Does lower blepharoplasty work for crows feet and wrinkles around eye area?

Question

Does a lower blepharoplasty get rid of crows feet? Please don't suggest botox.It does not work on me in this area. Can you please suggest which treatments work best?

A.J. Amadi, MD · Answer

If you have significant lower eyelid skin excess, then a lower blepharoplasty with skin/muscle flap would potentially address the lower half of the crows feet, the area closer to the cheek, but would not address the crows feet closer to the eyebrow. Laser resurfacing or chemical peels are the best way to deal with the skin wrinkles around the eyes, as long as your skin tone is not too dark. Photos would definitely be helpful for a more personalized recommendation.

Jason Emer, MD · Answer

For facial rejuvenation I would suggest a combination approach including:1) skin care with products and microneedling/PRP2) PDT Light Therapy a few times per month with growth factors3) laser treatments like Clear + Brilliant regularly and others (Fraxel, Viva, CO2, Erbium) a few times per year4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest
See an expert. Best, Dr. Emer

Amir Nakhdjevani, MBBS, MRCS, FRCS(Plast) · Answer

Thank you for your question.  Lower Eyelid targeting the fat under the eyes and loose skin which has started to lose elasticity.  You have to be fairly conservative with Lower Eyelids as you do not want your eye pulling down.  This procedure is not for crows feet removal.  You need to ensure enough Botox is being used as all patients have different stretch muscles.  Alternatively, a deep laser such as co2 laser can help smooth the fine lines.  All The Best

Dan Landmann, MD · Answer

Thanks for your question. It sounds like you have tried botox to the crow's feet area, but this has not given you the results for which you had hoped. It is important to recognize that neuromodulators (e.g. botox) are primarily effective in treating dynamic lines, or those that become visible when you animate your face (e.g. smile, laugh, etc.). If you have static lines, or those that are still visible when your face is relaxed or in a neutral expression, these typically respond better to different forms of treatment. It is hard to offer more helpful information without a photo. In some cases, if the crow's feet lines connect with a lot of redundant skin folds on either the upper or lower eyelid, blepharoplasty may be helpful. I recommend seeing an oculoplastic surgeon for an in-person exam to determine what is causing your crow's feet lines to persist despite neuromodulator treatment, and to devise a treatment plan that suits your aesthetic goals.

Lori L. Cherup, MD · Answer

A good strong browlift, an upper blepharoplasty, and laser resurfacing gets rid of crow's feet. And good sun protection coupled with reparative skin care. You are correct, Botox alone will not permanently improve crow's feet. 
Lori L. Cherup , MD, FACS, Pittsburgh

Curtis Wong, MD · Answer

but it can help wrinkles on your lower lid.  Laser is much more predictable in helping erase wrinkles around the eyes and the procedure can be repeated as needed every 1-2 years.  Chemical peels work too but I feel the control over laser is much better than trying to control a chemical peel.

William Portuese, MD · Answer

The primary goal for lower eyelid surgery is to remove the fat bags creating the puffy look. The fat is removed through trans-conjunctival approach on the inside of the lower lids. When there is excess skin at rest ( not when smiling), a pinch technique of excess skin can be performed just below the eyelash line on the lower lids. In our practice, we close this incision with tissue glue, so there are no stitches required. Crows feet are best treated with Botox. Surgery will not help  crows feet.

Daniela Burchhardt, MD · Answer

Hello,
Great question! To answer your question, it helps to ask what's causing the crow's feet you're referring to and where exactly around the eye they are. If you only have the lines when you smile, then surgery or non-botox treatments won't be a good solution. 
Very fine lines in the skin that are present at all times can be smoothed out with skin resurfacing - ie a laser treatment. Depending on your age and skin laxity, this may be a great option for you. 
If you have excess skin and increased skin laxity that are contributing to lines around your eyes, then lower blepharoplasty performed with removal of some skin will help smoothen out lines underneath the eye and the lower corner of the eye. 
Fat transfer is another great procedure to make our eyes appear more youthful by restoring volume that we loose with aging. By increasing volume, or "plumping up" the tissue underneath the skin, lines in the skin can be lessened. 
I hope this helps. I suggest you seek consultations with a couple of different surgeons (facial plastic, plastic, or oculoplastic) to get some personalized opinions and suggestions. 
Best of luck!
Daniela

Does lower blepharoplasty work for crows feet and wrinkles around eye area?

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