Botox injection in the crow's feet area. What should I expect?

Question

Just had a botox injection in the crow's feet area and when the doctor was about to take the needle out I felt that the small amount of botox went under my skin. It is a small bums right now and I really worry that the botox was not injected right and small amount went under my skin. What should I expect?

Ava T. Shamban, MD · Answer

The skin and muscle layer is extremely thin around the crow’s feet, hence blebs or little bumps are normal and to be expected after Botox injections in this area. These bumps are just fluid under the skin which gets absorbed by the body and should flatten out within about 20 minutes.

Mariusz Sapijaszko, MD, FRCPC · Answer

Botox injections need to go under the skin. The effect will take few weeks to fully develop. Sometimes, small amount of air is injected and that feel unusual. This should resolve in few hours.Please see your doctor if your cencerns are not answered.I hope that helps

Jason Emer, MD · Answer

botox is supposed to go right under the skin in this area.  It takes 2 weeks to see the final results. I suggest speaking to your physician if you are concerned.  Best, Dr. Emer.

Debra M. Kroll, MD · Answer

If you felt Botox "go under the skin" in the crow's feet area., that is where it is supposed to go.  I would use an ice pack if you had an injection within the last day.  Otherwise, try to relax.  You should call your physician and just let him or her know what you are experiencing.  Good luck.

Kevin O'Grady, MD, FRCSC · Answer

Thanks for your question.In the crow's feet area, the muscle is right under the skin under a tiny amount of fat.  In my opinion, this should not pose a problem at all.  Injections in this area should be kept right under the skin so it sounds like the injection was done properly.The little bump is extremely common with these types of injections.  It should pass, usually within the first day or two, if not within hours.Best Wishes.

Steven Wallach, MD · Answer

Botox is routinely injected fairly superficially int he crow's feet region. The tiny bump is the fluid or the skin reaction to the needle. This often goes down after  a few hours.

Melvin Elson, MD · Answer

This should not be a problem.  The Botox will not have an effect and will leave nothing the little bleb goes away, which is probably the saline

Victoria Taraska, MD · Answer

Do not worry. The crows feet muscle is very superficial and just under the skin. A bleb or small swelling is expected right after injections and usually goes away in a few minutes. It will take 3 to 10 days to see the full relaxation with Botox. The crows feet area is a very safe injection area. Enjoy your Botox.

R. Stephen Mulholland, MD (retired) · Answer

Dear Olgaelle,

Thank you for your clinical post.  Crow’s Feet are the horizontal lines at the
sides of the eyes are caused by excessive animation of the underlying muscle
called the orbicularis oculi.  Generally,
the best treatment for excessive animated and resting Crow’s Feet is the use of
Botox.  Botox is a protein injected into
the muscle that causes the overlying wrinkle and use of Botox in the
orbicularis oculi lateral fibres will soften dynamic and resting Crow’s
Feet.  When resting Crow’s Feet are still
apparent after Botox and the use of fractional laser resurfacing such as
Fractional CO2 or fractional radio frequency resurfacing such as the Fractora
are an excellent second option often using conjunction with Botox.  The use of soft tissue fillers for the
treatment of Crow’s Feet is unusual, but can occur.  When fractional resurfacing and Botox is not
enough sometimes a diffuse fine injectable in the subdermal plane with the use
of dilute Volift or Sculptra can be helpful in treating Crow’s Feet.

By following this algorithm and sequential treatment
generally Crow’s Feet patients can be very happy.

I hope this information has been of some assistance and best
of luck.

For more information, please review the link below. Also
visit the sections on the SpaMedica website for soft tissue fillers and
fractional resurfacing.

To undergo a consultation at SpaMedica simply fill out the
online consult request form and a client service representative will be with
you promptly.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto

Janis Campbell, MD (retired) · Answer

This is a common site to apply Botox with great results.  Because the skin is thinner in this area the sites appear like an insect  bite type  wheal for a short while until the Botox is absorbed.

Botox injection in the crow's feet area. What should I expect?

Answers (10)

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