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Crow’s feet are a common concern affecting the delicate skin around the eyes. They typically appear as fine lines that fan outwards from the outer corners of the eyes, becoming more noticeable when smiling, laughing, squinting or making other facial expressions.
For many people, crow’s feet develop gradually as part of the natural ageing process. Others may notice them earlier due to genetics, frequent sun exposure, repeated facial expressions or changes in skin quality. Their appearance varies from person to person, ranging from fine lines visible only during movement to deeper wrinkles that remain apparent even at rest.
At Paul Wilson Aesthetics, crow’s feet treatment begins with a detailed assessment of your skin quality, facial muscle activity and overall facial balance to determine whether wrinkle-relaxing injections are the most appropriate treatment option for your concerns.
About
Crow’s feet are fine lines and wrinkles that form at the outer corners of the eyes. They develop primarily because of repeated contraction of the orbicularis oculi, the circular muscle surrounding each eye that enables blinking, squinting and smiling. Over time, this repeated movement, combined with the natural ageing process, gradually creates visible lines in the overlying skin.
Crow’s feet can present in different ways. Some people notice them only when making facial expressions, while others develop wrinkles that remain visible even when the face is relaxed. They may also occur alongside thinning skin, reduced elasticity and other age-related changes affecting the eye area.
Unlike forehead lines or frown lines, crow’s feet are located specifically at the outer corners of the eyes and are primarily dynamic wrinkles, meaning they are caused by repeated muscle movement. As the skin loses collagen and elasticity, these dynamic lines can gradually become static wrinkles that remain visible even when facial muscles are at rest.
Causes
Crow’s feet usually develop due to a combination of repeated muscle activity, age-related skin changes, and environmental factors that affect the delicate skin around the eyes.
Ageing is one of the main reasons crow’s feet become more noticeable. Over time, collagen and elastin production decline, skin elasticity reduces, and the skin around the eyes becomes thinner and less resilient.
As the skin loses its natural support, the fine lines created by repeated facial expressions become more noticeable and are increasingly likely to remain visible even when the face is relaxed.
Every smile, laugh, blink, and squint causes the muscles surrounding the eyes to contract. Over many years, these repeated movements fold the skin in the same areas, gradually forming expression lines that deepen.
Ultraviolet (UV) exposure accelerates the breakdown of collagen and elastin, contributing to the development of fine lines and wrinkles. Combined with environmental factors such as pollution, this can cause crow’s feet to appear earlier or become more pronounced. Squinting in bright sunlight also increases muscle activity around the eyes, further contributing to the formation of wrinkles.
Genetics also play an important role in when crow’s feet appear and how noticeable they become. Factors such as skin thickness, facial anatomy and natural muscle activity can all influence the development of wrinkles around the eyes.
Smoking, dehydration, inadequate sleep and overall skin health can all affect the appearance of the skin around the eyes. While these factors do not directly cause crow’s feet, they may accelerate skin ageing and make existing lines more prominent.
Treatment
Treatment may be considered when crow’s feet become more noticeable, remain visible even when the face is relaxed, or affect the overall appearance of the eye area.
As crow’s feet are largely driven by repeated muscle movement, skincare products alone are unlikely to significantly improve established dynamic wrinkles. Many people seek treatment when the lines begin to persist at rest or when smiling and squinting create creases that no longer fully soften afterwards.
A professional assessment allows Mr Paul Wilson to evaluate the factors contributing to your crow’s feet, including skin quality, muscle activity and overall facial harmony, before determining whether wrinkle-relaxing injections are an appropriate treatment option.
Options
At Paul Wilson Aesthetics, the treatment option for crow’s feet is wrinkle reduction injections. This non-surgical approach targets the underlying muscle activity responsible for the lines, rather than focusing solely on the skin’s surface.
Wrinkle reduction injections work by temporarily reducing the activity of the muscle responsible for creating crow’s feet. By limiting repeated muscle contraction, treatment may soften the appearance of existing dynamic wrinkles around the eyes while helping to prevent them from becoming more pronounced over time.
Treatment is performed using a series of carefully placed injections around the outer corners of the eyes. The procedure is relatively quick, with most appointments taking only a few minutes once your consultation and assessment are complete. Most patients describe the injections as causing only mild, brief discomfort, and anaesthetic is not usually required. There is typically no downtime, allowing most people to resume their normal daily activities afterwards.
