Crow's Feet
Crow's feet are the fine lines that fan out from the corners of your eyes — most visible when you smile or squint. These periorbital wrinkles respond well to neuromodulators, and Dr. Borakowski can add collagen-rebuilding treatments when lines have become etched into the skin.
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Lines that show when you smile, soften when you don't — and grow into something more permanent. Treatment routing for the dynamic-then-static path, physician-led in Scottsdale, AZ.
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Fine Lines Fanning From the Eyes
Crow’s feet — sometimes called laugh lines — are the fan-shaped fine lines and wrinkles that radiate from the outer corners of your eyes. Years of facial expressions, sun exposure, and the natural aging process slowly change them from dynamic lines that appear only when you smile to static lines that stay visible at rest. Most of us notice crow’s feet in photos before we notice them in the mirror.
At Desert Bloom, Dr. Natalya Borakowski, NMD begins every crow’s feet assessment with a single question: are your lines still purely dynamic, or have they started to settle into the skin? That answer determines whether the plan is a neuromodulator alone, a neuromodulator paired with RF microneedling, or — for deep, etched wrinkles with significant photodamage — a resurfacing escalation.
Crow’s feet are one concern within the broader family of wrinkles we address at Desert Bloom, alongside frown lines and forehead lines. All three route back to the anti-aging hub.
At a Glance
Scope. Most crow’s feet plans start with a neuromodulator — Botox, Dysport, or Daxxify — to relax the orbicularis oculi and soften the fan pattern. Once lines become etched at rest, RF microneedling rebuilds periorbital collagen; CO2 laser resurfacing is reserved for deep wrinkles with significant photodamage. Current pricing for each treatment is on our price list.
Provider & candidacy. Dr. Borakowski, NMD oversees all crow’s feet treatment planning. Neuromodulators are appropriate across a wide range of skin types; RF microneedling and CO2 resurfacing are screened case by case. Active periorbital infection, pregnancy, breastfeeding, and certain neuromuscular conditions are contraindications.
Downtime & how to start. Neuromodulators carry no downtime; RF microneedling involves 24–48 hours of redness; CO2 resurfacing requires 7–10 days of recovery. A 30-minute consultation maps which approach fits your specific presentation.
What Are Crow’s Feet?
Crow’s feet are the wrinkles that spread outward from the outer corners of your eyes. They begin as dynamic wrinkles — visible only when you smile, squint, or laugh — and gradually develop into static wrinkles that remain when your face is fully at rest.
The skin around the eyes is the thinnest on the face, with minimal subcutaneous fat and fewer oil glands than any other region. That’s why the delicate eye area shows fine lines and wrinkles earlier than the forehead or cheeks. The outer corners move with almost every facial expression — blinking, smiling, even reading in bright light — and each contraction of the orbicularis oculi slowly folds the upper layers of skin along the same lines. Over time, collagen production slows, elastin breaks down, and those folds settle into visible creases.
We classify crow’s feet in two stages because the stage decides the treatment. Dynamic crow’s feet only appear with movement — address the muscle and the appearance of lines improves dramatically. Static crow’s feet have become etched into the skin itself — the muscle contribution is still there, but now there’s structural damage underneath. Most patients arrive somewhere in between, and a careful assessment during your consultation reveals exactly where you stand.
What Causes Crow’s Feet?
Crow’s feet are a natural part of the aging process, but a handful of specific factors decide how early they appear and how deep they become. In climates like Scottsdale — intense UV, low humidity, frequent squinting — the aging process around the eyes tends to move faster than it would elsewhere.
- Repeated facial expressions. Every smile, squint, and blink contracts the orbicularis oculi. The outer corners of the eye form a fold that, over years, turns into a crease. Because you blink roughly 15,000 times a day, even the act of seeing is slowly etching fine lines around the eyes.
- Sun exposure. UV radiation accelerates collagen breakdown and damages elastin in the skin around the eyes. Premature aging of the periorbital area is common in sunny climates — especially when sunscreen application stops at the cheekbones and the eye area goes unprotected.
