I am getting wrinkles around my eyes when I smile that I dislike! Any suggestions? Perhaps Botox? (Photo)

Thank you for sharing your question and posting your photograph. The specific wrinkles you have are particularly difficult to treat. BOTOX injections would probably not yield a good result. You might have some improvement following Erbium Laser skin surfacing and/or use of dermal fillers. Make an appointment for comprehensive evaluation and discussion of treatment options with an experienced eyelid specialist. Good luck,

Thank you for your question and photograph.  Your photograph indicates creasing under the eye and not necessarily in the "crow's feet" lateral area.  My advice is to consider eye gel, laser treatments for tightening, or perhaps dermal filler in the tear trough area.  Best of luck.

Please consult a board specialized dermatologist, plastic surgeon, or oculoplastic surgeon specialized in cosmetic procedures if you are considering the use of in-office procedures to address your wrinkle concerns.For at-home eye care, we suggest SkinCeuticals AOX+ Eye Gel. This product is an innovative serum-in-a-gel created specifically for delicate skin and will help reduce the appearance of visible signs of aging around the eye. It also helps to decrease puffiness caused by excess fluid and combats signs of fatigue to restore a more vibrant, rested appearance. Follow with SkinCeuticals Physical Eye UV Defense. This ophthalmologist-tested sunscreen defends, enhances, and optimizes the entire eye area, including the eye lid. Formulated specifically for the unique structure of the thinner and more sensitive skin around the eye, Physical Eye UV Defense provides broad spectrum SPF50 protection without migrating into and irritating the eyes. In the PM, we would recommend SkinCeuticals Eye Balm. Eye Balm is features a synergistic combination of powerful, yet gentle plant-based ingredients to nourish and smooth skin around the eye. This rich, hydrating crème specifically targets moisture loss, skin laxity, and free radical damage. It will also help reduce the appearance of under eye puffiness, crow’s feet while soothing skin.

You may benefit from a treatment to improve the fine skin around the eye such as a radio frequency treatment as well as dermal fillers under the eye to soften up the creases.  Botox may not necessarily resolve your issue but will help the fine lines around the eye.!

It looks like the lines in your photo are mostly under the eye rather than at the outside corners (crow's feet).  Botox is wonderful for crow's feet, though does require maintenance usually every 3-6 months.  The lines UNDER the eyes can be due to the character of the lower eyelid skin, something more difficult to treat.  I would recommend going to a plastic surgeon and having him or her evaluate your skin there to see if a topical skin care treatment regimen may help (such as a medical grade skin care regimen like Obagi or ZO or Jan Marini, for example) or if something more invasive like filler injections or even surgery may be more helpful for you.

Hi Dionica:
Thanks for your question. Wrinkles around the eyes (or peri-orbital rhytids) are one of the more difficult areas of the face to treat - and you've hit upon the reason why in your question! The skin around the eyes is very very thin. This has some interesting effects - the thin skin allows the muscles underneath to be more visible, and changes in the fat below the skin or the springiness (elasticity) of the skin itself are more easily apparent as well.
There are several options for improving the appearance of wrinkles around the eyes, depending on the cause and severity of the wrinkles.
You have pointed out that what bothers you is the wrinkles that appear when you smile. These are called "dynamic rhytids" - i.e. wrinkles that aren't present when your face is at rest, but only appear because the muscles that create your facial expressions are wrinkling the skin. Botox is very effective for dynamic rhytids, because it prevents the muscles from activating, and so the skin cannot wrinkle. In this area, Botox is most commonly used for the wrinkles at the outside corner of the eyes (called the crow's feet). In your photo, it appears that your crow's feet wrinkles are not particularly severe.
If you are more concerned about the wrinkles of the lower eyelid itself, it is a different story. Botox to the lower eyelid directly is not often done, because it can cause problems with your eyelid - it can significantly worsen the appearance of the eyelid, cause dry eyes, and cause your lower eyelid to lose its support that keeps it against your eyeball. If your main complaint is that your lower eyelid has wrinkles because of your cheek pushing up on it when you smile, you are likely to have better luck by improving the elasticity of your lower eyelid skin. This might involve a light peel or a laser treatment.
In general, your first step should be to visit your plastic surgeon who can examine you in person to be able to discuss your goals in detail, and to assess the cause of your wrinkles, the quality of your skin and muscles and so on. That will allow him or her to provide you with the best options for your particular situation and allow you to make a good, informed decision on what treatment to choose.

The best treatment for crow's feet is Botox. It takes very little, is not expensive, does not hurt and works very well. see a board certified dermatologist

Botox may work but an in person exam would help determine how dynamic these are. I’m also a fan of platelet rich plasma under the eyes.