1
Pre‑operative Preparation
Setup
Prepare the patient and skin before Botox injection.
- Cleanse the periocular skin thoroughly
- Apply topical numbing cream for 20–30 minutes to reduce discomfort
- Mark injection sites along the lateral canthus where crow’s feet wrinkles radiate
2
Dosage and Dilution
Recommended
Determine the appropriate Botox dose for crow’s feet.
- Typical dose: 6–15 units per side
- Dilute Botox with preservative‑free saline (standard dilution 2.0–2.5 mL per 100 units)
- Use a 30–32 gauge fine needle for precision
3
Injection Technique
Critical
Deliver Botox into the correct anatomical level.
- Inject at 3–4 points lateral to the eye
- Depth: intradermal to superficial intramuscular (targeting orbicularis oculi fibers)
- Angle: 90° for intramuscular, 45° for subcutaneous placement
- Avoid diffusion into zygomaticus major to preserve smile symmetry
4
Immediate Post‑Injection Care
Minimize bruising and ensure patient comfort.
- Apply gentle pressure to injection sites for 1–2 minutes
- Use cold compress if needed to reduce swelling
- Do not massage or rub treated areas
5
Post‑operative Instructions
Safety
Advise the patient on activities to avoid after treatment.
- Avoid strenuous sports or exercise for 24 hours
- Do not lie flat or bend excessively for 4–6 hours
- Refrain from alcohol consumption on the same day
- Avoid sauna, hot baths, or heat exposure for 24–48 hours
- Monitor for side effects such as bruising or asymmetry
Sources:
✨ In summary: Botox for crow’s feet involves careful preparation, precise dosing (6–15 units per side), and superficial intradermal/intramuscular injections at the lateral canthus. Proper aftercare—including avoiding exercise, alcohol, and heat exposure—ensures optimal cosmetic results and minimizes complications.