After Botox injections in eye area, specifically crows feet, should you be able to smile and crinkle up this area?

Doctor Answers 12

Botox for Crow's Feet

There are two reasons for wrinkles in the crow's feet. One is the muscle motion in that area. This is what Botox can treat to minimize the crow's feet lines. The other is the cheek elevation when smiling. This elevation will cause some bunching in the crow's feet area. This is not something Botox will treat. So, Botox in the crow's feet will make the lines better, but it will not make them disappear when smiling.

Andrew Campbell, M.D.

Facial Rejuvenation Specialist

Quintessa Aesthetic Centers


Milwaukee Facial Plastic Surgeon
4.7 out of 5 stars 26 reviews

Botox for the crow's feet

Thank you for your question botoxhappy. Botox is a purified protein used to address wrinkles associated with facial expression such as the crow's feet seen around the eyes when one smiles or squints. Botox relaxes the muscles and smoothens out the overlying wrinkles. After a Botox treatment for the crows feet the wrinkles will be reduced when one smiles or squints. Please consult with a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 1 review

#Botox

yes that is normal. it occurs due to over activity of cheek muscles. if you need more botox then best is to discuss it with your doctor and see if additional Botox is needed

Misbah Khan MD, FAAD, FACMS
New York Dermatologic Surgeon
4.9 out of 5 stars 27 reviews

After Botox injections in eye area, specifically crows feet, should you be able to smile and crinkle up this area?

Hello, and thanks for your question. The Botox should make it more difficult to do this, and the lines should be much softer. In order to determine the best treatment plan for you, I recommend an in-person consultation with an expert. Best of luck, Dr. Frucht.   

Corey Frucht, MD, PhD
Santa Barbara Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

After Botox injections in eye area, specifically crows feet, should you be able to smile and crinkle up this area?

Thank you for sharing your question.  Without a photograph it is difficult to offer definite advice but Botox placed for crow's feet wrinkles does not affect the muscles that allow you to smile.  You may still see some wrinkles along the upper cheek when you smile but much of the ones along the side of your eyes should have resolved.  Hope this helps.

Nelson Castillo, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 43 reviews

Botox in crow's feet

Yes, you should be able to smile, and you might see crinkling along the sides of the eyes because of over activity of your cheek muscles.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

There is a major and a minor consideration

The area lateral to the eye (what we all consider the side of your face), can be treated with Botox to alleviate lines.  The goal should also include a rejuvenated, natural look.  This can be achieved with a softening of expression and a lift.  

There are two muscles that are not to be treated: Zygomaticus major and minor. Indeed, while passing close to the muscle you want to treat, these two muscles are involved in the movement of the corners of your mouth.  So your smile will not be affected.

As to the area known as "crows feet," this can be softened, and the shadowy area at the corner of your eye can be opened up and lifted. Depending on the rest of your facial constitution, it is not always necessary to iron out every last line until they are smooth.  Even though not all lines are effaced, it is possible to attain a wonderful, natural look.

David Owers, MD
Vancouver Physician

Botox

If done correctly, you should still be able to smile.  Always seek treatment from a qualified professional.  

Jennifer Trent, MD, FAAD
Sarasota Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

After Botox injections in eye area, specifically crows feet, should you be able to smile and crinkle up this area?

Yes, you still should be able to smile as that movement is done by other muscles, so expect some lines with smiling. 

Karol A. Gutowski, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 65 reviews

Botox helps the crows feet but not all wrinkles in this area

There are some wrinkles around the eyes that aren't treated with Botox. Some are caused by the cheek elevated and causing wrinkles. The best way to see which wrinkles can be improved is to squint and those wrinkles will be treated. The other wrinkles might need volume/filler to improve. 

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.6 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.