Crow’s Feet2018-09-17T12:12:20+00:00

Crow’s Feet

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The best way to figure out whether your specific condition can be treated or not is to give us a call. We can answer any questions you have and help you clarify which treatment options might be suitable for you.

There are different treatment options available for this condition and the most common ones are listed below:

Learn more about treatment options

Crow’s Feet Condition

“Happy people” have crow’s feet, hence these are also known as laughter lines or smile lines.

Crow’s feet are the fine crinkle lines or wrinkles clustered at the outer corners of the eyes which appear with age from as early as the mid 30’s.

As well as age and having a genetic tendency to develop crow’s feet, external factors such as sun exposure especially in fair skinned people, pollutants, and smoking all contribute to cause thinning of the overlying skin with less production of elastin and collagen.

  • The fine underlying orbicularis muscle contractions form visible dynamic crow’s feet wrinkles.

Initially the crow’s feet are only visible on active smiling (dynamic), but with time (age) they remain permanently as fine lines radiating outwards from the outer corners of the eyes even when not smiling (static lines).

Symptoms

The depth and number of crow’s feet increases with age and start to radiate out beyond the orbital rim onto the zygomatic arch and upper cheeks, often forming broad arcs of wrinkles.

Together with lateral canthal volume loss, cheek descent and tear trough hollows, this gives and aged or tired appearance. When there are also deep glabella lines, the patient can look harsh and angry. Gone are the smile lines and instead they are called crow’s feet.

  • Crow’s feet are a visible cosmetic problem associated with ageing and tiredness
  • Many people are bothered by the cosmetic ageing effect of visible crow’s feet and want them smoothed.

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When there are also deep glabella lines, the patient can look harsh and angry. Gone are the smile lines and instead they are called crow’s feet.

Crow’s feet are a visible cosmetic problem associated with ageing and tiredness.

Many people are bothered by the cosmetic ageing effect of visible crow’s feet and want them smoothed.

What are anti-wrinkle injections and BOTOX injections?

Can my upper eyelid blepharoplasty be sutureless?

Examination

There are two types of peri-orbital wrinkles, dynamic and static. The oculoplastic surgeon will determine which predominates at the corner’s of your eyes in order to recommend the best treatment. They will examine all the muscles around the eyes, glabella and forehead by asking you to make faces such as “smile”, “screw the eyes up tightly”, “look angry”, “lift your eyebrows up high” thus testing each muscle group.

The oculoplastic surgeon will determine which predominates at the corner’s of your eyes in order to recommend the best treatment. They will examine all the muscles around the eyes, glabella and forehead by asking you to make faces such as “smile”, “screw the eyes up tightly”, “look angry”, “lift your eyebrows up high” thus testing each muscle group.

They will then use a diagram to show the extent of the areas needing treatment and plan the treatment.

Treatment

There are several approaches to help reduce crow’s feet:

Improving skin care, skin-resurfacing techniques including laser, micro-focused thermos-coagulation for lifting the skin at the corner’s of the eyes (Ultherapy), Botulinum toxin A injections (Botox), fillers such as Restylane Skinboosters, and eyelid surgery are effective wrinkle treatments.

General skin quality

Tretinoin 0.05% cream (prescription only) to improve skin quality overlying the crow’s feet. It’s regular use helps tighten the overlying skin by laying down new collagen.

Facial fillers such as Skinboosters (hyaluronic acid gel) injected into the outer corner of the eyes help smooth lines and provide dermal hydration hence mask the crow’s feet even for dynamic lines, but are is best used for static deeper lines.

Dynamic lines crow’s feet

Botulinum Toxin A micro-injections using Botox, Azzalure, Xeomin or Dysport are the mainstay of treatment of dynamic lines such as crow’s feet.

The underlying orbicularis muscle contractions visible when smiling or closing the eyelids as fine dynamic radiating crow’s feet are paralysed by tiny injections of botulinum toxin.

4 to 5 small injections of botulinum toxin are used for the crow’s feet on each side. Since the effect is temporary and completely wears of within three to four months, further injections are then required. Other glabella or forehead lines can be treated at the same time as necessary.

Botox works by paralysing the treated muscle at its muscle end plate, as a neuromodulator. The onset of Botox action is 5 to 8 days later and lasts up to 3 months.

The temporary weakening of the small muscles can look very natural. Patients are advised to have injections about three weeks before a major event so the effect is maximal but not “frozen looking”.

The exact number and amount of Botox injections is individualised to each patient needs and clinical findings. All Botox injections are done by the oculoplastic surgeon or the Clinica London nurse under the surgeon’s supervision.

  • Botox is a prescription only drug.

Injections are done following full consultation oculoplastic assessment, with full information given to the patient and with signed informed consent.

The Botox injections are done in the clean Treatment Room at Clinica London, in sterile conditions.

Other treatments for Crow’s feet

The following measures can help prevent and delay progression of crow’s feet:

  • Wear dark glasses
  • Avoid very bright sun that makes you screw up your eyes
  • Wear the correct glasses so that you are not squinting to look at something or to see someone,
  • Apply daily a good quality high SPF 50+ sunscreen against UVA A and B

Static lines – permanent crow’s feet

Resurfacing techniques and volume / hydration boosting helps treat static crow’s feet.

  • Trichloracetic acid treatment (TCA) resurfacing to reduce very fine wrinkles
  • Fractional laser
  • Ultherapy to lift the skin at the outer corner’s of the eyes
  • Prevention of worsening by regular Botox injections

Patients find that getting rid of crow’s feet helps them feel “happy but not wrinkly”.

The improved appearance can help you feel better and more confident about yourself and be less aged and tired looking.

Surgery for crow’s feet

With increasing age the skin laxity increases and as well as dynamic and static crow’s feet, there can be hooding of the upper eyelids which may be an indication for eyelid surgery called upper eyelid blepharoplasty.

  • Upper eyelid blepharoplasty can reduce crow’s feet with lateral hooding

The crow’s feet can be reduced by removing some of the excess skin and loose muscle which causes additional crow’s feet folds. In upper eyelid blepharoplasty a small amount of overhanging loose fold of skin with a strip of underlying fine orbicularis muscle is removed very delicately under local anaesthetic and the eyelid reconstructed to give a fresh less saggy wrinkly appearance.

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“Just wanted to thank you for your exceptional assistance with my eye condition. I was so worried but you really helped me feel at ease.”

David T.

“I felt much better after speaking to you and being reassured. I am much calmer and actually got some sleep last night.”

Catherine M.
“I was deeply impressed by the politeness and empathy shown to me. I found the surgery very peaceful and beautifully decorated and I hope to see Jane again soon.”
Jeffrey W.
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Lorraine M.
“I am writing to you to say thank you to you, Cloe and Jane for taking care of me this week. You were all really lovely and professional and I am very grateful. Big cheer for The Clinica London Team.”
Rick A.
“Many thanks for taking care of my ptosis surgery today. I am now back home and resting but wanted to send a quick note to thank you for taking such good care of me.”

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Simon
“Thank you, my eye is recovering brilliantly (you almost can’t see I had it). Jane was amazing, please pass on a huge thank you.”
Jen

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