How good is Fraxel laser resurfacing for smoothing laugh lines? I have a lot of crow’s feet for my age (photo)

Question

I have severe crows feet for my age (48). I I’d Booz or a few years, but my boy metabolizes it very fast & my facial muscles are so strong that it becam very costly. Also I didn’t like how it changed the shape of my smile. I’m thinking of getting laser resurfacing but not yer how much it’ll help. I think filler looks bad around the cheek bones (I don’t like that puffy look), so I don’t think I would like fillers there.

Harold J. Kaplan, MD · Answer

Hi DA. Although tempting to believe, the dynamic (seen when smiling) wrinkles will not go away with laser resurfacing. These lines may see very minor improvement with laser resurfacing (and Retin A for that matter), but significant improvement will only be seen with Botox, Dysport or Xeomin. These lines are created when facial muscles contract so relaxing the muscles with neurotoxins like Botox and Dysport is necessary to achieve the best outcome.

Jason Emer, MD · Answer

Fraxel or Co2 are best for resurfacing. I always combine lasers with microneedling/prp, fillers, Botox, Sculptra, peels and rf treatments for more robust outcomes for facial rejuvenation. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Daniel Barrett, MD · Answer

Dear dabrownie,wrinkles around the eyes is the number one complaint of may people as we age.
To treat the area, it requires an experienced clinician and multimodal therapy based on severity. Sometimes surgery is the answer, other times a light filler with a peel or laser will do the trick.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

Martie Gidon, MD, FRCPC, FAAD · Answer

A combination of treatments will give the best result.  Botox injections, a soft filler, and Fraxel laser will help improve crow's feet.

How good is Fraxel laser resurfacing for smoothing laugh lines? I have a lot of crow’s feet for my age (photo)

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