Radiesse for Crow's Feet

Crows feet are best treated by Botox, Dysport or Xeomin as they relax the muscles and it is the muscle contraction that makes the skin fold on itself.  Fillers can look lumpy at rest if thick, and Radiesse is a thick filler so avoid it in this region! Radiesse is meant to be injected more deeply in the subcutaneous compartment and the skin and subQ of the perioribtal area is very thin. If any filler is used, Restylane might be but here too, it may cause some lumps and even a bluish color. Some doctors may dilute it for this area with anesthetic, off-label. There may be a thinner product of Restylane coming to market eventually and this would be better for tis area.

I prefer to use Botox, Restylane or both in the thinner tissues surrounding the eyes.  Radiesse is an excellent filler which should be used in other areas of the face.

Radiesse is firmer than most fillers, so it’s a frequent fix for deep grooves and to enhance bony contours. You may benefit more from Botox for that area. Botox is one of the best things around for eliminating fine lines and wrinkles, such as crow's feet. Rather than "plumping" like collagen and fat, Botox blocks the impulses that nerves send to muscles, essentially paralyzing the muscles and diminishing their ability to tense. Using a very fine needle, the surgeon injects Botox in small doses where the facial muscles are most active--between the eyebrow and at the sides of the eyes, or beside the mouth even. It takes one to three days to see the effects, and the treated area will continue to improve for up to two weeks. That's when I schedule my patients to return, to see if a touch-up is needed. However, injection techniques can vary. It’s the art and science of what doctors do, and it’s important to choose your doctor wisely. I suggest finding a physician with plenty of experience using this product.