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Crow's Feet

Is Botox the best choice for crow's feet?

Robert Strimling (Las Vegas, NV) on Sep 16, 2011
Yes. Botox may be combined with laser resurfacing or chemical peels for possibly better, more long-term results.
Jody Levine (New York, NY) on Sep 16, 2011
For people who have long crow's feet that extend far from the eyes, I prefer Dysport because it spreads nicely and can cover a large area with fewer injection sites. However, if the patient has smaller crow's feet or if I need more precise placement, I prefer to use Botox.
Barry Goldman (New York, NY) on Sep 16, 2011
Botox is an excellent choice for crow's feet. Precise injections are needed to provide symmetric reduction of wrinkles and minimize side-effects. Botox typically stays where you put it, so the risk of the injection spreading to the upper eyelid and causing ptosis (drooping of the upper eyelid) is low. Dysport, a competitor, is known to spread across a wider area. This may increase the risk of side effects in the crow's feet area. However, I had an ex-boxer with deep long crow's feet that didn't respond well to Botox. He did better with Dysport, which appeared to spread more evenly. This observation was confirmed by a recent study which showed a slight advantage to Dysport. One must note the study was paid for by the manufacturer of Dysport. I hope this has been helpful and please don't hesitate to reach out to me with more questions.
John Obi (Jacksonville, FL) on Oct 23, 2011
Botox (R) or other neuromodulators (Dysport(R) or Xeomin(R)), are useful to HELP the crow's feet area. These are sometimes combined with other treatments such as surgery, peels, or light based treaments. The choice of treatments offered would depend on the findings on examination and the patients wishes.