What is best method (non surgical) to treat corner eye bunching and crows feet. Thanks.

Botox is a good treatment for "crows feet". Botox will relax the muscle in this area so you can't make the movement that is creating the wrinkle. Ultherapy brow lift can also help lift the eyebrows. The combination of these two treatments is an alternative to surgery and will not have a surgical outcome. However, if surgery is not for you, consult with a board certified facial plastic surgeon to see if you are a candidate for these two treatments. 

Thank you for sharing your question. Botox is an excellent way to soften the lines around the eyes (crow’s feet) and can even add a slight lift of the brow when properly placed. Another treatment that is incredibly effective for tightening loose skin around the eyes is a full field resurfacing laser. In my practice, I have had excellent success using an erbium yag laser to the periocular region. While there is more downtime associated with this procedure (about 2 weeks), the results are next to none in terms of wrinkle reduction, skin tightening, and overall skin texture improvement. While these treatments will offer you improvement, you will likely need surgical intervention at some point in the future to address the eyelid ptosis you are experiencing. I recommend consulting with a board-certified specialist who is also experienced with upper blepharoplasty procedures. Best of luck!

These
lines are natural expression lines and can be easily rectified with Botox.
Botox will inhibit the expression in what we call the 'crow's feet' so that
these lines will be temporarily diminished. Results last from 3-6 months. For
a more natural approach you could try the 111SKIN Celestial black diamond eye
cream which will help to reduce the fine lines around the area as well as
puffiness and dark circles. 

Thank
you very much for your question and photograph. From your picture, it does
appear that you could benefit from Botox injections at the corners of your
eyes. You will start to see a significant improvement in your Crow’s Feet, and
a lifting of the bunched tissue, in about a week. These improvements will then
last three months, before a repeat treatment is needed. To get started, I recommend
scheduling an in-person consultation with a board certified plastic surgeon. At
this time, he/she can perform a brief examination of your facial tissues,
review your medical history, and discuss your aesthetic goals, to determine if
Botox is right for your situation.

Botox administration to improve the appearance of crow's feet, or lateral canthal lines, is very effective and offers an excellent non-surgical alternative to rejuvenation in the periorbital area.

Thank you for your question.  Based on your photo and your question, it appears you would be a good candidate for Botox in the crow's feet around the eyes.  Botox is a purified protein that relaxes the muscles around the eyes, and helps to smooth these wrinkles and 'bunching'.  Be sure to consult with a board certified injector for a full evaluation.  I hope that this helps!-David Gilpin

Thank you for your question.  In my experience you are an excellent candidate for Botox.  When stategically placed, Botox can stop the bunching and help to raise the brow slightly so that the skin does not over hang in the corner quite as much.

Botox would be great for that area.  The Botox will relax that muscle for about 3-4 months.  It usually will take about a week before you see the difference.  It is best to see a Board Certified Plastic Surgeon to perform this procedure.This is usually done in the office and will only take about 5-10 minutes.  This is a great non-surgical treatment.

A combination approach with Botox and lasers, microneedling/prp, ultherapy/rf treatments would give the most improvement. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Based on your photo and history, you would be a good candidate for botox or dysport treatment at the corner of the eyes to treat the "crow's feet." Since you only experience the lines when you are smiling, this is an indication that it is a result of voluntary contraction of the orbicularis oculi muscle. Botox or Dysport will help to paralyze/relax those lateral fibers of the muscle so that when you smile, it won't create the bunching and lines. Depending on your areas of concern, you may also want to consider treatment at the glabella and forehead to create a "chemical brow lift." This treatment can help relax some of the brow depressors in your face and create a modest lifting of the brow. As always, consult with an experienced injector to discuss your specific concerns.Hope this helps!