- Collagen and elastin loss. Starting in the mid-20s, collagen production drops by roughly 1% per year. Elastin — the protein that lets skin spring back after movement — also degrades with age and UV exposure. The thinner skin around the eyes shows this loss sooner than anywhere else on the face.
- Lifestyle choices that accelerate aging. Smoking starves skin cells of oxygen and damages elastin. Poor sleep, an unbalanced diet low in antioxidants, and dehydration all contribute to premature aging. Dry skin and chronic irritation make lines more visible even before they fully form.
- Genetics. Skin type, thickness, and how your facial muscles move are inherited. Some people develop crow’s feet in their late 20s; others don’t notice deep wrinkles until their 40s. Your genetics set the baseline — your lifestyle and sun habits determine how quickly you reach it.
- Not wearing sunglasses. Constant squinting in bright light is one of the most preventable contributors to crow’s feet formation. A good pair of polarized sunglasses protects the thin eye skin from UV and prevents the squinting motion that drives dynamic wrinkles in the first place.
Dynamic Crow’s Feet
Appear only when you smile, squint, or laugh. The muscle contracts, folds the skin, and the crease disappears when your face relaxes. These are static wrinkles in the making — not yet etched into the dermis.
- When visible: only in motion
- Typical age: late 20s to mid-30s
- What’s happening: orbicularis oculi contraction folding thin periorbital skin
Static Crow’s Feet
Stay visible even when your face is completely at rest. Collagen and elastin loss have etched the lines into the skin itself. The muscle contribution is still present, but the structural damage is now the larger problem.
- When visible: at rest and in motion
- Typical age: mid-30s onward (earlier with sun damage)
- What’s happening: collagen loss + elastin breakdown — deep wrinkles etched into skin
Best Treatments for Crow’s Feet
We choose between treatment options based on whether your crow’s feet are still dynamic, have become static, or have reached the deep, etched stage with surrounding photodamage. The decision is rarely about one product being better — it’s about matching the right approach to the stage of the line. Below: the three neuromodulators for dynamic lines first, then the two resurfacing approaches for static and deep wrinkles.
Botox — Precise First-Line
Best for
Dynamic crow’s feet that appear only in motion. First-time patients who want conservative titration before committing to anything longer-lasting.
What makes it distinct
Predictable 3–4 month duration lets Dr. Borakowski dial in dosing around the thin periorbital zone — typically 4–8 units per side — without locking in an effect for half a year. The botulinum toxin relaxes the orbicularis oculi at precise points, softening the fan pattern without altering your natural expressions.
Choose this if
You’re new to neuromodulators, or you want the standard, most-studied option for lateral canthal lines.
Dysport — Broader Spread
Best for
Dynamic crow’s feet that fan widely across the temple. Patients who have tried Botox and want to compare diffusion profiles.
What makes it distinct
Dysport diffuses slightly more broadly from each injection point than Botox — which many providers find useful when the crow’s feet pattern spreads into a wider fan. Same botulinum toxin mechanism, different spread characteristic. Duration is similar to Botox at 3–4 months.
Choose this if
Your crow’s feet are wide and you or your provider prefer a slightly broader diffusion. The decision is often made during consultation based on your line pattern and treatment history.
Daxxify — Six-Month Duration
Best for
Established neuromodulator users who want to reduce how often they come in. Six-month duration often meaningfully reduces annual visit frequency for crow’s feet maintenance.
What makes it distinct
A PEG-peptide carrier extends the duration of daxibotulinumtoxinA to approximately six months — roughly double a standard Botox cycle. It solves the same dynamic-line problem but fits patients who want longer intervals between procedures.
Choose this if
You’ve already confirmed that neuromodulator works well for your crow’s feet. Not the best starting point for first-time patients — conservative dosing is harder to fine-tune when effects last months rather than weeks.
When crow’s feet remain visible at rest between neuromodulator cycles, the plan needs to evolve beyond muscle management. These two procedures address the structural damage that botulinum toxin cannot reach.
Beyond these five featured options, adjunct care is chosen case by case: SkinVive by Juvéderm as a hyaluronic acid skin booster for thin, dehydrated periorbital skin; the Unicorn Facial (PRX-T33 chemical peel) for gentle resurfacing and skin quality; iontophoresis to drive brightening actives into the delicate eye area; and Elluminate Mini for overall skin maintenance around the eyes. These refine results — they don’t replace a neuromodulator or RF microneedling as the primary answer for crow’s feet.
Compare All Treatment Options
A side-by-side look at the five featured crow’s feet treatments — what each does best, how it works, how many sessions to expect, and what recovery looks like.
| Feature | Botox | Dysport | Daxxify | RF Microneedling | CO2 Laser |
|---|---|---|---|---|---|
| Best for | Dynamic crow’s feet — first-line | Dynamic crow’s feet — wider spread | Dynamic crow’s feet — fewer visits | Static lines, collagen loss, periorbital texture | Deep etched crow’s feet, photodamage |
| Mechanism | Botulinum toxin — relaxes orbicularis oculi | Botulinum toxin — slightly broader diffusion | Daxibotulinumtoxin A — extended-duration neurotoxin | RF energy + microneedles — stimulates collagen production | Fractional ablation — removes damaged skin cells, deeper remodeling |
| Sessions typical | Every 3–4 months | Every 3–4 months | Every 5–6 months | Series of 3, 4–6 weeks apart | 1 session (significant recovery) |
| Downtime | None | None | None | 24–48 hrs redness | 7–10 days recovery |
| Fitzpatrick range | All skin types | All skin types | All skin types | Screened case by case | Screened case by case |
How to Prevent Crow’s Feet
You can slow crow’s feet significantly with a consistent skin care routine — but nothing short of addressing the muscle itself prevents them entirely. What prevention does is buy you years, and keep dynamic lines from transitioning to static ones sooner than they need to. The single most effective step is daily sun protection, applied to the eye area specifically.
- Wear sunscreen every day — including around the eyes. A sun protection factor of 30 or higher, reapplied, is non-negotiable for slowing periorbital aging. Most people apply SPF across the cheeks and forehead and completely miss the eye area — the exact zone where wrinkles develop first.
- Wear sunglasses outdoors. Polarized, UV-blocking lenses protect the thin periorbital skin and prevent the squinting reflex that drives dynamic wrinkles. In Arizona’s light intensity, this is a real intervention, not a cosmetic accessory.
- Use topical creams that have evidence behind them. A nightly retinol or prescription tretinoin is the most well-studied topical for fine lines and wrinkles — it promotes collagen production and thickens the upper layers of skin over months. Peptides and antioxidant serums (vitamin C) support that work. Most over-the-counter eye creams hydrate and temporarily plump the skin but do not change underlying structure; a moisturizer still reduces how deep existing wrinkles appear by keeping the skin hydrated.
- Quit smoking. No skincare product can outpace the damage smoking does to elastin and skin microcirculation. Smoking directly accelerates the formation of fine lines and deep wrinkles, including crow’s feet.
- Support your skin through diet, sleep, and hydration. A balanced diet rich in antioxidants, plenty of water, and enough sleep all contribute to skin health and slow premature aging. These aren’t dramatic interventions — they’re the conditions under which your skin best maintains itself.
- Consider early, low-dose neuromodulator before lines become static. For individuals with strong orbicularis activity, preventative botulinum toxin in the early 30s can meaningfully delay the transition from dynamic to static wrinkles. The goal isn’t a frozen appearance — it’s preventing the lines from getting ahead of the skin’s recovery capacity.
Apply SPF around the eyes with a clean fingertip or cotton swab — not by spreading sunscreen across the face with your palms. The delicate eye area stings badly when product migrates in, which is the real reason people stop protecting it. Use a mineral SPF formulated for the eye area, or apply with a light tapping motion and let it dry before opening your eyes fully.
Safety, Skin Type, and Candidacy
Most people who are bothered by crow’s feet are good candidates for at least one of the options on this page. The right starting point depends on whether your lines are dynamic or static, your skin type and Fitzpatrick number, your treatment history, and any active conditions we need to screen for. Dr. Borakowski reviews all of this before any recommendation is made.
Neuromodulators (Botox, Dysport, Daxxify): Not appropriate during pregnancy or breastfeeding. Contraindicated with active periorbital infection, a recent herpes zoster (shingles) outbreak near the eye, or diagnosed neuromuscular disorders (myasthenia gravis, Eaton-Lambert syndrome). Accutane use within the past 6 months affects RF microneedling and resurfacing candidacy — discuss with Dr. Borakowski at your consultation.
Drooping eyelids (ptosis) or excess upper-eyelid skin: If your primary concern is eyelid skin that sits on your lashes or significantly impairs your vision, that is usually a surgical question — blepharoplasty or a plastic surgery referral — not a crow’s feet treatment. We screen for this and will tell you honestly if a referral is the better path.
Active skin flare or infection: Any active periorbital rash, infection, or inflammatory condition defers all laser and injection procedures until the area is stable.
Why Patients Choose Desert Bloom for Crow’s Feet
Dr. Natalya Borakowski is a Naturopathic Doctor with more than 20 years of clinical experience in aesthetic medicine. Her approach to crow’s feet — and to every plan at the clinic — is to match the procedure to the problem rather than default to a single answer for everyone. That means evaluating muscle activity, skin thickness, line depth, your Fitzpatrick type, and your long-term goals before any recommendation is made.
For most patients, the plan starts conservatively: a neuromodulator to address the dynamic component, with clear language about what to expect and when it makes sense to add a collagen-stimulating procedure. Not to erase your expressions — to keep them yours as your skin ages on its own terms. Learn more about Dr. Borakowski →
“With crow’s feet, the question is almost never whether to treat — it’s recognizing when the lines have stopped being purely dynamic. That’s the moment the plan needs to evolve, and that recognition is what I protect for my patients.”
Frequently asked questions
At what age do crow’s feet usually start?
Most people notice their first dynamic crow’s feet between the late 20s and mid-30s — these are the fine lines that appear only when smiling or squinting. Static wrinkles that stay visible at rest typically develop in the mid-30s onward, earlier for people with significant sun exposure, fair skin, or strong orbicularis muscle activity. Genetics plays a meaningful role: some people develop deep wrinkles around the eyes a decade earlier than their peers.Can crow’s feet be prevented completely?
No. Because crow’s feet are driven by natural facial expressions and the inevitable aging process, they cannot be completely prevented. What you can do is slow their development: daily sun protection factor 30+, polarized sunglasses, a nightly retinol or tretinoin, and a balanced skin care routine all contribute. For people with strong orbicularis activity, early conservative neuromodulator use can delay the transition from dynamic to static lines by several years — but some degree of crow’s feet formation is inevitable.Do eye creams and retinol actually work on crow’s feet?
Prescription tretinoin and well-formulated retinol products improve fine lines and wrinkles over several months by stimulating collagen production in the upper layers of skin. Peptides and antioxidant serums (vitamin C) support that process. Most over-the-counter eye creams hydrate and temporarily plump the skin surface but do not change underlying structure. A moisturizer still matters — dry skin makes existing wrinkles look deeper — but topical creams are part of a care routine, not a substitute for in-clinic procedures when lines are already etched.How many units of Botox are needed for crow’s feet?
Typical dosing is 4 to 8 units of Botox per side, though the exact amount depends on orbicularis muscle strength and how wide the fan pattern spreads. Dr. Borakowski starts conservatively in first-time patients and adjusts at the two-week follow-up if needed. Patients who have had botulinum toxin before generally have a known dose that works for them; new patients build that history over the first one or two treatment cycles.What’s the difference between dynamic and static crow’s feet?
Dynamic crow’s feet appear only when you smile, squint, or laugh — they’re created by orbicularis oculi muscle movement and respond well to botulinum toxin (Botox, Dysport, or Daxxify) alone. Static crow’s feet stay visible when your face is fully at rest because collagen and elastin loss has etched the wrinkles into the skin structure. Static lines need both a neuromodulator (to address the muscle) and a collagen-stimulating procedure such as RF microneedling (to address the structural damage).Does RF microneedling hurt around the eyes?
