Treating crow's feet with Botox - an awake look without surgery

Crow's feet with botulinum is one of the most proven methods of modern aesthetic medicine to treat the signs of aging. Skin ageing effectively. While surgical procedures are associated with risks, scars and longer healing times, the Botox treatment a gentle, non-surgical alternative with immediate social acceptability. The method is perfect for anyone who wants to smooth out their eye wrinkles and wants a natural look without surgery.

The philosophy of Medical NOVA is based on the conviction that true beauty is created through the balance of medical excellence and aesthetic sensitivity. This holistic approach is reflected in our approach to crow's feet treatment. We understand that every Unique facial anatomy and facial expressions and therefore carefully analyse your individual wrinkles and muscle activity before each treatment. This detailed preliminary analysis is the only way we can create a customised treatment plan that leads to harmonious and natural results - without a scalpel or scars.

In recent years, the treatment of eye wrinkles has become one of the most most popular aesthetic treatments developed. The method offers a Scientifically sound solution for tired or aged-looking eyes without losing the natural expression.

What are crow's feet and how do they develop?

Crow's feet, also known medically as Periocular folds or laugh lines, are fine to deep lines that extend in a fan shape from the outer edge of the wrinkle. Corner of the eye spread out towards the temple. The name is derived from their characteristic shape, which is reminiscent of the footprints of a bird. These eye wrinkles are caused by repeated contraction of the eye ring muscle (orbicularis oculi muscle) - Every time we laugh, blink or squint our eyes, this ring-shaped muscle works intensively. The Muscle movement on the outside Corner of the eye is particularly pronounced and leads to the characteristic formation of wrinkles.

With increasing age, the skin loses elasticity and collagen. The dermis becomes thinner and the skin structure less firm. What initially only appears as dynamic fold The wrinkles that were once visible gradually become permanent static wrinkles. External factors such as UV radiation, smoking, inadequate skin protection or a lack of moisturisation also accelerate this process of Skin ageing considerably. The fine lines deepen, become visible even at rest and can make you look tired, exhausted or older than you feel.

The development of crow's feet is a Natural part of the ageing processwhich starts earlier in some people and later in others. Genetic factors play just as important a role as lifestyle. People with very expressive facial expressions or light-coloured, sun-sensitive skin often develop pronounced eye wrinkles earlier than others. The continuous Muscle movement further enhances this effect and leaves the wrinkles on the Corner of the eye deeper.

How does botulinum toxin work on crow's feet?

In the treatment of crow's feet, botulinum toxin Precisely at three to four points per side is injected into the orbicularis oculi muscle. The active ingredient specifically blocks the signal transmission between the nerve and muscle at the neuromuscular end plate, which is responsible for the contraction of the orbicularis oculi muscle. This gently relaxes the overactive muscles around the eyes - the Muscle movement is reduced, fine lines are smoothed, deep wrinkles are softened without losing natural facial expressions or the ability to smile.

The decisive difference to other treatment methods: Botulinum toxin tackles the cause. While about Hyaluron fills existing wrinkles and restores volume, targeted injections with botulinum toxin prevent the repeated appearance of wrinkles. Muscle movementwhich leads to the formation of wrinkles in the first place. This is how the visible signs of Skin ageing on Corner of the eye effective Remove. The result looks natural because the dosage is customised to your facial anatomy, your facial expressions and the strength of your muscles.

The botulinum toxin does not take effect immediately, but rather Gradually over several days. This is a great advantage, as the change is very natural and your environment usually does not recognise the improvement as "done". Most people simply notice that you look fresher, more rested and more relaxed.

The treatment process in detail

Treatment takes place on an outpatient basis in our Practice in Bülach and usually lasts only 10 to 15 minutes. Anaesthesia is not normally necessary as we work with very fine needles and the injection is only minimally noticeable - a decisive advantage over more invasive procedures.

Step 1: Detailed consultation and precise analysis

Every crow's feet treatment begins with a comprehensive consultation, which typically 20 to 30 minutes takes. Our doctors not only analyse the appearance of your eye wrinkles, but also your individual facial expressions, muscle activity and personal wishes. High-resolution photos are taken from different angles to document the initial state and determine the optimum injection points.

During this analysis phase, we also discuss possible risks, side effects, realistic expectations and aftercare. It will be clarified whether a local anaesthetic is required - although this is not usually necessary, as the injections are carried out with very fine needles and are only used as an anaesthetic. slight pinprick be perceived. In this first Date we will clarify all your questions about the treatment and the expected results.

Step 2: Professional preparation and hygiene

After the consultation, the face is thoroughly cleansed and disinfected. All make-up, especially in the eye area, must be removed to be Sterile working environment to ensure the best possible results. The injection sites are precisely marked - typically three to four points lateral to the eye that lie along the course of the eye ring muscle. This careful preparation is crucial for the precision of the subsequent treatment.

