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Perlane for Crow's Feet?

I am getting Perlane on Monday. My wants to inject 2 syringes under my eyes for my flat cheeks. Will this filler also work on crow's feet? Will they get worse or fill out? i am concerned with that. Thank you.

Asked 32 months ago by joannh
Sort 10 expert answers by:
+1

Consider other options for crows feet instead of Perlane

Greetings~ Perlane is excellent for restoring volume to the upper cheeks but I wouldn't recommend it as a primary treatment or correction for the crows feet. My first choice would be some type of botulinum toxin like Botox or Dysport. If after having Botox or Dysport injections you still feel the lines are too pronounced or etched in then you can consider some type of laser treatment to smooth the surface of the skin or perhaps a smaller particle filler like Restylane in small... more
Grant Stevens, MD
Los Angeles Plastic Surgeon
+1

Crow's feet

My treament of choice for crow's feet would be Botox. It works excellent in this area. I choose to not use fillers like this in that area.
Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
+1

Beverly Hills Perlane, Beverly Hills Radiesse, Cheek Augmentation, Cheek Enhancement

While Perlane works great IMHO for Cheek Augmentation and Enhancement, I'd choose Botox to soften the lines in the Crow's Feet area. Perlane is a thick filler that's meant to be injected into the fatty tissue layer and the Crow's Feet have none to speak of.  Injection of Perlane here could result in lumpiness or an enlarged look to the outside of the eye socket which could make the face and eye area appear deformed. If for some reason, you don't want... more
Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
+1

Perlane and crow's feet

Perlane will not help the crow's feet.  These lines develop from animation and are best treated with Botox or Dysport.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

"No" to Perlane at crow's feet.

Perlane is a great hyaluronic acid filler to add volume to cheeks or fill in areas such a Nasolabial folds and marionette lines. Perlane is not recommended to the crow's feet because there are many muscles that cause wrinkles in this area. Botox is a great alternative for use to the crow's feet.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Perlane is not appropriate for crow's feet

Generally, we have found Perlane to be a good option for the cheeks, but it also depends on the specific area. Perlane is not appropriate for your crow's feet because the wrinkles in this area are caused by muscle action rather than volume loss. Dermal fillers are great for areas with volume loss, but Botox is the right product for wrinkles caused by muscle action. Stick with Botox for the crow's feet and good luck.
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+1

Crow's Feet

Crow's feet develop from the repetitive action of the orbicularis oculi muscles which are circular muscles located around each eye and aid in lid closing. It is a muscle of facial animation. Repetitive action of the muscle bends (wrinkles) the skin over the outer eyelid; over time, like bending a paper-clip, the skin collagen will thin and break down, leading to creases or wrinkles! Botulinum toxin relaxes the muscles, stops the paper-clip breaking action of the muscle and aids in ironing... more
John Philip Connors III, MD
Atlanta Plastic Surgeon
+1

Getting rid of crow's feet

Crow's feet are usually treated with botox, but deeper lines can be treated with fillers. The filler that I recommend for crow's feet is Restylane because it's very good for very superficial lines. The Perlane may actually intensify your crow's feet by pushing "up" on them with more cheek volume. Talk to your plastic surgeon about botox/dysport or Restylane for your crow's feet. Good luck!
Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon
+1

Perlane is not for fine lines

Crow's feet are the result of both muscle movement and collagen breakdown, so my first choise is Active FX laser after Botox. Some fillers can be safely used, but not Perlane as this large particle gel filler is too thick for these fine lnes. If the Perlane is injected deep to lift the cheeks, you may see some stretching of the crow"s feet, but it would be a secondary benefit.
Mary Lupo, MD
New Orleans Dermatologist
+1

Crow's feet

I suggest you consider Botox for your Crow's Feet.  Several injections are usually needed in the crow's feet area on each side.  It works really well.
Edmond A. Zingaro, MD
San Francisco Plastic Surgeon
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