In this section, we will discuss how physicians are using advanced liquid face lift products, including dermal fillers, like Juvederm® Ultra, Radiesse® and Restylane®, as well as BOTOX®, to treat various wrinkles and lines around the eyes. In this area of the face, it is very common to develop crow's feet (lines that fan out from the corners of the eyes), as well as wrinkles on the upper or lower eyelids. If you are concerned with vertical frown lines that form above the nose and between the eyes (glabellar lines), please see the Forehead Wrinkles section.
Note: Before undergoing any procedure discussed on this web site, make sure that your physician has extensive experience with the specific procedure. Medical schools have only recently begun to teach some of these procedures. As with any medical procedure there are varying degrees of risk involved. Please consult your physician.
Crow's feet are lines that transverse or extend from the lateral canthus (outer corners of the eyes). They are also known as periorbital wrinkles. Sometimes these lines fan out and can arc downward over the cheek bone and even down onto the lower cheeks (sub malar area). In most individuals, crow's feet are caused by smiling and squinting, in combination with some degree of loss of facial volume or collagen.
Most individuals develop crows feet wrinkles to one extent or another at some time. The lines are usually superficial (fine), but may also deepen in some individuals. They can range from a few lines to multiple fanning lines.
For patients exhibiting shallow crows feet, the primary method of treatment is with applications of BOTOX®. Physicians will usually place BOTOX® about 2 millimeters from the orbital rim, in the area of the crow's feet. The medical professional will often place BOTOX® in three or more points along the orbicularis oculi muscle (the muscle that circles around the eyes) to relax the muscle and diminish the wrinkles. Over time, this may tend to erase etching of the lines completely.
In more pronounced or longer lines, the doctor may also place additional BOTOX® in points that are another half a centimeter or so lateral to the first points (further away from the eye area). Usually, if the lines are deeper or more grooved, then an advanced dermal filler such as Juvederm® or Restylane® is applied. The physician typically places the dermal fillers under the skin along the creases or grooves of the crows feet.
On the lower eyelids and sub ocular region of the face, individuals will develop wrinkles from loss of facial volume and elastin around the eyes and upper parts of the face. These wrinkles may run parallel underneath and along the shape of the lower eyelid, or may hatch up into the lower eye lid. In some individuals the skin can develop a crêping look (like crêpe paper).
These lines may be treated with BOTOX® or advanced dermal fillers, either alone or in combination therapy. Physicians who treat the wrinkles with BOTOX® will usually place a small amount of BOTOX® near the sides of the bridge of the nose. Usually 2 - 4 units of BOTOX® are used in two points on either side of the nose.
Physicians who are highly experienced with dermal filler procedures may use liquid face lift products above the cheek near the infraorbital rim. The infraorbital rim is the bone that curves under the lower eyelid. Radiesse® can be an effective filler in this area because it can provide the necessary bulk and then assists the body in building its own collagen for endurance. Bulking fillers such as Perlane® and Juvederm® Ultra Plus are also used widely by physicians for this procedure. Filling this area will cause the wrinkles to lift and smooth away, returning natural contours, as well (see Eye Contouring). A physician who is highly skilled in this technique should be chosen for this procedure.
Folds or creases on an upper eyelid may be caused by depleted collagen, loss of elastin and skeletal degeneration, among other factors. Treatment of wrinkles, creases and folds of the upper eye lids can be accomplished with liquid facelift products, utilizing a variety of procedures or techniques.
To correct wrinkles and folds in the upper eye lids, physicians will often use BOTOX® to lift the eyebrows and eyelids. For wrinkles that extend upward from beneath the eyebrow, physicians will usually place BOTOX® along the eyebrow's lateral aspect (outer portion of the eyebrow). Physicians may also place dermal fillers, such as Juvederm® or Restylane®, immediately beneath the eyebrows. This will gently lift the sagging that contributes to the wrinkles and folds. Some physicians may place liquid face lift products in the forehead or temple regions to provide even more lift.
Lifting the eyelids with liquid face lift products will cause some or all of the wrinkles to disappear. The procedures may enhance the smoothness of the skin as well. One of the ancillary benefits is a more energetic, brightened appearance.