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Charis Aesthetics

Treating crow's feet

The lines at the outer eye — why keeping some of them is usually right, and why the ones under your eye need a different treatment entirely.

Written and clinically reviewed by Ashleigh Trickett, Registered Nurse & Aesthetic PractitionerNMC 22A2789ELast reviewed

Crow's feet fan out from the outer corner of the eye when you smile or squint, produced by the orbicularis oculi, the muscle that circles the eye. They are among the first lines most people notice on themselves, among the most responsive to treatment, and among the easiest to overtreat.

Why they appear earlier than other lines

The skin around the eye is the thinnest on the face — a fraction of the thickness of the cheek — with very few oil glands and a muscle underneath that contracts constantly. Every smile, every squint, every bright day folds it in the same place.

Add sun exposure, which is concentrated here because we squint against it, and you have the conditions for early lines regardless of how well you look after your skin.

Why not to remove them completely

The eyes carry most of what people read as warmth in a face. A genuine smile — a Duchenne smile — involves the muscle around the eye, and that crinkle is a large part of how sincerity is recognised.

A face that smiles with the mouth and not the eyes reads as flat or insincere, even when the viewer cannot articulate why. This is the area where I most often recommend less than the person asks for, and where softening rather than erasing gives the better-looking result.

When it is not a muscle problem at all

Fine crepey lines under the eye, visible when your face is completely still, are usually skin quality rather than movement — thin, sun-damaged, dehydrated skin. Muscle relaxation will not do much for those, and treating them that way is a common source of disappointment.

Polynucleotides are usually the better answer under the eye, because they improve the density and quality of the skin rather than stopping it moving. Skin boosters and gentle microneedling also help.

Distinguishing the two is straightforward in clinic: lines that only appear on smiling are muscle, lines present at rest are skin. Most people have some of each.

Dosing and the brow

The outer eye is close to the muscles that support the brow tail. Product placed too high or too medially can drop the outer brow, which reads as a heavy or slightly sad expression.

This is why the treatment is placed laterally and why the dose is modest. It is also why I review at two weeks: adding a small amount is easy, and removing it is not possible.

What helps besides injections

Sunglasses, genuinely. A great deal of the squinting that etches these lines is avoidable.

Daily SPF around the eye, which most people skip. A retinoid formulated for the eye area, used carefully. And treating the skin quality directly, which is what makes the result hold rather than needing ever more frequent treatment.

Sources and further reading

This page is general information, not personal medical advice. Every treatment needs an individual assessment, and what is right for someone else may not be right for you.

Ashleigh Trickett in the Charis Aesthetics treatment room, in front of the clinic's certificates

About the author

Ashleigh Trickett

Registered Nurse & Aesthetic Practitioner

Registered Nurse with a BSc in Nursing and a PGCert in Critical Care (Manchester Metropolitan University, 2025). Ten years in the NHS, four of them in critical care. Advanced facial anatomy education at the Royal College of Surgeons with BAMAN, June 2026. Member of BAMAN and the Aesthetic Complications Expert Group. BAMAN Awards 2026 finalist for Rising Star of the Year.

Treatments this relates to

  • Anti-Wrinkle InjectionsFrom £180

    Wrinkle-relaxing treatment for the frown, forehead and crow's feet — dosed to soften movement, not remove it.

  • PolynucleotidesFrom £195

    Regenerative injectable treatment that works on skin quality — hydration, elasticity and firmness — rather than adding volume.

  • Skin BoostersFrom £140

    The category explained — what a skin booster is, how the options differ, and how to work out which one you actually need.

Common questions

How long does crow's feet treatment last?
Usually three to four months. The muscle is active, so this area sometimes wears off slightly sooner than the frown.
Will it help the lines under my eyes?
Only partly. Under-eye crepiness is usually a skin-quality problem and responds better to polynucleotides or skin boosters. Lines that only appear when you smile are the ones that respond to muscle relaxation.
Will my smile look strange?
Not if it is dosed properly. The aim is softening while keeping the eye crinkle that makes a smile read as genuine. I will usually recommend less than you might expect here, for that reason.
Can I start treatment in my twenties?
You can, and for someone with strong movement and early etching it can be reasonable. It is not right for everyone at every age and I will give you an honest view rather than sell you a course.
Why did my brow feel heavy afterwards?
Usually product affecting the muscles supporting the brow tail. It resolves as the treatment wears off, and it informs how I dose you next time — tell me if it happened.

Get in touch

Book a consultation

Consultations are £30, and that comes off the cost of your treatment if you go ahead. No pressure to book anything on the day — if you are not sure whether you want treatment at all, that is still a good reason to come and talk.