Crow’s Feet Treatment With Botox — Explained

correct crows feet with botox

On this page, we’re going to talk about crow’s feet — one of the most popular types of wrinkles patients want to get rid of — and how a medical practitioner can help them with Botox.

What Are Crow’s Feet

If you’re looking to treat what patients call “crow’s feet” with Botox®, you’re looking to treat lateral canthal rhytids.1 The orbicularis oculi muscles are important in eyelid closure, but the contraction of their lateral fibers can produce lines that radiate from the lateral corners of the eyes. Smiling, frowning, and squinting can lead to this common sign of aging, wrinkles known as crow’s feet. They can make someone look tired or angry and hide someone’s true temperament by the wrong facial expression.

Other reasons for the crow’s feet to occur include UV exposure and loss of collagen in the skin that comes with age.

Introducing Crow’s Feet In Your Clinic

With FDA approval for crow’s feet, Botox is now offered everywhere. As doctors shift their focus on what else to offer their patients, injecting Botox is no longer only in the offices of plastic surgeons or cosmetic dermatologists. Family practice, OBGYN’s, and all other primary care practitioners are beginning to add this procedure to their day’s work because there does not appear to be a downside to it.

The procedure is also gaining popularity among patients. Although the best candidates are those who are troubled by the age-enhancing effect of their wrinkles, the candidate list has increased to include younger women who want to use Botox preventatively. The average age is 40–59, but this is beginning to move down.

Having choices in your clinic is a great way to attract more patients. You may already have a large patient base, but if you don’t offer Botox treatment, your patients might go to a doctor who does. Along with dermal fillers, this treatment doesn’t carry a large overhead, making it more profitable compared to other treatments.

Botox cost for the patient is usually computed by the units used, or the area treated, varying widely in location. In the USA, the cost ranges from $6/unit in Austin, Texas, to $18/unit in New York City, the average being $13/unit.4 In the UK, the cost can be from £100 to £350 per area. Your patients can expect Botox to stay in place for 3-6 months. Thus, In the beginning, patients will return 3–4 times a year for a “booster” re-injection.

Treating Crow’s Feet With Botox — Tips For Professionals

Remember that Botox injections, just like any other cosmetic injections, can only be performed by licensed healthcare practitioners. Here are some tips that can help you deliver better results when treating crow’s feet with Botox:

  1. When injecting Botox in the orbital area, it’s vital to keep the needle up and away from the eye for safety reasons;
  2. It’s better to under-inject than to over-inject. Instead of injecting 20 units on the first appointment, inject 10-12 units at first and check the results in a week.
  3. Don’t combine Botox with any other botulinum-toxin products such as Dysport or Xeomin.
  4. Make sure you are well aware of structural and neuromuscular anatomy as well as possible changes caused by previous surgeries or diseases.

Potential Side Effects

Treating crow’s feet with Botox takes around 10 minutes and has no downtime, which means your patients can go back to normal life immediately after the procedure. Make sure to inform them that minor side effects can be expected, such as:

  1. Redness
  2. Swelling
  3. Watering eyes
  4. Dryness
  5. Headache

Most of the effects will fade within 1-2 days. If a patient still feels discomfort after this time, it’s recommended to schedule an appointment to double-check treatment results.


Note on articles: These articles are not endorsed by DoctorMedica nor reviewed for medical accuracy. Similarly, views and opinions expressed are those of the author only. Articles are meant for informational purposes only. Ask your doctor for professional medical advice.