Did you know our subconscious distinguishes between genuine and fake smiles by looking for crow’s feet?

A genuine smile always causes wrinkles around the eyes, also known as crow’s feet. in the past, freezing overactive muscles and preventing wrinkles was considered the best and only way to treat these wrinkles. But knowing what we do about the importance of these lines in creating genuine and deep human connection, Reflections takes a different approach. We believe the best cosmetic results are the ones that look natural, which includes natural facial expressions. For that reason, Botox isn’t our only tool for fighting crow’s feet it’s one of several.

Preventing Wrinkles From Forming Or Deepening Around The Eyes

Wrinkle-relaxing injections with Botox and Dysport are most requested treatment for Crow’s Feet in our New Jersey offices:

Botox® and Dysport®

Botox and Dysport are well-known injectables that relax overactive muscles and soften facial expressions. Bad Botox or Dysport will freeze away all your natural movement. While freezing these muscles will prevent future wrinkles, it also creates a weird and unnatural result. Our award-winning physician injectors have mastered the art of conservative, natural-looking and natural-moving results. Our goal with these products is to soften your facial expressions which are leading to wrinkles, and thus soften those wrinkles and prevent them from worsening.

Botox can’t repair the damage that creates wrinkles, but it does prevent future damage or worsening of wrinkles. Underneath wrinkles, the skin has lost its normal support structures built of collagen and elastin. You can replace those structures with other forms of support, or you can work to rebuild that collagen and elastin. Both work well. Treatments that rebuild the support structure of collagen take longer to create a result because they rely upon your body’s own natural processes.


Dermal Fillers For Erasing Deep-Set Wrinkles Around The Eyes

Dermal fillers are the best choice for supporting wrinkled skin and smoothing away wrinkles quickly. We offer every type of FDA-Approved dermal filler at our office because each is slightly different, and having all the best products in our arsenal ensures we never sacrifice or compromise the result we can provide to our patients.

Naturally, when it comes to certain treatment areas like the crow’s feet, we have our favorites.

Restylane Refyne®

Refyne is a brand new dermal filler specially formulated to hold up to high movement areas, with a very thin, soft consistency. This is quickly becoming our go-to for Crow’s feet because it naturally matches the look and feel of the tissue and skin around the eye while lasting much longer than previous dermal fillers at least a full year.


Restylane was the very first dermal filler to be approved by the FDA and has always been one of our favorites for around the eyes because it’s not hydrophilic, meaning it won’t attract and hold onto water increasing the volume of the product over time. When you’re injecting around the eyes, that’s important because you don’t want to create puffiness or distort the area. This part of the face is all about


Vollure is a brand new dermal filler from Allergan, makers of Botox and Juvederm. We’re very excited to have a filler from Juvederm that’s less hydrophilic (doesn’t add volume to the area as time goes by, unlike other Juvederm products) and is smooth and soft like the original Juvederm.

Belotero® and Restylane Silk®

Silk and Belotero are very viscous (thin) dermal fillers that flow smoothly and move easily, replicating the same natural tissue properties of healthy skin around the eyes. This makes them good choices for those with very thin skin and fine lines that need gentle or soft support.

With all injectables, it’s important to understand that the product used is less important the skill of the provider performing that treatment. Think of it like a carpenter with his tool belt ready to build some custom cabinets for your kitchen. You don’t care whether he uses a phillips head screwdriver or a flathead screwdriver, or whether he uses a power drill or not. You care about how well the seams fit together and the quality and longevity of his work. Each carpenter may feel differently about those tools. But a master carpenter uses the tools he knows will create the best result. Our physicians are award-winning injectors, and each of them creates amazing results. They each have their own tricks and favorite tools to help them achieve those results.

If you’re ready to talk about how to treat and prevent crow’s feet, please call our office to schedule a complimentary consultation with one of cosmetic physicians.

Rebuilding Collagen And Elastin In The Crow’s Feet For Thicker, Smoother, Stronger Skin Around The Eyes

Some new injectable procedures offer collagen-building without the downtime of laser or microneedling treatments.

Nova® PDO Mesh

Nova PDO Injectable Mesh is a new product that provides immediate moderate to firm support for crow’s feet. A mesh of injectable filaments bolsters the skin in a cross-hatched pattern to create strong support. These filaments are made of PDO, a dissolving compound that stimulates new collagen production. As the filaments dissolve over 3-6 months, the body builds new collagen in their place, to create a lasting result.


