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  • - Hello, my cosmetic friends out there.

  • I've got an interesting post for you today

  • on how you can actually have Botox

  • to your crow's feet and not look weird.

  • It's a common issue I see

  • with a lot of people who had Botox.

  • Often I walk down the street or see

  • people who've had Botox to their crow's feet,

  • and I can tell straight away that they've had Botox,

  • and it doesn't look natural, and the problem with this

  • is it doesn't improve your attractiveness.

  • So if it doesn't do that, then it's not a good treatment.

  • If it's noticeable, and it doesn't make you look better.

  • Sure, it can get rid of wrinkles,

  • but if it's not done properly,

  • then you might as well not have it done.

  • It's better to go just natural

  • rather than have it done poorly.

  • Crow's feet are a very common concern when people smile.

  • They don't like the lines that radiate

  • from the corner of the eye outwards.

  • Botox can be used to treat and relax

  • the orbicularis oculi muscle, which is the muscle

  • which contracts like a sphincter

  • and gives you radial lines out from the corner of the eye.

  • Now, just of note, you can't really

  • treat under eye wrinkles with Botox.

  • That tends to be more of an issue of skin laxity.

  • But certainly you can treat, easily,

  • the crow's feet with Botox when you smile.

  • You got to understand also that crow's feet

  • are a positive expression, so it's okay

  • to have a few crow's feet.

  • Young people have crow's feet, and they don't look bad.

  • It's something that you might want to moderate or reduce,

  • but certainly it's not something you want to get rid of.

  • Crow's feet, or smile lines,

  • are really a positive expression.

  • When we smile, we get contraction of that muscle.

  • So unlike, say, for example, the frown,

  • which is, there's no real positivity to frown.

  • When you're frowning, you're frowning.

  • So, what is the issue, firstly,

  • with having Botox around the eyes?

  • As I said, I see it all the time poorly done.

  • And the main reason for being poorly done

  • is it doesn't balance with the rest of the face,

  • and especially it doesn't balance with the under eye area.

  • So the first thing is, is setting

  • the right expectations for the patient.

  • I mean, most patients will come in and want

  • to completely obliterate any sign of crow's feet.

  • And that's usually a mistake, so it's important

  • for the doctor to advise that getting rid

  • of crow's feet altogether is not necessarily a good thing.

  • It's important to leave some crow's feet,

  • and to have some normal contraction.

  • We just don't want it to be as extensive.

  • We just want to moderate them a bit.

  • So, it's important to get a moderate dose

  • of Botox around the crow's feet.

  • If you put too much in, it literally holds

  • this bit open like this, and you get a very

  • sort of wrinkleless look through here, and it looks odd.

  • When you smile, it doesn't contract naturally.

  • So when you smile, there are two main muscles

  • which lead to the formation of crow's feet.

  • Now, firstly, it's the zygomaticus muscle,

  • which goes from the corner of your mouth up through here

  • and pulls upwards, elevates the cheek,

  • and pulls the corner of the mouth up.

  • Now we can't Botox this one, because if we did

  • we'd look like we have a stroke.

  • So, this muscle, it will contribute

  • to the smile lines of crow's feet.

  • But we can't treat it.

  • The muscle we treat is the orbicularis ocular muscle.

  • So, if, for example, you over-treat this area here,

  • the whole animation of that area changes.

  • The zygomaticus muscle continues to pull up,

  • but the orbicularis muscle, which has been treated

  • with Botox, is frozen.

  • So you get this elevation of the cheek

  • and freezing of this area here.

  • So it looks like this area's frozen,

  • yet this part still moves, and the whole animation

  • is incorrect, it looks weird.

  • The next thing's the placement.

  • The placement of where to put Botox

  • around the eyes is really important.

  • And too often, I see incorrect placement

  • of Botox around the eyes, which again

  • leads to a very unnatural appearance.

  • There's probably two main issues I see.

  • Firstly is putting Botox too close to the eye.

  • So too close to the orbital rim, or the eye socket.

  • The problem with this is, you're cutting

  • the contraction of the wrinkles very short.

  • So you're making the wrinkles very very short,

  • and in some cases, if it's close enough,

  • there's no wrinkle at all.

  • So basically the wrinkles don't extend out at all.

  • So I think it's important to actually place the Botox

  • a little bit further out, so you do contract a little bit

  • and show a short crow's feet, but you don't want it

  • to extend all the way down.

  • So keeping the Botox further away from the orbital rim

  • or the eye is important, not too close.

  • Too close means that you're gonna have

  • virtually no crow's feet, which looks, again, very unusual.

  • You must have crow's feet, it's actually important

  • to have a little bit.

  • But you just don't want the lines to keep going out.

  • So that's what Botox can do by being placed

  • a little bit further out.

  • Another huge issue I see with Botox,

  • and it's a dead giveaway.

  • Just to make a point in here, is that if someone

  • can tell you've had Botox, it's not good Botox.

  • So Botox should be done in such a way it cannot be detected.

  • And that is the best treatment.

  • In fact, that's the best with all cosmetic treatments.

  • You don't want to be known for having

  • cosmetic treatments unless you tell people.

  • I mean, if you tell people that's fine,

  • but you don't want someone to look at you

  • and notice that you've had something done.

  • That's a bad treatment, basically.

  • The other problem I see is Botox being put right here

  • in the corner, the bottom corner of the eye.

  • Either too big a dose in that area

  • or placement which is too close to the eye.

  • Now, this muscle, the orbicularis, at this point,

  • causes elevation of the cheek.

  • So, when you smile, this bit elevates.

  • Now, if you over-Botox this point here,

  • or put it too close up to the eye there,

  • what happens is this bit is held down when you smile.

  • So the orbicularis oculi muscle at that point

  • can no longer elevate the cheek.

  • Normally it does, see, my cheek goes up, and that's partly

  • because of the orbicularis oculi muscle here, at this point.

  • So, over-Botox in this point here often leads to,

  • what I call, ledgie, that's a term I just made up myself.

  • But the reason being, it causes

  • what looks like to be a ledge.

  • So this flattens down, this lifts up,

  • and you get like a shelf or ledge there.

  • So, that looks awful, and again a dead giveaway

  • that you've had Botox.

  • Unfortunately one of the areas which patients

  • often complain about are wrinkles in that spot,

  • so I think again, setting patient expectations

  • is very important, and they have to understand

  • they have to have a little bit

  • of natural movement and wrinkling there,

  • otherwise it will look weird.

  • In summary, Botox for the eyes

  • is a very difficult area to do.

  • It has to be done with a lot of care, the right dose,

  • the right placement, so that you don't look weird,

  • and so that it doesn't look like you've had Botox,

  • but it just looks like you're refreshed

  • and it just helps to stop the overextension

  • of crow's feet into the cheek.

  • Alright, I hope you've enjoyed that video,

  • and look forward to talking again next time.

- Hello, my cosmetic friends out there.

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