Botox crow’s feet

Reduce wrinkles under the eyes with Botox

Eye wrinkles: usually sympathetic, sometimes disturbing

Wrinkles under the eyes, colloquially known as “crow’s feet,” are a sign of age. This is because young people do not have crow’s feet. Young skin is still elastic enough to always look nice and smooth despite mimic movement. But as the years go by, this changes: the skin becomes less elastic and eye wrinkles become clearly visible. In itself, this is not bad, because crow’s feet look sympathetic. This is already indicated by their nickname “laugh lines”. And laughter is generally associated with something positive. Nevertheless, wrinkles under the eyes are often disturbing. And those affected wonder what they can do about them.

Remove crow’s feet with Botox

Crow’s feet can be removed quickly and reliably with Botox. However, it is important to reduce eye wrinkles only to the extent that a sympathetic laugh is still possible.

My answer to eye wrinkles is: Botox! At least in most cases. While there are other options that can be used to remove crow’s feet. And in this post, I will address a few. But using Botox to inject crow’s feet is my preferred method. And in this post, I will explain why.

These are the topics:

  • Reduce eye wrinkles with care
  • Too much Botox against eye wrinkles not advisable
  • Remove wrinkles around the eyes – cost
  • Reduce eye wrinkles by other means

Remove eye wrinkles with care

Crow’s feet: part of the facial expression

Crow’s feet can be removed well and easily with Botox. But the question is whether this is always and fully advisable. After all, the eyes are the central part of the face. And the facial expressions of the eyes play a major role in communication. We not only see through our eyes, we also “speak” through them. Our counterpart reads our thoughts, emotions, wishes and worries from our eyes. And the facial expression of the eyes also includes the wrinkles under the eyes, the crow’s feet. Without crow’s feet, a laugh does not look real. Using Botox to make crow’s feet disappear completely would therefore be a mistake.

Laughter lines around the eyes – anatomically considered

We laugh because we are happy about something. Or when we are having a good time. When we do this, the eye muscle that Musculus orbicularis oculi together. It lies like a ring around the eye. Its pull causes eye wrinkles to form. At a young age, this has no consequences. This is because the skin is still elastic enough then. With increasing age, however, the skin loses elasticity and the mimic tension of the muscle leaves its mark. Wrinkles form under the eyes. Permanently. Eye wrinkles now always remain visible. Over time, they dig deeper and deeper into the skin. And then become disturbing crow’s feet.

If you want to preserve your youthful appearance for as long as possible, you can prevent crow’s feet with Botox. Depending on the strength of the mimic muscles, an age of late 20s or early 30s is recommended for this. The facial expressions are not eliminated, but only slightly weakened in order to reduce the pull on the skin. Dynamic eye wrinkles are still possible in this way, but the development towards disturbing crow’s feet is significantly delayed.

Crow’s feet and wrinkles

Dynamically appearing eye wrinkles do not bother anyone. They are only there when you laugh. Crow’s feet are disturbing when they have dug deep into the skin and are then always visible. The shape of crow’s feet depends on individual factors, first of all the thickness of the skin and its elasticity. In some people, crow’s feet appear as deep wrinkles, in others more as a superficial relief. In addition, small wrinkles often appear directly under the eyes. However, they do not belong to the crow’s feet in the narrower sense and must be treated separately (more on this below).

Crow’s feet gone, sleeping wrinkles suddenly there

Similarly Sleep wrinklesWhen Botox is used to treat crow’s feet, other eye wrinkles may suddenly become more pronounced. This mainly concerns wrinkles that are not of mimic origin.. Like sleep wrinkles. Sleeping wrinkles are vertical lines on the forehead and around the eyes. Since they are not caused by muscle pull, Botox is not much help against them. This is because this type of wrinkle is always visible. However, by injecting Botox into the crow’s feet, they may now appear dominant. Before, they were not noticeable because the crow’s feet drew the eye. Now, when the Botox makes crow’s feet less noticeable, the sleeping wrinkles stand out. In such cases, only hyaluronic injections can help.

Too much Botox against eye wrinkles not advisable

Reduce eye wrinkles – but do it right!

I treat eye wrinkles in my patients in a way that does not completely stop their formation. As smile lines, they are sympathetic, so I want to preserve them. What I want to avoid at all costs, on the other hand, is a distant-looking, frozen laugh. A laugh that people rightly turn up their noses at as a “Botox laugh.” This is always the case when Botox is used to literally “inject away” crow’s feet.

About the famous actress Nicole Kidman Years ago, photos and comments criticizing her artificial-looking Botox laugh circulated. Smooth, but unnatural she looked, they said. With immobile facial expressions and frozen laughter. Her eyes might suggest that she was cheerful, but you couldn’t tell from her stiff face.

