Choosing Between Different Crows Feet Treatments?

How does one choose between different wrinkle treatments for crow's feet?

Doctor Answers 6

Crows Feet Treatments

A slowdown in the production of the skin-firming proteins collagen and elastin as we get older (and, as a result of exposure to the sun), the development of fine lines and wrinkles appear both under and around the eyes (called “crows feet”). This is why the eye area is a very common concern we treat. Our goal is to restore the eyes to their most natural, youthful beauty. We regularly do this with our patients through a variety of customized treatment options including:
 Injectables: Like Botox and Dysport help immobilize the muscles that surround the eyes to prevent the skin from creasing—causing wrinkles.
Lasers: Can help stimulate the growth of skin-firming tissues like collagen and elastin.
First you have a consult to make sure your concerns are addressed and we go from there on recommending the best treatment for YOU.
No matter what your eye concern, know that our team can help you restore natural youthful beauty to this area—with little to no downtime.


New York Dermatologist
4.4 out of 5 stars 5 reviews

Crow's feet treatment

The best choice you can make is to choose an expert and experience physician who understands your objectives. He/she can then help guide you with the best possible treatment. Botox is the preference for most physicians to treat crow's feet.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 33 reviews

Botox for Crow's Feet

The gold standard and in fact the only treatment for crow's feet is Botulinum toxin type A (Botox or Dysport).  Crow's feet are not addressed well with any surgical technique, including Blepharoplasty and Facelift.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 79 reviews

Visit with an experienced surgeon

Probably the best way to help choose between treatments for crow's feet is visiting with an experienced surgeon who offers all of the alternatives to treatment. Botox is a great treatment for crow's feet. By paralyzing the outside part of the orbicularis oculi muscle (a big round muscle that circles your eye), the bunching that you see on the outside part of the eye can be relaxed. For some people, laser treatments or medium to deep chemical peels is an option. Caution should be taken though in patients with dark skin as pigment irregularities can be a serious problem.

D.J. Verret, MD
Dallas Facial Plastic Surgeon
3.8 out of 5 stars 13 reviews

Determine the cause of crow's feet - then you'll know the treatment

Crow's feet are caused by 2 things:

  • When you smile or squint, the muscles contract and pull the skin together. This bunches up the skin like an accordion and, over time, repetitive bunching leads to creases or wrinkles in the skin. You can treat this by preventing the muscle from bunching up with Botox and then smoothing the skin with peels or laser resurfacing. Occasionally, I'll inject a small amount of filler into the line after the Botox.
  • Crow's feet can be worsened by the effects of a drooping forehead and brow. This causes the skin from the brow and upper eyelid to fall downward towards the cheek. Once again, the skin bunches up there, creating the "crow's feet". If this is contributing to your problem, then a browlift may be in your future.

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon
5.0 out of 5 stars 39 reviews

Crow's feet cannot be removed with any type of surgery...

Crow's feet cannot be removed with any type of surgery such as a face-lift or blepharoplasty.

In our opinion, the best treatment for crow’s feet is Botox, which is a very safe and effective treatment; however, it does have to be repeated every four to six months.

Laser resurfacing and chemical peels tend to leave a white area at the treated sites; in this case it is around the eyelids. Hypo-pigmentation and hyper-pigmentation is unacceptable, for darker skinned individuals.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 121 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.