The Causes of Crow's Feet and its Treatment, and Why Facelifts Don't Address Them

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A lady is aware that crow’s feet line can be addressed surgically and non-surgically, but wants to know if a facelift can improve this area with repositioning of muscle and skin.

New York Oculoplastic surgeon Amiya Prasad, MD, reviews this question in this video, explaining the cause of crow’s feet lines, and the best way to address them:

0:51 - Dr. Prasad’s background training and expertise in treating facial aging and advanced treatment of areas around the eyes
1:17 - How people have the natural instinct to pull the face to improve the crow’s feet, and ask the surgeon to do the same, but it doesn’t quite work that way
1:34 - How crow’s feet have two key elements: the activity of muscles around the eye, and laxity of skin around the eyes
2:01 - How crow’s feet are caused by the obicularis oculi muscle around the eye, with the traditional treatment being Botox or similar neurotoxins to stop the muscle from contracting
2:42 - How static lines in this area are treated with laser treatment to tighten the dermis
3:07 - How if a person has eyebrow ptosis that contributes extra skin to these lines, this would be lifted with a brow lift
3:21 - How in the past before modern treatments, the muscle used to be cut out to prevent crow’s feet lines, although it is not widely done today
3:50 - How since multiple factors contribute to crow’s feet, a facelift will not directly treat it
4:01 - How a facelift treats descending cheeks and jowls, so the lifting effect doesn’t directly address crow’s feet
4:15 - How a higher facelift incision in the hairline can help crow’s feet a little, but still doesn’t directly address it and flatten the area
4:37 - How Dr. Prasad would regularly prescribe Botox for crow’s feet, platelet-rich plasma to improve the skin in this area, and laser resurfacing
5:10 - How a facelift is about the mid to lower face, and not the upper face where the crow’s feet lines are
5:22 - How a brow lift can indirectly treat redundant skin that contribute to crow’s feet lines
5:36 - How the core cause of crow’s feet are the muscle which can be treated with Botox, and the skin quality that can be improved with laser treatment and platelet-rich plasma (PRP)


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