Step 3: Precise treatment with state-of-the-art technology

The actual treatment only takes a few minutes, but requires Maximum concentration and precision. Using a very fine needle, the Botox is injected superficially into the eye ring muscle at the previously marked points. During the procedure, about 8 to 15 units of botulinum toxin The exact amount used depends on the extent of your wrinkles, the strength of your muscles and the desired effect.

The dosage is customised - a decisive factor for natural-looking results. Most patients describe the sensation as a slight pinprick that passes quickly.

Step 4: Immediate socialising and aftercare

After the treatment you are immediately socially acceptable again and you can continue with your normal daily routine. Slight swelling or redness at the puncture sites usually disappears within a few hours. Make-up can be carefully reapplied after around 2-4 hours, although you should avoid rubbing vigorously at first.

An optional controldate after 10 to 14 days allows us to assess the result together. At this point, the Botox has taken effect. unfolds its full effectand we can make fine corrections or re-treat asymmetrical areas as needed to ensure a perfectly symmetrical and natural look.

Effect & durability - what is realistic?

The effect of the crow's feet treatment develops gradual and naturalwhich is one of the great advantages of this method. Unlike surgical procedures with a scalpel, where the result is immediately visible and scars appear, the effect of botulinum toxin unfolds over several days, resulting in a very natural transition. Most patients find this gradual change particularly pleasant, as those around them usually do not perceive the improvement as "done".

Most patients already notice the first changes after 3 to 5 days. The maximum effect is seen after around 10 to 14 days - the eye area then appears noticeably more relaxed and the skin smoother. After just a few days, the eyes look more open and fresh. Deep wrinkles are reduced and fine lines can be almost completely removed.

Many patients report that those around them perceive them as more relaxed, rested or refreshed. without recognising the intervention itself. This natural result is exactly what we aim for at Medical NOVA: you should look like yourself, only more relaxed, alert and younger.

The Duration of effect of crow's feet treatment is 3 to 6 months on average, although this period depends on various individual factors. People with very active facial expressions and pronounced Muscle movementPatients with a fast metabolism or intensive sporting activity may notice an earlier decrease in the effect, while other patients may still notice significant effects after 6 months. It is interesting to note that Regular treatments The effect is often observed to last longer as the muscles become accustomed to the relaxed position.

Another important aspect is the Complete reversibility of the treatment. In contrast to surgical procedures with permanent scars, Botox treatment is completely reversible. If you are not satisfied with the result - which is extremely rare - the effect will wear off completely after a few months and your original appearance will return.

Who is the treatment suitable for?

The treatment of crow's feet with botulinum toxin is suitable for Women and men of different ages who are bothered by eye wrinkles and show signs of ageing. Skin ageing want to reduce their appearance. The ideal candidates are people who are suffering from the first signs of facial ageing but are not yet ready for a surgical procedure with scars and a long healing time. Patients between the ages of 30 and 60 who want a natural refreshment of their look are particularly likely to come to us.

• Fine to deep crow's feet that are already visible at rest
• "Tired look" despite sufficient sleep and rest
• Strongly pronounced laugh lines when smiling or laughing
• Desire for non-surgical wrinkle smoothing without scars
• Preventive anti-ageing measure at the first signs
• Asymmetrical eye wrinkles on one side of the face

In particular, people who work a lot at the computer, blink frequently or squint their eyes often develop a Tense facial expressionwhich leads to pronounced crow's feet. The treatment can not only bring about aesthetic improvements, but also contribute to a more relaxed facial expression and thus to an increased sense of well-being.

The treatment is particularly effective in patients between the ages of 25 and 60 whose skin is still Sufficient elasticity has. The best and most natural results can be achieved in this age range. However, older patients can also benefit from the treatment, especially in combination with other procedures such as Hyaluronic acid-fillers or Mesotherapyto achieve even more comprehensive rejuvenation effects.

Aftercare: do's & don'ts for optimal results

Aftercare following a crow's feet treatment is uncomplicated and requires only a few restrictions. Nevertheless, there are some important points to bear in mind to ensure optimal results and minimise the risk of complications.

First 24-48 hours: Critical phase

In the first two days after treatment Special care is requiredas the botulinum toxin is not yet fully bound to the target muscle and could theoretically still "migrate". Some important rules of behaviour therefore apply during this phase:

• No rubbing, massaging or strong pressure in the eye area
• Avoid intensive sport, sauna, steam bath or solarium
• Only apply make-up after a few hours and only carefully
• Upright posture for 2-4 hours after treatment
• No facial massages or cosmetic treatments
• No excessive alcohol consumption on the day of treatment

In order for the botulinum toxin to be optimally distributed in the muscles, you should in the first 24 hours avoid sport, sauna or intensive facial massages. Slight redness or small swellings at the puncture sites are normal and usually disappear within a few hours.