Now you are probably not a Hollywood star and no GALA or BUNTE take notice of your appearance. But the people around you do! And surely they won’t pay attention to your wrinkles under your eyes, but more to the empathy that can be seen in your face.

Botox for crow’s feet only moderately

Therefore, I advise my patients in Munich to use Botox against wrinkles under the eyes only moderately. The goal I am pursuing is to prevent laugh lines around the eyes. dynamic to be able to evoke. This means that the laugh lines only become visible when you laugh. Otherwise they do not. The skin is smooth when you look at it neutrally. But when you laugh, it wrinkles around the eyes. That makes it look natural. It’s likeable that way. I’m very concerned with maintaining natural-looking wrinkles on the face for a sympathetic facial expression, rather than eliminating them at all costs. In my opinion, this is an important factor that is often overlooked.

BOTOX crow's feet removal - LIPS and SKIN Aesthetic Medicine
Standard scheme of removing crow’s feet with Botox: 3 injection points around the corner of the eye, 4 if needed.

Botox crow’s feet – standard scheme

The standard scheme for crow’s feet, marked in black in the picture, provides for three injection points around the corner of the eye. And I usually stick to it. When a patient comes to me for treatment for the first time, I even dose a little below that. Since I do not yet know the intricacies of the patient’s anatomy, I can only estimate approximately how strong the Botox will be. And I’d rather be wrong “downwards” than “upwards”.

Reduce eye wrinkles in 2. steps

If Botox was actually under-dosed once for optimal results and crow’s feet continue to appear, I can always re-dose at the follow-up appointment 14 days later. Conversely, there would be nothing to be done about too much Botox weakening. Therefore, I prefer the cautious approach and dose low at first.

In addition, too much Botox in this facial region can also have undesirable consequences that can be avoided by careful dosing. For example, drooping of the lower eyelid. Or, if the toxin diffuses too much toward the eyeball, temporary double vision (diplopia). Both are unpleasant and cannot be easily remedied.

Wrinkles under the eyes

I have already mentioned the problem of wrinkles in the text above. I am referring to the small wrinkles under the eyes, which become more and more visible over the years as a fine rippling of the skin. They show up more in fair-skinned, blue-eyed and red-haired or blond people, triggered by frequent blinking in bright light and strong sunlight. As with other wrinkles, other factors contribute to their formation, first and foremost the age-related loss of elasticity. So do environmental influences such as wind, nicotine or alcohol.

Micro-Botox against wrinkles

Although wrinkles are also caused by muscles, the classic Botox injection is not suitable against them. The lower eyelid region is too sensitive for that. Instead, I use a technique called Micro-Botox. The Botox is diluted more than usual and then injected into the overlying skin rather than into the muscle. In this way, a subtle smoothing of these fine wrinkles under the eyes can be achieved without provoking undesirable consequences in this sensitive zone.

Removing wrinkles under the eyes – cost

Indicative price Botox crow’s feet

Removal of crow’s feet with Botox costs me about 250-300 euros as a guideline. The concrete calculation always follows the physician’s fee schedule (GOÄ). If the above standard scheme for eye wrinkles is applied, then the guideline value is quite reliable. Since the 50 units of toxin contained in one ampoule are not used for the crow’s feet alone, it makes sense to treat the forehead or glabella as well. Please note that neither health insurance companies nor private health insurance will reimburse the costs.

Reduce eye wrinkles with other means

Injecting eye wrinkles with hyaluronic acid

As an alternative to Botox, hyaluron is the first choice for the treatment of crow’s feet. Injection with hyaluron is similarly uncomplicated and equally effective. In the case of a high proportion of static wrinkles and sagging tissue, hyaluron achieves even better results than Botox. In the case of crow’s feet that are already deeply ingrained in the skin, hyaluron thus becomes the treatment of choice. In terms of price, however, hyaluron treatment is more expensive than Botox at 450-550 €.

Thread lifting with PDO threads

Lifting of the eye area with PDO threads is just as simple. In this procedure, 2 to 3 threads are placed under the skin in the area of the temples. The procedure is performed under local anesthesia. On the one hand, the mechanical pull of the threads lifts the tissue and can thus reduce wrinkles around the eyes. On the other hand, the threads also stimulate collagen synthesis and rejuvenate the tissue. A thread lift thus has a regenerative effect. This is not the case with Botox and Hyaluron. However, the price of thread lifting for crow’s feet is about 500-700 €, which is higher than the cost of Botox.

Peeling or needling

In order to reduce rather light wrinkles around the eyes, various methods can be considered. These include chemical peeling or laser. But microneedling can also remove incipient crow’s feet. Whether alone or in combination with PRP. For good results, however, all these procedures require several sessions, usually at intervals of 4 to 6 weeks.