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

Botox or dysport treatment at the corner of the eyes is a great treatment for "crow's feet." If 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. As always, consult with an experienced injector to discuss your specific concerns.

Clinical Context

Botox and Dysport are the main non-surgical options for crow's feet caused by muscle movement when you smile. Treatment works best when the injector tailors dose and placement to your muscle strength, skin thickness, and whether the lines appear only with expression or also at rest. Deeper, resting lines may benefit from a skin-care or filler approach alongside the toxin. Results typically last three to four months, after which treatment can be repeated to maintain smoothness around the eyes.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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