Risks & side effects: Transparency and information

As with any medical treatment, side effects can also occur with crow's feet treatment. However, thanks to our many years of experience and precise application technique, these are mostly mild and temporary. We attach great importance to an honest and complete explanation of all possible risks.

Frequent, harmless side effects

Most of the side effects occur directly after the treatment and disappear on their own within a few hours to days:

• Slight swelling at the puncture sites - usually disappear within 2-4 hours
• Temporary reddening of the skin, similar to a mild insect bite
• Small haematomas (bruises) - occur in about 10 % of patients, resolved within a week
• Mild tension headache in the first 1-3 days
• Watery eyes or slight dryness - usually only in the first few days

Contraindications: When is the treatment not suitable?

A crow's feet treatment is not for every patient suitable. The following circumstances rule out treatment or require special precautions:

• Pregnancy and breastfeeding - for precautionary reasons, Botox treatments are generally not carried out during this time
• Acute infections at the injection site or on the face
• Neuromuscular diseases such as myasthenia gravis or Lambert-Eaton syndrome
• Known allergies to botulinum toxin or one of the excipients
• Taking certain medications - especially aminoglycosides or muscle relaxants
• Unrealistic expectations or lack of understanding of the treatment

During the consultation, we create a Detailed anamnesis and check all potential contraindications. Your safety is our top priority, which is why we take sufficient time for this important preliminary clarification.

Combination options for optimum results

For deeper eye wrinkles or if additional volume has been lost, the combination of botulinum toxin and Hyaluronic acid make sense. Botulinum toxin relaxes the muscles and prevents further wrinklingwhile hyaluronic acid fills in pronounced lines and restores moisture to the skin. This combination offers a double anti-ageing effect for the eye area and can minimise the signs of ageing. Skin ageing Particularly effective Remove.

The following have proved particularly successful Treatment combinations:

Eyebrow lift with botulinum toxin: Also slightly lifts the eyebrows and opens up the gaze even more. Ideal in combination with the crow's feet treatment for an overall more awake, fresher expression without surgical intervention.

Mesotherapy face: Improves the quality of the skin around the eyes with vitamins, hyaluronic acid and amino acids. Complements the smoothing effect of botulinum toxin by improving skin structure and increasing skin moisture.

Hyaluron dark circles-treatment: If dark circles or bags under the eyes also bother you, hyaluronic acid can fill them in and give you a fresher look. The combination of both methods can comprehensively rejuvenate the eye area.

Thulium laser: Promotes collagen production and sustainably improves skin structure. An ideal complement to wrinkle treatment for long-term results and firmer skin.

RF microneedling against wrinkles: Stimulates skin renewal and can support the effects of Botox treatment by improving skin quality and softening fine lines.

We will discuss the most suitable combination for you in detail during a personal consultation. We will analyse your skin and your individual needs and develop a Customised treatment concept for the entire eye area.

Botox also for other facial wrinkles

The relaxing effect of botulinum toxin can be used not only for crow's feet, but also for many other mimic wrinkles on the face. At Medical NOVA in Bülach, we specialise in aesthetic medicine various Botox-treatments:

Botox forehead: Smoothes horizontal forehead wrinkles for a relaxed, younger look without surgery or scars.

Botox frown lines: Softens the vertical wrinkles between the eyebrows, which often convey a stern or worried expression.

Marionette pleats: Treatment of wrinkles that run from the corners of the mouth to the chin and can cause a sad facial expression.

Strawberry chin: Smoothes the dimpled surface on the chin, which is created by tensing the chin muscle (mentalis muscle).

Each treatment zone requires a Individual approach and dosage. In a comprehensive consultation, we analyse your face holistically and develop a treatment concept tailored to you that harmoniously incorporates several facial areas.

Alternatives to Botox treatment

Although Botox treatment is the ideal solution for many patients, depending on the individual situation, there are also Other methodswhich can be useful. At Medical NOVA, we offer a comprehensive range of aesthetic treatments and give you honest advice on which method promises the best results for you.

Hyaluronic filler for deep wrinkles

What is hyaluron? Hyaluronic acid can fill deeper eye wrinkles and is particularly suitable if volume has already been lost. In contrast to botulinum toxin, hyaluronic acid does not act on the muscles, but fills the wrinkle from the inside. The great advantage lies in the immediate visibility of the result and the possibility of modelling the volume very precisely.

Skin-improving treatments

Sometimes the cause of a tired look lies not only in the muscle activity, but also in the Quality of the surrounding skin. Treatments such as Mesotherapy, RF microneedling or Thulium laser can significantly improve skin structure, elasticity and radiance and thus support or even replace the effect of wrinkle treatment - without a scalpel, scars or complex anaesthesia.

These treatments stimulate the the body's own collagen production tighten the skin and can thus contribute to an overall more youthful appearance. A combination of different procedures is often used to achieve optimal results.

