When is Botox recommended for crow's feet?

Crow's feet are lines that radiate from the outer corners of the eyes. They become more visible when the muscles used for smiling or squinting contract. Botulinum toxin relaxes selected muscles so the skin creases less during those expressions. It works best for movement-related lines; lines visible when the face is relaxed may not disappear because skin texture, sun exposure, and reduced elasticity also contribute. Treatment near the eyes requires precise assessment of anatomy and expression.

Bring up the expression you want to preserve, whether your lines are present at rest, and any history of eyelid heaviness, facial weakness, dry eyes, or previous injections. A qualified clinician should examine your eye area and explain expected softening, possible asymmetry, bruising, headache, or temporary eyelid or brow changes. Protecting the area from ultraviolet exposure and using suitable skincare can support the overall appearance, but these steps do not replace an injection assessment.

Seek medical advice before cosmetic treatment if lines appeared with a new eyelid change, facial weakness, double vision, eye pain, or a change in vision. After treatment, contact the provider for marked eyelid drooping, worsening visual symptoms, or unusual facial weakness; seek urgent care for breathing or swallowing difficulty.

Ask whether your lines are dynamic or visible at rest, how much movement will remain, what alternatives may help skin texture, and what eye symptoms require prompt contact.