Botox Crow’s Feet

Don’t Lose Your Smile Over Crow’s Feet.

Discover How You Can Eliminate Crow’s Feet with Botox – Without Compromising Your Natural Expressions.

Botox for Crow’s Feet at a Glance

Botox is a neurotoxin that can weaken muscles and thus smooth out expression lines. Botox treatment is also well suited for laugh lines.

Botox for crow’s feet does not require local anesthesia.

The treatment involves only 3 injection points on each side and takes just a few minutes.

Possible side effects include temporary redness, swelling, or minor bruising at the injection sites. Mild nausea, vision problems, and headaches are also temporarily possible.

Botox for laugh lines requires no downtime. You can immediately resume your normal activities.

The treatment costs start from €290 (indicative price, invoicing according to German Medical Fee Schedule GOÄ).

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Botox For Laugh Lines with Dr. Eva Maria Strobl

Specialized in wrinkle treatment with Botox

Experience from several thousand treatments

Treatment exclusively by Dr. Strobl

A relaxed atmosphere in a central location in Munich

Direct accessibility for aftercare via mobile phone, chat, and email

Botox at fairly calculated costs

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Treating Under Eye Wrinkles: When and How intensively?

When Laugh Lines Turn Into Crow’s Feet

Wrinkles under the eyes, colloquially referred to as “laugh lines” or “crow’s feet,” are a sign of aging. After all, young people don’t have eye wrinkles. Young skin is elastic enough not to leave laugh lines after laughing.

However, this changes over the years: the skin becomes less elastic, and eye wrinkles appear as prominent crow’s feet. This is not inherently a problem, as laugh lines are often perceived as endearing. After all, laughter is generally associated with positivity.

But when these lines become too prominent and remain constantly visible as crow’s feet, many people find these wrinkles under their eyes bothersome. They then start questioning how they can get rid of their crow’s feet.

Laugh Lines Are a Part of Natural Facial Expressions

My answer is: Botox. Treating crow’s feet with Botox is routine today. Eye wrinkles affect the upper third of the face, a classic area for Botox application.

However, the question is whether it’s always advisable to completely remove laugh lines? After all, the eyes are the central part of the face. And the expressions of the eyes play a significant role in communication. Through our eyes, we not only see, but also “speak.”

Our interlocutors read our thoughts, wishes, and worries from our eyes. And the wrinkles under our eyes are part of the eye’s expressions. No endearing laughter exists without laugh lines. Without laugh lines, laughter does not appear genuine. It is not advisable to have the wrinkles under the eyes removed without consideration.

What Causes Laugh Lines?

When we laugh, the eye muscle, called the orbicularis oculi, contracts. It encircles the eye like a ring. Its contraction forms the characteristic eye wrinkles. In our youth, this has no consequences as the skin is still elastic enough. Even the most frequent and intense laughter doesn’t leave permanent eye wrinkles.

However, with increasing age, the skin loses elasticity. The muscle’s facial tension now leaves its marks. Wrinkles under the eyes form. Permanently. The eye wrinkles now remain constantly visible. Initially as rather light, superficial laugh lines. Over time, however, they dig deeper and deeper into the skin and one day become bothersome crow’s feet.

Preventing Crow’s Feet with Botox

Anyone wishing to preserve their youthful appearance for as long as possible can prevent crow’s feet with Botox. Depending on the strength of the facial muscles, it is recommended to consider this from the late twenties or early thirties. The natural facial expressions are not turned off, but only slightly reduced to lessen the tension on the skin. The formation of laugh lines can still occur, but the development into bothersome crow’s feet is delayed.

Dynamically Smoothing Laugh Lines

I treat eye wrinkles in my patients in a way that doesn’t completely suppress their natural expressions. As spontaneously occurring laugh lines, they have a sympathetic appeal, and I aim to preserve them as such.

On the other hand, what I want to avoid is a distant, frozen laughter. The kind that rightfully earns the label of “Botox laughter.” This occurs when people try to completely “inject away” crow’s feet using Botox.

Moderate Use of Botox for Crow’s Feet

Therefore, I advise my patients to use Botox for wrinkles under the eyes in moderation. The goal I pursue is to dynamically evoke laugh lines around the eyes. This means that laugh lines become visible only when one is genuinely laughing, and otherwise remain absent.

The skin appears smooth with a neutral expression. However, when laughing, it naturally folds around the eyes, which adds to its charm. I am highly focused on preserving naturally occurring facial lines that contribute to a sympathetic expression, rather than eliminating them at any cost. In my opinion, this is an important factor that is often overlooked.

