Any suggestions for vertical wrinkles after botox for crows feet?

Thanks for your
question, and I’m happy to hear your BOTOX® treatments
took care of the crow’s feet. To address the vertical wrinkles you’re seeing,
dermal fillers may be an option for increasing volume and softening strong
lines. It might also be beneficial to discuss your concerns with your surgeon
and plan for follow-up BOTOX® treatments to help address additional wrinkles in
places you don’t want them.

this is a common thing that occurs when the crows feet are treated, wrinkles can compensate and form under the eyes which can be treated with lasers, needling or botox. best, Dr. Emer.

Photos might have been helpful. However, in general, dynamic wrinkles, i.e. those, like crow's feet lines, that form with movement of the muscles of facial expression are amenable to neuromodulators (wrinkle relaxers), such as Botox, Dysport and Xeomin.Wrinkles at rest (static wrinkles), i.e. those etched-in wrinkles that have appeared after years of facial expression, are best treated with fillers, such as Juvederm Ultra XC, Restylane L or Belotero Balance.You seem to be describing, however, a situation, where these new vertical wrinkles relate to motion. This suggests either inadequate Botox treatment or the recruitment of muscles outside of the treatment area in response to the suppression of  the crow's feet muscles. Additional Botox may be necessary for this area and/or the use of fillers to soften the appearance of the wrinkles with movement. You would be wise to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in nonsurgical facial rejuvenation. Make sure to ask to see his/her before and after photos.

Botox is an excellent treatment for crow's feet, as these are dynamic muscle lines.  Fillers work great for static lines, and can occasionally be used to tone down the lines that I think you are describing.  I would not place botox in those lines that you are describing, as it would likely affect your smile.

 I have a feeling that those lines were actually there prior to Botox.  Periocular lines are caused by two main functions. The first is squinting, and the second is smiling.  When a person smiles, they are cheeks elevate. This causes lines under the eye.   When the orbicularis muscle is relaxed due to neuromodulator injections,  The lines just changed direction.   My preferred treatment for periocular lines is neuromodulators (Botox, etc.) and laser skin resurfacing   Photographs would have been helpful.Dr David Mueller

You have to be careful, because as the botox neutralizes action by the eyes, the cheeks sometimes try to compensate. You do not want to chase those lines with botox because it could affect your smile.

For wrinkles at rest, Botox or one of the neuromodulators can be used for treatment.   For lines at rest, fillers work well to help restore volume.