Surgical eyelid lift for pronounced findings

In the case of severe excess skin, pronounced tissue sagging or very deep, static wrinkles, surgical treatment is recommended. Eyelid lift the More effective and long-term solution. These surgical procedures offer more dramatic and long-lasting results, but also require a corresponding aftercare period, leave scars and involve higher risks.

We advise you honest about itwhether your expectations and findings can be better treated with non-surgical or surgical methods. Sometimes a combination of both approaches is the best way to achieve optimal results.

Costs for the crow's feet treatment

The exact pricing depends on several factors and is always discussed transparently during the consultation. We attach great importance to fair pricing without hidden costs.

The Costs are influenced from:

• Shape and depth of your wrinkles - deeper wrinkles may require more units
• Individualised muscle building - stronger muscles require a higher dosage
• Desired intensity of the result - some patients prefer a stronger effect, others a more subtle one
• Combination with other treatments such as Hyaluronic acid lips, Botox forehead or Cheek augmentation with hyaluronic acid
• Cost of aftercare and included follow-up appointments

You will receive an exact cost overview in a personal consultation after we have analysed your wrinkles and discussed your wishes. Important: The treatment is a private service and is not covered by health insurance.

Frequently asked questions (FAQ)

Based on our many years of experience, we have Frequently asked questions from our patients compiled.

Is the treatment painful?

Most patients find the treatment to be a pleasant experience. well tolerable. The injections are carried out with very fine needles and usually only cause a short, slight stinging sensation. An anaesthetic is not normally necessary.

Can you tell I've had Botox after the treatment?

Not if used correctly by experienced doctors. The goal is Natural result without a mask-like effect. Your facial expressions remain the same. Those around you often only notice that you look fresher, more rested and more relaxed without recognising the reason for this.

Can I return to work straight after the treatment?

Yes, in most cases you are directly after the treatment socialising and working again. You should only avoid intensive sporting activities on the day of treatment. Slight redness or minimal swelling at the puncture sites usually disappears within 2-4 hours and can be covered with make-up if necessary.

What happens if I am not satisfied with the result?

The effect of botulinum toxin is Temporary and fully reversible - it recedes by itself after a few months. If the result does not meet your expectations, this can be discussed in a follow-up consultation. In rare cases of asymmetry, this can be corrected after 10-14 days with a small follow-up treatment.

How often does the treatment have to be repeated?

The effect lasts on average 3 to 6 months on. Many patients have the treatment refreshed around 3 to 4 times a year in order to maintain the results. With regular use, the duration of effect is often extended as the muscles become increasingly accustomed to the relaxed position and the formation of wrinkles is reduced.

At what age does treatment make sense?

In principle, treatment can be from about 25 years can be useful - especially as a preventative measure when the first fine lines begin to appear. The earlier the muscles are relaxed, the less deeply the wrinkles become ingrained. Very good results are also possible in older patients with already pronounced laugh lines. The decisive factor is always the individual findings, not the chronological age.

Can the treatment be combined with other procedures?

Yes, the combination is not only possible, but often particularly useful. Combinations with hyaluronic fillers for additional volume, with mesotherapy to improve skin quality or with laser treatments for firmer skin have proved very effective. The simultaneous treatment of forehead wrinkles, frown lines or eyebrow lifts is also very popular and effective.

Is there any long-term damage from Botox?

Botulinum toxin has been used since over 30 years in medicine and is well researched. No long-term damage is known when used properly. The effect is completely reversible and once the effect has worn off, the muscles return to their original state. Regular treatments can even help to minimise the appearance of deep wrinkles.

Dr Tukezban Huseynova, MD
Medical Director Medical NOVA GmbH
Specialist in ophthalmology and optometry | ophthalmic surgeon | specialist in aesthetic medicine
Over 15 years of international experience | 10,000+ successful eye operations
Further information about the author | Our team | About Medical NOVA

Your way to a smooth eye area - arrange a consultation now

The Crow's feet treatment with Botox is a proven, safe and highly effective method of restoring radiance to tired-looking eyes and rejuvenating the overall appearance of the face. The treatment is suitable for anyone who wants a natural and gentle smoothing of their eye wrinkles without having to undergo the risks, scars and downtime of surgery. Instead, the wrinkles on the Corner of the eye Gentle and effective Remove. The fact that anaesthesia is not usually required makes this method particularly patient-friendly and comfortable.

Our central location in the Zurich lowlands makes us ideal for patients Zurich, Winterthur and the entire region easily accessible. Each treatment is planned and carried out individually so that you feel completely comfortable in your skin.

Would you like to have your crow's feet treated and convince yourself of the possibilities of botulinum toxin treatment? Arrange a non-binding consultation nowdate and let us convince you of our medical expertise and aesthetic sensitivity.