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Standard procedure for removing crow’s feet with Botox: 3 injection points around the corner of the eyes.

The Treatment Process

Treating crow’s feet with Botox follows a standardized five-step procedure in my practice in Munich. Patient safety and the quality of the results are always my top priorities. Since no face is the same as another, I allocate sufficient time for each patient and plan the approach on an individual basis.


The first step involves a detailed discussion of the initial situation and the patient’s aesthetic goals. What is the desired outcome? Is the goal realistically achievable? What are the costs involved? What are the risks? If all questions are satisfactorily answered, the patient then signs a consent form for the treatment and a fee agreement, which clearly outlines the costs. Surprises are excluded. This step typically takes 15–30 minutes during the initial appointment.

Local Anesthesia

Local anesthesia is usually not necessary for injecting Botox into crow’s feet. However, if desired, I can certainly apply a lidocaine cream beforehand to provide local numbing.

Cleaning & Disinfection

Thorough cleansing and disinfection of the treatment area are essential to prevent bacterial infections. Therefore, traces of makeup and other impurities must be removed. Following that, I disinfect the face using a skin-friendly disinfectant.


Injecting Botox into crow’s feet is a quick procedure, typically taking less than a minute. The standard protocol involves three injections on each side of the corner of the eyes. This is sufficient to visibly smooth out crow’s feet using Botox.


After the injection, we take a moment to examine the results together in the mirror, ensuring that everything is satisfactory and meets the expectations. We then schedule a follow-up appointment in 14 days for a check-up. If any complications arise between the treatment and the follow-up appointment, please contact me immediately. You have my phone number for prompt communication.

Other Treatment Options

Augmenting Crow’s Feet with Hyaluronic Acid

As an alternative to Botox, Hyaluronic Acid (HA) is at the forefront of treating crow’s feet. Injecting HA is similarly straightforward and equally effective. In cases of a high presence of static wrinkles and sagging tissues, HA can even yield better results than Botox. For deeply engraved crow’s feet, HA becomes the preferred treatment. However, it is important to note that the price range for HA treatment, in my practice in Munich at €450-€550 (indicative price, billing according to GOÄ), is higher than that of Botox.

PDO Thread Lift

Reducing wrinkles with PDO threads is just as simple. In this procedure, 2 to 3 threads are placed beneath the skin in the temple area. The treatment is performed under local anesthesia. The mechanical tension of the threads lifts the tissues and can therefore reduce eye wrinkles. Additionally, the threads stimulate collagen synthesis and rejuvenate the tissues, making PDO thread lift a regenerative approach. However, it should be noted that the price range for crow’s feet PDO thread lift is at around €500-€700 (indicative price, billing according to GOÄ), thus higher than the cost of Botox.

Peeling, Laser, or Microneedling

Chemical peeling or laser treatments can address milder wrinkles under the eyes. Microneedling, with or without Platelet-Rich Plasma (PRP), can also target early-stage crow’s feet. However, multiple sessions are usually required for satisfactory results, typically spaced 4 to 6 weeks apart, regardless of the method chosen.

What Does Botox for Crow’s Feet Cost?

Botox for under eye wrinkles (crow’s feet) in my practice in Munich costs approximately €280-€350 (indicative price, billing according to GOÄ). If the standard protocol for eye wrinkles, as described above, is applied, the quoted price range is generally reliable. Since the 50 units of toxin in one vial are not fully consumed for crow’s feet alone, it is advisable to consider a combined treatment of forehead or glabella in the same session. Please note that neither public nor private health insurance providers will reimburse the costs of Botox for crow’s feet.

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About the Author:

Dr. med. univ. Eva Maria Strobl is the owner of LIPS and SKIN Aesthetic Medicine practice in Munich. She is a trained specialist in general medicine (MedUni Vienna) and has over 10 years of specialization in non-surgical aesthetic procedures. Dr. Strobl is a member of the German Society for Aesthetic Botulinum Therapy e.V. (DGBT), the German Society of Anti-Aging Medicine e.V. (GSAAM) and of Network Global Health. She publishes regularly on her blog and on DocCheck.

Sources of this Article:

Sommer et al, Botulinumtoxin in der ästhetischen Medizin, Thieme
Sattler, Bildatlas der ästhetischen Botulinumtoxin-Therapie, KVM

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