How Is Botox Injected for Crow's Feet?
Dr. Naderi places small, very superficial drops of Botox in the outer part of the muscle around the eyes, and starts early in young patients to keep lines from forming. Going too deep can affect the smile muscle, and he repeats the treatment about every three to four months.
Key Points from Dr. Naderi
- Starting Botox early, even in young patients, helps keep crow's feet from forming.
- The drops go into the lateral part of the orbicularis oculi muscle, under the outer brow.
- The injections must stay very superficial. Going deep can paralyze the zygomaticus muscle and affect the smile.
- The small bleb from each injection absorbs within about 20 minutes.
- Treatment is repeated about three to four times a year.
Transcript
Parts of this older recording are hard to hear. Words that could not be made out are left out.
It's staff injection time. We've got one of my lovely staff, and we've actually never done Botox for her before. Smile really big. See what happens? That kind of crunches up, and lines start to form. She's really young, but with Botox you want to start early, to prevent lines from forming.
Watch how I do this. It's a little drop of Botox right there. This helps with the lateral canthus part of the orbicularis oculi. This goes underneath the lateral brow. You want to make sure you're very superficial. If you go deep, you paralyze the zygomaticus muscle, and then you will paralyze your smile, and it will look like a stroke victim. Nobody wants that. So that's one side.
Smile really big again. See what happens? It just keeps the eyes more open afterwards. Relax your smile. The injections are extremely superficial. You can see the bleb that's created. That's the Botox right there. It absorbs in very quickly and goes away in about 20 minutes. Almost done.
This is something we do about three to four times a year. And that's it. No bruises from the Botox. Leave it alone, and then do it again in three or four months.
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