feet.
Botox for Crow's Feet
The gold standard and in fact the only treatment for crow's feet is Botulinum toxin type A (Botox or Dysport). Crow's feet are not addressed well with any surgical technique, including Blepharoplasty and Facelift.
Visit with an experienced surgeon
Probably the best way to help choose between treatments for crow's feet is visiting with an experienced surgeon who offers all of the alternatives to treatment. Botox is a great treatment for crow's feet. By paralyzing the outside part of the orbicularis oculi muscle (a big round muscle that circles your eye), the bunching that you see on the outside part of the eye can be relaxed. For some people, laser treatments or medium to deep chemical peels is an option. Caution should be taken though in patients with dark skin as pigment irregularities can be a serious problem.
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Determine the cause of crow's feet - then you'll know the treatment
Crow's feet are caused by 2 things:
- When you smile or squint, the muscles contract and pull the skin together. This bunches up the skin like an accordion and, over time, repetitive bunching leads to creases or wrinkles in the skin. You can treat this by preventing the muscle from bunching up with Botox and then smoothing the skin with peels or laser resurfacing. Occasionally, I'll inject a small amount of filler into the line after the Botox.
- Crow's feet can be worsened by the effects of a drooping forehead and brow. This causes the skin from the brow and upper eyelid to fall downward towards the cheek. Once again, the skin bunches up there, creating the "crow's feet". If this is contributing to your problem, then a browlift may be in your future.
Crow's feet cannot be removed with any type of surgery...
Crow's feet cannot be removed with any type of surgery such as a face-lift or blepharoplasty.
In our opinion, the best treatment for crow’s feet is Botox, which is a very safe and effective treatment; however, it does have to be repeated every four to six months.
Laser resurfacing and chemical peels tend to leave a white area at the treated sites; in this case it is around the eyelids. Hypo-pigmentation and hyper-pigmentation is unacceptable, for darker skinned individuals.