Crows feet when smiling: Are there any alternatives other than Botox? (Photos)

Hi, thank you for your post. It is hard to tell without an in person exam but from your photos it appears that you would benefit from Botox which is really the best option for this area. You could use some filler and lasers if you are totally against Botox, however, you will see the best results with Botox. I would recommend setting up a consultation with a board certified plastic surgeon to review all of your options. 

 Thank you for sharing your question and posting photographs. Botox is the best option for you; however, fillers and laser skin resurfacing can be used as well to soften the wrinkles but would not be as effective as Botox injections. You could start off with a small amount of Botox injected and have subsequent injections if needed. I hope this helps. Good luck, 

BOTOX is your best option. I agree that BOTOX does not cause anxiety, but it is probably more centered around how your body responded to the procedure. A filler such as VOLBELLA could be used to soften the lines as well. Chemical peeling and laser resurfacing options require an evaluation by a facial expert to determine if these techniques might be appropriate for you.

There are a few alternatives to the treatment of crows feet besides Botox. One would be a brow lift. Lifting the outer part of the brow can improve the appearance of crows feet. Another option would be a laser treatment, but the laser treatment would have to be quite aggressive to improve crows feet, something like a CO2 laser, Erbium laser, fractionated CO2, or a Halo laser. The improvement won't be as significant as a browlift. Personally, I feel that if you have significant muscle motion in that area, Botox is your best option.Andrew Campbell, M.D.
Facial Rejuvenation Specialist
Quintessa Aesthetic Centers

Other than Botox, fillers, lasers and microneedling/prp can be used to improve wrinkles. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer