Why don’t I see a big improvement when I have Botox injected into my crows feet?

Patients often ask me why they still don’t see a huge difference after they’ve had Botox injected in their crows feet. The development of creases within the crows feet area is not the result of a single muscle contraction of the orbicularis oculi because this muscle doesn’t control all of the creases associated with crows feet. When patients smile, crows feet creases can be seen due to elevation of the lips and cheeks and can also lend itself to the development of creases around the eyes. These creases are commonly referred to as crows feet. There can be some improvement of these creases after injecting the obituaries oculi muscle but it’s not a complete solution.