Crow's feet, medically known as lateral canthal lines or periorbital wrinkles, are fine lines and wrinkles that radiate from the outer corners of the eyes. They develop primarily through repeated contraction of the orbicularis oculi muscle during smiling, squinting, and other facial expressions. Because the delicate skin around the eyes is thinner than skin elsewhere on the face and has fewer oil glands, it is particularly susceptible to wrinkling from expression, sun exposure, and aging.
3 min read · Last updated: 2026-02-08 · Reviewed by Dr. Julia Tzu , MD, FAAD, FACMS
At a Glance
- Crow's feet form from repeated contraction of the orbicularis oculi muscle during smiling and squinting [2]
- The skin around the eyes is thinner than elsewhere on the face, making it more prone to wrinkling [1]
- Botulinum toxin injections can temporarily relax the muscles that cause crow's feet [3]
- Sun protection with sunglasses and sunscreen may help slow the development of periorbital wrinkles [4]
What are the symptoms of Crow's Feet?
- Fine lines radiating from outer eye corners
- Lines that fan outward when smiling or squinting
- Creases visible even when face is at rest (in advanced cases)
- Crepey or thin skin texture around eyes
- Deeper folds extending toward temples
- Loss of smooth skin appearance around eye area
When should you seek care for Crow's Feet?
- Interest in cosmetic treatment options
- Desire to reduce the appearance of eye wrinkles
- Wanting professional guidance on eye-area products
- Concerns about rapid progression of periorbital aging
- Interest in preventive treatments
- Interest in botulinum toxin treatments
Have questions about crow's feet? Our team is here to help.
What causes Crow's Feet?
- Repeated orbicularis oculi muscle contraction (smiling, squinting)
- Natural thinning of periorbital skin with age
- Cumulative sun exposure and UV damage
- Collagen and elastin degradation
- Loss of subcutaneous fat around eyes
- Reduced moisture retention in delicate eye-area skin
How are Crow's Feet treated?
We offer a service to help manage this condition: Botox .
Prognosis
- Crow's feet respond well to botulinum toxin treatment
- Results from neurotoxin injections typically last 3 months around the eyes
- Earlier treatment may help prevent lines from becoming deeply etched
- Combination of treatments often yields best results
- Consistent sun protection helps slow progression

Julia Tzu, MD, FAAD, FACMS
Triple board-certified cosmetic and surgical dermatologist · Manhattan's Financial District
Trained at Stanford, Johns Hopkins, Penn & NYU
✓ Delicate dosing that preserves a natural smile
The skin around the eyes is thin and delicate, and those muscles shape your smile. With more than 15 years of experience in cosmetic dermatology, Dr. Julia Tzu treats crow's feet with injection plans built around your facial movement, so the lines soften without changing the way you smile.
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Sources & References
This article draws from 5 peer-reviewed sources.
Government & Research
- [5] PMC – Dynamic Periocular Wrinkle Patterns
Medical Institutions
- [1] Mayo Clinic – Wrinkles Symptoms and Causes
- [2] Cleveland Clinic – Wrinkles & Fine Lines: Types, Causes & Prevention
- [3] Cleveland Clinic – Treatments to Reduce Wrinkles
Educational & General
- [4] AAD – Wrinkle Remedies
Medically reviewed by Dr. Julia Tzu , MD, FAAD, FACMS · Last reviewed: 2026-08-31
Medical Dermatology | Cosmetic Dermatology | Mohs Surgery
World-Class Cosmetic & Surgical Dermatologist in NYC
Julia Tzu, MD, FAAD, FACMS — Financial District, New York
Frequently asked questions
What are crow's feet, and why do they form?
At what age do crow's feet typically appear?
When should I see a dermatologist about crow's feet?
Which treatments work well for crow's feet?
Do eye creams help reduce crow's feet?
How can I prevent crow's feet from getting worse?
What is Microtox?
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