The periorbital area is sensitive, so a topical numbing cream is applied for 45 minutes before the procedure. Most patients describe the sensation as a firm prickling with heat — uncomfortable but manageable. There’s mild redness and tenderness for 24 to 48 hours afterward. The periorbital skin heals quickly; most people are back to their normal routine within two days. Results from the collagen production process develop gradually over the following 3–6 months.When is CO2 laser resurfacing better than RF microneedling for crow’s feet?
CO2 resurfacing is reserved for deep crow’s feet with significant periorbital photodamage — when wrinkles are truly etched and the surrounding skin shows texture irregularities, pigment changes, or sun-damaged tone. RF microneedling is the right choice for moderate static lines with less downtime, and for patients who prefer a gradual collagen-building approach. The key difference is depth and recovery: CO2 removes damaged skin cells and reaches deeper collagen remodeling, but requires 7–10 days of real recovery. RF microneedling is more incremental and needs a series of procedures; CO2 is more assertive and typically done in a single session.Book Your Crow’s Feet Assessment in Scottsdale
A crow’s feet consultation at Desert Bloom takes about 30 minutes. Dr. Borakowski will assess whether your lines are still dynamic, whether static wrinkles have developed, and which combination of treatment options makes sense for your skin type, history, and goals.
There’s no pressure to proceed with a procedure on the same day — a good consultation sometimes ends with clarity and a plan, not a needle. If early prevention is your goal, that conversation is just as valuable as any treatment.
References
- “Efficacy and Safety of Botulinum Toxin Type A in the Treatment of Lateral Crow's Feet.” Dermatologic Surgery. 2009. DOI
- “Safety and efficacy of administering abobotulinumtoxinA through a single injection point when treating lateral periocular rhytides.” Journal of Cosmetic Dermatology. 2011. DOI
- “Commentary on Phase 3 Study of OnabotulinumtoxinA Distributed Between Frontalis, Glabellar Complex, and Lateral Canthal Areas.” Dermatologic Surgery. 2019. DOI
- “Comparison of safety and efficacy of two brands of botulinum toxin A for the treatment of lateral canthal lines (crow's feet): A split-face study.” Journal of Cutaneous and Aesthetic Surgery. 2023. DOI
- “Microneedling With RF-Assisted Skin Penetration Improves the Hard-to-Treat Periorbital Wrinkles: Nonrandomized Clinical Trial.” Journal of Cosmetic Dermatology. 2024. DOI
- “Effectiveness and safety of nonablative fractional laser and infrared bipolar radiofrequency for treating periorbital wrinkles.” Journal of Cosmetic and Laser Therapy. 2022. DOI
Individual results vary. Botox, Dysport, and Daxxify are FDA-approved neuromodulators; use for crow’s feet is either on-label (Botox for lateral canthal lines) or off-label depending on the specific product and dosing. All procedures discussed on this page are medical and carry some risk of bruising, swelling, asymmetry, or other side effects. Dr. Borakowski reviews the complete list of potential risks during your consultation.
Content reviewed by Dr. Natalya Borakowski, NMD · Last updated April 2026.
Treatments
- Botox in Scottsdale, AZ | Cost, Areas & Results | Desert Bloom$10.50/unit15 min
- CO2 Laser Resurfacing$150060 minutes
- Daxxify Injections Near Me | Cost & Units | Scottsdale AZ$6/unit15 min
- Desert Skin Reset — 3-Step Facial Program29945 minutes and up and up
- Dysport$3.5/Unit15 minutes
- Laser facial$27560 minutes
- Microneedling$495120 minutes
- Non-Surgical Facial MasculinizationOn demand60 min
- Non-surgical Facial FeminizationOn demand60 and up
- RF Microneedling$80090 and up
- SKINVIVE by JUVÉDERM$65060 min
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