Best Nonsurgical Method for Crows Feet

what is the best non surgical method to get rid of crow feets?

Doctor Answers 24

Botox or resurfacing for non-surgical treatment of crows feet

There are three choices: surgery, botulinum toxin, or resurfacing. There also is the promise of a filler for the crows feet on the horizon, but right now that does not exist. And I personally think it will not be a major option.

Botulinum toxin is hands down the best option. Botox or dysport allow effective management, delays progression, and hopefully remodels wrinkles as well. No down time, minimal risk of bruising, relatively cheap, and great natural results. Right now my office uses both products extensively, and I don't see a consistent preference between the two.

I don't feel there is a single effective surgery for crows feet. The best surgical option is a brow lift, which lifts some of the redundancy out of the area, and therefore tightens away some of the wrinkling. But you were looking for nonsurgical, so...

Resurfacing is the final option. Some patients prefer this because it's permanent (botox is 3-6 mos). But it is also partial, improving lines 25-75% depending on the depth of treatment. Medium depth chem peels (jessners/35% TCA) are effective, as well as conventional erbium laser resurfacing. We have been investigating fractionated resurfacing to see if the results approach those of more aggressive chem peels or lasers, but I feel this is still being worked out.

And any other tightening treatment around the eyes like Thermage or Skintyte, or other radiofrequency/plasma field/ultrasound technology is overhyped. I don't truly think any of them are consistent enough or significant enough to spend money.

Madison Facial Plastic Surgeon
4.7 out of 5 stars 14 reviews

Smoothing crows feet

The squint lines around the eyes, or crows feet are due to muscle contraction and skin deflation. The current best treatment are the nonsurgical fillers.

Botox and Dysport actually weaken the muscle animation to help smooth the wrinkles in that area. For very deep lines, HA fillers can be used to treat periocular and cheek areas to increase volume in the skin wrinkles.

Prior to an eyelid lift (blepharoplasty), Botox is helpful to reduce the crows feet. It can facilitate healing by relaxing the muscles.

Andrew Turk, MD
Naples Plastic Surgeon
4.8 out of 5 stars 31 reviews

Botox for non-surgical method for crows feet

BOTOX injections for crowsfeet are injected superficially to reduce the dynamic motion in the lateral canthal region. If the creases are unusually deep, a filler might be injected into these creases at the same time or a week following the BOTOX injections.

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Botox best for crows feet

Botox works wonders for crows feet that are caused by the active muscles around the eye that contract with squinting and smiling. If you temporarily weaken the muscles with Botox the lines soften over time. If you have really deep lines some careful application of a filler may improve them even more.

Ivan Wayne, MD
Oklahoma City Facial Plastic Surgeon
5.0 out of 5 stars 61 reviews

Best treatment for Crow's Feet is botulinum toxin

Unequivocally, the best treatment for the lines that radiate out from the corners of the eyes, referred to as crow's feet, is Botox or Dysport. Laser resurfacing can be done, but as the lines are created by muscle movement, the lines come back after the laser wound heals. A combination of Botox or Dysport, first, then laser resurfacing can be done so that the wound heals on a more relaxed surface without the repetitive wrinkling of the skin that occurs with muscle movement. The lower lines near the Crows' feet that extend on to the outer cheek and cheekbone, are not treated without risking changing the motion and position of the lips / mouth because these lines are created by wide smiling.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Best treatment for crows feet

It is important to understand there are 2 components to crows feet, one is the muscles that surround the eye and are responsible for squinting. These can be quieted completely with Botox or Dysport.

The other component of crows feet are the smile muscles, which cannot be quieted without affecting the lower face expressions. Even babies have crows feet when they smile.

As we age, the bones of the upper face shrink, which makes the skin in the area redundant and sag. This accentuates wrinkling, so volume repalcement with fillers over the upper cheek help to stretch the skin and correct the excessive wrinkles in the area. Combined with botox, that results in the best correction.

Stephen Mandy, MD
Miami Dermatologic Surgeon
4.3 out of 5 stars 6 reviews

Crow's feet

The best way to treat crow's feet of the lateral canthal region in a non-surgical fashion is with the injectionof botox. This works great and lasts about 3-4 months.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Crows Feet are Fixed With Botox

Crows feet are caused by loss of elasticity in the skin overlying the obicularis oculi or eye closure muscle. Therefore when the muscle contracts the inelastic skin wrinkles. Fortunately paralyzing the lateral part of the muscle doesn't affect closure of the eye and will get rid of those crow's feet. So Botox away!!

Christopher L. Hess, MD
Fairfax Plastic Surgeon
4.4 out of 5 stars 33 reviews

Botulinum toxin type A is the only treatment for Crow's Feet

There really is no treatment for crow's feet other than Botox or Dysport (both available versions of botulinum toxin type A). In addition, Botox/ Dysport are temporary treatments, lasting 3-4 months in most cases; there is some benefit in repeat usage which can lead to lessening of the lines over time. Surgical approaches have not been very successful in addressing this problem. As they say in Ireland, "Agus sin sceal eile".

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

A few things to consider

Botox or Dysport are quick, easy, and really, non-invasive. This works great. Other options include chemical peels (several to choose from), CO2 Laser, or other skin re-surfacing procedures (like Coblation). The peels and skin resurfacing procedures tend to have down time and recovery, but provides longer lasting results.

Scott E. Kasden, MD, FACS
Dallas Plastic Surgeon
4.7 out of 5 stars 101 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.