These horizontal lines are caused by the upward contraction of the forehead muscles, when someone is expressing a tense surprised emotion, or raising the eyebrows and upper eyelids during an alert state.

The most direct way of treating crow’s feet is to inject Botulinum over the area.The Botulinum directly reduces the contraction strength of the muscles and therefore the muscles cannot create the creases as usual. The effect usually comes on in 3 to 5 days and will last for about 5 to 6 months. However, with repeated injections over time, the muscles will learn to relax more and the frequency of injections can become less and less often gradually.

One week after injection

Some people worry that the Botulinum will make them look frozen. Normally this should not happen, and if it does even slightly, it is due to improper technique of the injector or too much dosage is being injected. Experience is important here. There is a chance of mild drooping of the upper eyelids for some older persons or if there is already pre-existing eyelids drooping.

Alternatively we can also consider:

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