Crows feet are a sign of aging that most people do not like. Crows feet are caused by repeated muscle movement when smiling and sun damage to the skin-making it more fragile and thin.
Botox is the most popular treatment for crows feet. It can take up to 20 units to treat the area and last from 6 weeks to 3 months. Botox lasts as long as it takes the nerve endings to regrow into the muscles that were treated.
You can add tretinoin (generic Retin A) to your treatment if Botox given on a regular schedule is not giving you all the correction you desire. Put a tiny amount around the sides of the eyes and lower lids every night. This corrects DNA damage of the skin. In the space of three months, you will see fine lines visibly fainter. It works well for fine lines but it may not work well for deep, etched lines.
If with Botox and tretinoin you want more improvement, add a series of microneedling treatments. Because a lot of the cost is in the high-tech needle, it makes sense to treat your entire face, not just the eyes. These are done a month apart. It will thicken your skin over-all and the improvement around the eyes is visible and at times, quite dramatic.
With this triple approach of Botox, tretinoin and microneedling , you should see your eyes look the way you want, not the way they used to look!