Best Nonsurgical Method to Get Rid of Eye Crinkles?

What is a recommended for non-surgical treatment of crinkling around the eyes?

Doctor Answers 2

Best Nonsurgical Treatment for Eyelid Crinkles

I use my Fraxel Repair laser for eyelid wrinkles/ creases.  This is a very effective, quick treatment that is non-surgical with a quick, easy recovery.

Philadelphia Facial Plastic Surgeon
4.8 out of 5 stars 103 reviews

Fillers and Botox for eye crinkles

Fillers and Botox in combination are the best treatment for crow's feet.

If there is not a lot of sagginess to the crow's feet, you should have virtually complete elimination with these two modalities.

Botox is injected into the Orbicularis Oculi muscle which is roughly a circular muscle which runs around each eye. This causes a relaxing of this muscle. This would treat the dynamic wrinkle which is developed each time the muscle is used, say for squinting or laughing.

Then a filler can be used into the lines themselves.

If done at the same time, the filler should be done first since the volume of the Botox might masquarade the lines.

I prefer to inject Botox first and have the patient return in two weeks for the filler. That way I can better judge how much filler to use.

I prefer Restylane for this area, and will probably use Restylane Touch when it is approved in the US. Juvederm Ultra is also a good alternative. Many physicians worry about blue blebs in this area. This is a concern, but I have not seen it yet. If you are worried about this the collagen filler, Cosmoderm is quite useful. However, this can cause little bumps, though they go away after a few weeks. A future alternative collagen filler will be Evolence Breeze when that is approved in the US. It is meant for areas such as the crow's feet.

By combining treatments, one gets the benefit of Botox, which decreases the muscular tension and lets the filler last longer.

Thank you for the great question.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.7 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.