What's better to use for crow's feet and lines, Juvederm or Prevelle Silk?

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8 answers to “What's better to use for crow's feet...”

A: Botox or Dysport and Lasers for Eye Rejuvenation

Harold J. Kaplan, MD

In most cases, Botox or Dysport will dramatically improve the fine lines around the eye area. If someone desires more improvement, we have found good, consistent outcomes using the Erbium MicroLaserPeel. More often than not, these modalities are far more effective and appropriate for "crow's feet"... more

A: Combination of Botox and fillers would work best

Nissan Pilest, MD

Botox of course is far superior for crow's feet however it will not improve the actual wrinkles or lines. So if the object is to relax the muscles as well as fill the lines then Botox and Fillers combination would work the best. As to which filler to inject in the crows's feet area, Juvederm, and Prevelle... more

A: Crow's feet lines

Steven Wallach, MD

The best thing to use for crow's feet is Botox. This will deactivate the muscles of animation in this are which are part of the orbicularis oculi complex.  FIllers will not work to well.

A: Botox not filler

Christopher L. Hess, MD

Crow's feet are lines around the outside of the eyes created by relation of the orbiculares occuli which closes the eyes, and aging of the skin.  Unless the lines are very deep and have been apparent for many years they are best treated by Botox injections.  I use 25 units around the lateral aspect... more

A: Fillers not first choice for crows feet

Lawrence A. Osman, MD

Crows feet always have a dynamic component, meaning they are more apparent when the muscle around the eye tightens and causes wrinkles in the overlying skin.  For this reason,  I would also recommend Botox, or now Dysport, as the primary treatment for crows feet since these treatments reduce the... more

A: Botox and laser best in this area

Mary Lupo, MD

If filler is the only option, I prefer Prevelle Silk in this location, since it is less viscous and therefore less likely to lump. Cosmoderm is also a better alternative. The trade off here is that these less viscous fillers have poor duration: often less that 3 months. Botox and Dysport are real winners here,... more

A: The best filler is the finest filler. My favorite treatment for the crows feet is botox

Lenore Sikorski, MD

I like Botox better than fillers in this area.  However, of the two fillers juvaderm and Prevelle silk, I would use Prevelle silk.  You have to be careful to thread the filler very finely or you will get linear ridges.

A: Crow's feet

Elan B. Singer, MD

Neither!  The best and most widely used product for crow's feet is Botox.  If there are associated deep lines in the area, one of the fillers you mentioned (or any hyaluronic acid filler) can be used in addition to Botox.  I typically use Botox first in this area and then have the patient return... more

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