Botox for Crow Feet

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Botox for Crow's Feet

Crow’s feet are the horizontal and diagonal fine lines which appear on the outer side of the eye when a person smiles.
These can also be caused by excessive sun exposure, smiling and squinting.
Botox is used to inject muscle relaxing formula into the areas which cause these wrinkles near the eyes. Treatment requires approximately 20 to 40 units to smooth out the outer eye corners. This amounts to approximately $200 to $600.
Botox is used by many cosmetic surgeons to rejuvenation the facial area including the crow’s feet (also known as laugh lines or periorbital lines). Many patients have concerns with these wrinkles, especially women rather than men. These furrows can make patients appear aged and also tired. Botox injections can stop the nerve impulses communicating with the muscles, telling them to contract, and accordingly minimize dynamic lines and wrinkles around the eyes.

What are crow’s feet?
These types of wrinkles typically start to develop in the mid-twenties. However, they can appear on a patient much sooner depending on their lifestyle and their type of skin. Crow’s feet appear from the outer corners of the eyes and span towards the temples in a fan like manner. They can either be static or dynamic or both and are normally fine straight and oblique lines. Laugh lines are more apparent when the patient smiles, laughs or squints and accordingly they are given names associated with these actions such as “squint lines”. The creases are usually worsened by UV exposure, dehydration of the skin and overuse of facial expression.
How Many Units of Botox is used for Crow’s feet?
The amount recommended by the manufacturer of Botox, Allergan Inc, is 12 to 16 units per eye. However, doctors typically start with a lower quantity on beginner patients to see how they respond to the treatment and then follow up in a few weeks’ time to see if more units need to be added. The average patient is started at 7.5 to 8 units per eye. However, dosage can be as high as 15 or even 18 units on each side.
The quantity recommended by the American Society of Plastic Surgeons is 8 to 16 units for females and 12 to 16 units for males per side. If a patient is having their crow’s feet treated for the first time, it would be more appropriate for the physician to start with the lower dose of approximately 14 to 16 units in total. Another appointment is usually made within two weeks to assess whether the doctor and the patient would like to increase the dosage.
Before assessing the number of units which are required for a particular patient the plastic surgeon will first assess how resilient the skin is around the eye, the condition of the skin and the severity and extent of dynamic and static wrinkles. Female patients aged between 30 and 45 who have moderate crow’s feet wrinkles will usually require approximately 12 units of Botox on each side.
Do I need Botox for crow’s feet?
The rhytids which appear on the lateral canthus (the outer part of the eye) will start to appear in a patient as they approach ages between 25 and 30. Up until about 30, most people are prepared to contend with the minor amount of crow’s feet they may have. However, if the patient has been exposed to UV rays through sun bathing or from working outdoors and has not looked after their skin, then they may have moderate to severe squint lines even before their thirties. In this situation, a patient may seek Botox treatment but it is not necessary. There are alternatives available.
To prevent further damage to the skin, patients should stay away from direct sunlight and use a wide brim hat outdoors. Squinting should be kept to a minimum and this can be assisted by wearing glasses in bright areas. Facial creams which contain alpha hydroxy acids, retinoids or copper peptides can also prevent further skin damage. Other cosmetic creams, especially those which include vitamin E are helpful for the skin and can relieve some of the crow’s feet. However in many cases the use of creams will not be enough to eliminate laugh lines.
If the patient is looking for a non-invasive option, then Botox is the recommended treatment since it’s very effective for this problem area. Unfortunately, the results are temporary, only lasting about 3 to 6 months with repeat sessions required. If the patient is seeking a more permanent alternative then a surgical procedure is more appropriate for a longer lasting effect. As to whether the patient uses Botox for crow’s feet, this is a personal decision to be made after a thorough consultation with their cosmetic doctor.
Is Botox dangerous for crow’s feet?
If the practitioner is experienced and performs the treatment well, there should not be any adverse consequences. Usual side effects which occur after Botox treatment include bruising and tenderness and in some cases bleeding from the injection (however these are minor).
Using Botox in this sensitive area needs to be performed carefully. It is easier to administer the injections in the upper rhytids than the lower wrinkles. if the doctor does not take care when injecting Botox into the muscles there is a risk of the formula spreading and affecting function of the eyelids. In some cases this can cause the eyelid to temporarily droop. Just like wrinkle reduction, this result is temporary and will fade over a few months. In the meantime, it can be quite uncomfortable and annoying for the patient.
Also the patient must be careful not to rub the area after receiving Botox injections; otherwise this can also cause the formula to spread to the eyelids. Patients must be aware that the risk of eyelid drooping (ptosis) can occur in rare situations even without the doctor slipping up and without rubbing the eyes. Using Botox for crow’s feet is not an approved use for the product by the FDA. Doctors will nevertheless perform Botox injections on an off label basis, but patients should be careful to seek treatment from a qualified and experienced cosmetic or plastic surgeon.
When should I get Botox for my crow’s feet?
Starting any type of cosmetic treatment, whether surgical or non-surgical, should be the ultimate decision of the individual patient. Getting Botox for crow’s feet is a popular treatment in society today. However, this doesn’t mean that everybody has to go under the knife or syringe to maintain their youthful looks. Many have chosen to age gracefully without the assistance of any plastic or cosmetic surgery such as Botox.
Most patients begin Botox injections for crow’s feet in the thirties to forties. Allergan Inc recommends the product for treatment in people aged between 18 and 65 for glabellar lines. If you are overly concerned about the extent of your dynamic rhytids in the outer corner of your eyes, then you may consider it time to have Botox injections, especially if your self-esteem is being affected. The plastic or cosmetic surgeon should take you through your reasoning for wanting the treatment to ensure that you are undergoing the treatment for the right reasons and are otherwise ready and comfortable.
If you have decided that Botox is for you and you are getting the injections for some event, such as a wedding, make sure you have the injections at least one week prior. Botox takes approximately seven days for the effects to start working and if you are not satisfied with the results, then you may require touch up treatment. So, in effect you should allow enough time to fully see the results (allowing approximately 14 days). Your doctor will discuss this issue with you directly.
Botox injections are very effective treatment option for patients with dynamic laugh lines. Whilst the cost may be prohibitive for many, it is still cheaper than many other Botox treatments such as the frown lines. When finding an appropriate doctor for your Botox injections, make sure you are dealing with a board certified plastic surgeon, dermatologist or another qualified professional. Cost is not always the best indicator for choosing your doctor. It may be worthwhile to pay more for an experienced surgeon than dealing with droopy eyelids or any other adverse side effects and trying to have these errors corrected.


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