Sculptra is a unique type of dermal filler that doesn’t provide immediate results but instead stimulates widespread collagen rebuilds underneath the skin. Usually, Sculptra is injected into the entire face during each treatment, to create a strong, long-lasting layer of natural support that fights against collagen loss due to aging.

Skin Tightening + Collagen-building The Holy Grail For Long-term Facial Anti-aging

There are several different types of laser and energy-based devices that work by targeting the skin’s deepest layers with heat to stimulate collagen regrowth and tightening. Ultherapy, Thermage, ThermiTight and ThermiSmooth, PrecisionTX, Fraxel Repair and Fraxel Restore, CO2 Laser Skin Resurfacing, Exilis, eMatrix and eTwo, Infini RF, iFine by Endymed, and 3Deep Intensif all provide varying levels of skin tightening and collagen regrowth. Each of these treatments is slightly different. There is a tradeoff with most of these treatments between how invasive the treatment is, how intense or long the recovery period is, and how big of a result you can expect to see from a single treatment. In general, the less invasive a treatment and the shorter the downtime, the more likely you’ll need a series of treatments to achieve the same result as you would with 1 treatment from a more intense technology.

With all of these procedures, your body has to react to the treatment before big results can be seen, which usually takes 3-6 months, with additional improvement up to a year post-treatment. The results are from your body’s own growth of new collagen and tissue, so they are long-lasting and natural-looking. Because there’s no overnight transformation with these treatments, your results won’t give away that you’ve had something done. Instead, you can expect compliments like, “You look amazing. I never noticed how bright your eyes are!”

The skin tightening and collagen-building technologies we find work best for crow’s feet are:

ThermiSmooth® AND iFine®

Both of these treatments are non-invasive, non-surgical radiofrequency treatments. There’s no downtime or numbing with these procedures. You can expect the total treatment time to under an hour, and most patients rave about how relaxing and comfortable the treatment is, likening it to “a warm massage.” Usually, patients have 2-3 treatments spaced 4-6 weeks apart to see the best results.


Ultherapy is a targeted ultrasound treatment that works similarly to ThermiSmooth for Eyes and iFine by Endymed. It sends ultrasound waves through the skin, targeting them to specific deep layers of the skin that contain collagen for tightening and new collagen growth stimulation. Ultherapy is a tad stronger than these other two treatments, so most patients require 1-2 treatments to see best results. We have several patients who are using Ultherapy as a long-term anti-aging strategy and have been doing “touch-ups” every couple of years to maintain their results. This is an ideal way to fight aging because you’re targeting exactly the signs of aging at their source and preventing wrinkles from worsening over time.

CO2 Laser Skin Resurfacing

This is an ablative fractional laser that creates amazing results from a single treatment. Ablative means this laser heats the entire thickness of the skin where it treats. Fractional means the laser does not treat the entire surface of the skin. The particular CO2 laser that we use for this treatment will treat around 85% of the skin, and it will treat that skin through all of its layers. This is the most aggressive type of laser skin resurfacing, but the results are every bit as impressive. Downtime with this laser is generally at least a week off from work and social engagements. This laser treatment is performed in our private surgical suite by our board certified plastic surgeon.


Lateral Browlift in New Jersey for an Asian PatientOftentimes, crow’s feet are made signficantly worse by a drooping brow. A browlift, in particular a lateral browlift, can resolve this issue in a more permanent and complete way. Our browlifts are performed under local anesthesia by a board certified facial plastic surgeon with a reputation for creating the most natural results. The before and after shown at left shows how effective this procedure can be.

Skincare Routine

Skincare, especially sunscreen and retinol, play a big role in preventing new wrinkles from forming. In studies on Caucasian skin types, sun damage accounted for 80% of visible aging, including the majority of wrinkle creation. There have not been sufficient studies into other skin types to determine the amount of damage caused by sun exposure, but it’s safe to say sun damage does create a very noticeable difference when it comes to wrinkles. Sunscreen with an SPF of at least 30 should be applied daily to the face prior to any commute or time outdoors to protect your skin. Retinols and Retinoids are also key components to an anti-aging skincare routine. These products are Vitamin A derivatives that have been proven to speed cell turnover and reduce wrinkles over time.

Highlight your natural beauty with treatments that offer the most natural-looking results for crow’s feet. Call us today to schedule your consultation with one of our cosmetic physicians.

Medical Director at Reflections Center

Dr. Mitchell Chasin founded Reflections Center for skin & body as a place where physicians specializing in cosmetic medicine could focus on helping empower patients to feel their most beautiful. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.