Question

What's the best way to get rid of crows feet?

I am a 24, a few years ago I began to notice crows feet, these have rapidly become worse and I am now looking a lot older than I am. I'm losing confidence in myself now. What would be the right treatment for me?


Asked by: Claire Wainman
HU5 4LF

Answers (2)

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1
February 13, 2008

Different options for treating crow's feet and fine lines

Christopher Chung, MD
Christopher Chung, MD
Board Certified
Plastic Surgeon

There are essentially 2 main categories of facial lines - dynamic and static.

  • Dynamic lines are those produced by the actions of the underlying muscles. This can be illustrated by actively frowning (see the vertical lines between the brows?) or smiling/squinting (see the lines outside the eyes - i.e. crow's feet?).
  • In contrast, static facial lines are those that are present all times - even during complete rest or sleep, i.e. - these lines are actual lines present on the skin resulting from long history of squinting, frowning, sun damage, etc.

Typically speaking, there is some component of both lines present - one may have few lines at rest, but these lines become much more dramatic during animation. With the above in mind, there are really 2 main forms of treatment for facial lines:

  1. Dynamic lines are best treated by Botox Cosmetic - which work by paralyzing the treated muscles. This makes sense since dynamic lines are from the movement of the underlying muscles.
  2. Static lines are best treated by Resurfacing. Resurfacing is a general term that involves "shaving" the top layers of skin. There are many different ways to resurface - mechanical (e.g. dermabrasion), chemical (TCA, Phenol, Retin A, etc.), and laser (CO2, Erbium, Fraxel, etc.).

With the above in mind, if the predominant component of your crow's feet is dynamic in nature, then Botox Cosmetic may be the preferred treatment method. If your crow's feet wrinkles are mostly static, then consider some form of resurfacing.

Resurfacing can be mild (microdermabrasion, light peels), moderate (TCA peels, etc) to deep (stronger chemical peels, C02 laser, etc). Some patients may require a combination of both treatments (botox + resurfacing). Please consult with your local professional to fully discuss all benefits, limitations of each treatment, and potential complications/side effects of each treatment to be fully informed about your options.

Hope this helps somewhat and at least, gives some general overview of the topic.

2
February 1, 2008

Crow's feet respond well to Botox

Preventatively Botox is number one and I think that’s something that could be started before you even get them. Once you get some little lines showing, again Botox. Keeping it relaxed as soon as you notice it, Botox, and getting it every three months.

Now those small muscles around the eyes are very, very thin and I rarely see Botox lasting longer than three months. If someone tells you it’s going to last 4-5 months, they’re not telling you the truth. I can see it as short as two months in some people. That muscle is very, very thin and it just doesn’t hold much Botox.

More Botox in that area is not necessarily better. It’s just that I typically use 20-25 units in that area for both sides. I mean total of 20-25 units.

Then there are other things good moisturizers, hydration, antioxidants. There are some topical - Bota-peptide is a really good product that can be used in that area for smoothing fine lines and things like that. This is an area that works really well with those.

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