Eye rejuventation has become a growing concern as female patients are starting to learn about the many treatment modalities that are available that do not involve traditional plastic surgery. We've often heard the saying that "the eyes are the windows to the soul." More appropriately, the eyes are the frame of the face. As we age, the frame changes and these changes may be addressed in a variety of ways.
The term "crow's feet" refers to the fine lines that are found lateral to the eyes and may extend even below the lower lid. These wrinkles are caused by repeated contraction of the strong muscle that encircles the orbital rim. Using Botox Cosmetic for crow's feet to relax this muscle is an excellent, simple way to soften if not resolve these lines. We also utilize a popular but often under-used technique referred to as the lateral brow lift. This technqiue involves a small dose of Botox Cosmetic usually to the ends of the eyebrows. With good/exact placement, we are able to provide a very natural, subtle lifting of the upper lid. Although this will never replace surgical blepharoplasty (eyelid surgery), it is an excellent technique appreciated by most of our Botox patients.
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Los Angeles Laser Resurfacing for Crow's feet by Celibre Medical. More Botox before and after pictures at www.celibre.com/botoxba.aspx.
We often hear our female patients express concern over the crepey texture of the lower lid skin, darkening under the eyes, or a concave look between the lower lid and orbital rim. As volume is lost in this area, the above conditions become more pronounced. So, how is volume replaced? We use a product called Restylane which is a filler for dark hollow circles under the eyes. This means that the product adds volume as well as drawing water to this area to add a natural, filling effect. Keep in mind that fillers like Restylane anda relaxant like Botox Cosmetic are very different in how they work and conditions they treat. However, a combination of both treatments usually renders full correction.
In addition to the above modalities, laser (thermal) energy can be used to improve the texture and address laxity (loosening) of skin including crow's feet. Laser resurfacing using the Erbium MicroLaserPeel laser resurfacing for crow's feet works by removing the outer most layer of the epidermis while stimulating collagen (the building block of skin/tissue) in the dermis. This is considered an ablative procedure which involves 4-5 days of downtime away from work or social activities.
Find out more about the Celibre Medical Los Angeles Botox injections program at www.celibre.com/botox.aspx.
Apart from laser resurfacing, we also have found good outcomes with the Aramis Quantel and Q-Switched technology. These lasers are considered non-ablative. This means that there is no downtime involved, treatments are safe for all skin types, with treatments usually being 20 minutes long. This technology works by stimulating collagen by sending thermal energy down into the dermis. There is minimal to no discomfort for this type of treatment for this condition.
Using specific skin care products will always enhance treatment results. For example, Glycolic Acid has great benefits by exfoliating and thinning out the stratum corneum. This in turn causes an increase in skin cell turnover process while stimulating the production of collagen. This allows for a thickening of the dermis which provides improved texture.
Research and our experience reveals that a combination of modalities usually renders the best outcomes. However, the practitioner must taken into consideration what your goals and concerns are. Tailoring a treatment plan to the individual is a must. Knowing that there are options and treatments available is the first step. For more information on how to improve the fine lines and wrinkles around the crow's feet of the eyes, please visit http://www.celibre.com/wrinkles.aspx.
Lori Haney, RN, MEP-C
Certified Medical Laser Safety Officer