Every treatment plan is tailored to the individual. The number and placement of injections are determined by factors such as your facial anatomy, muscle activity and the severity of your crow’s feet. The aim is to soften wrinkles around the eyes while maintaining natural facial expression and movement, creating a refreshed yet natural-looking result.
EXPECT
Results from crow’s feet treatment vary from person to person. Outcomes depend on factors such as the depth of your wrinkles, your skin quality, muscle activity and your individual response to treatment.
For suitable patients, wrinkle reduction injections may soften the appearance of crow’s feet and dynamic wrinkles around the eyes while preserving natural facial expression. Results typically begin to develop within a few days, with the full effect usually seen around two weeks after treatment.
The effects are temporary and generally last around three to four months, although this varies between individuals. As muscle activity gradually returns, repeat treatments may be considered to help maintain the result. The aim is to achieve a softer, more natural appearance.
Surgeon
Mr Paul Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience and over 16 years as a Consultant Plastic Surgeon. He specialises in facial, breast and body aesthetic surgery, with a particular interest in rhinoplasty, facial rejuvenation and complex revision surgery.
In both his NHS and private practice, Mr Wilson is known for his patient-focused approach, careful surgical planning, and commitment to achieving balanced, natural-looking results tailored to each individual.
Choose Us
At Paul Wilson Aesthetics, your care is grounded in safety, expertise and surgical integrity. Surgeries are performed by Mr Paul Wilson, an accredited Consultant Plastic and Reconstructive Surgeon with dual qualifications in medicine and dentistry.
His background in complex reconstructive surgery ensures a meticulous, anatomically driven approach, where patient safety and functional outcomes are always prioritised. Every treatment plan is personalised and carefully planned using advanced imaging technology to provide a clear, realistic understanding of what can be achieved.
From your initial consultation through to recovery, you are supported with a transparent, considered approach that focuses on realistic expectations rather than overpromising outcomes. Mr Wilson’s aesthetic philosophy centres on restoring and refining rather than altering, ensuring results that feel balanced and authentically you.
Supported by a dedicated team, you can expect a seamless, attentive patient experience where your concerns are heard, your questions are answered, and your care is tailored at every stage of your journey.
FAQ
Smiling naturally causes the muscles around your eyes to contract, which creates temporary expression lines. When you’re younger, these lines disappear as the skin springs back into place. As collagen and elastin decline with age, the skin becomes less resilient, allowing these lines to become more noticeable and, eventually, remain visible even when you’re not smiling.
Most people describe the injections as causing only mild, brief discomfort. A very fine needle is used, and treatment usually takes just a few minutes. Anaesthetic is not typically required, and most patients return to their normal activities immediately afterwards.
Results generally begin to develop within a few days, with the full effect usually visible after around two weeks. Treatment typically lasts for approximately three to four months, although the duration varies between individuals depending on factors such as muscle activity and metabolism.
Protecting your skin from UV exposure, maintaining a consistent skincare routine and supporting overall skin health may help slow the development of crow’s feet. However, once dynamic wrinkles are established, non-invasive measures alone are unlikely to significantly reduce their appearance because they do not address the underlying muscle activity.
There is no specific age at which crow’s feet develop. Some people notice fine lines in their late twenties or thirties, while others do not develop them until much later. Genetics, sun exposure, facial expressions and skin quality all influence when crow’s feet become noticeable.
Crow’s feet often begin as dynamic wrinkles that appear only during facial expressions. Over time, repeated muscle movement and age-related changes in the skin can cause them to become static wrinkles that remain visible even when the face is relaxed.
Schedule your consultation
Patients choose Paul Wilson Aesthetics for a combination of surgical expertise, honest guidance and a highly personalised approach to care. To get started, book a consultation with Mr Wilson at Northwood Hospital, Bristol, or the London Welbeck Hospital, where he will assess your concerns, discuss your goals and determine whether wrinkle reduction injections are the most appropriate option for you.
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Discover behind-the-scenes moments, patient transformations, expert tips, and the latest in surgical treatments – all in one place.
To accommodate our regional patients prior to the upcoming seasonal break, Mr Wilson will be hosting his final clinic dates of the year in Bristol, Plymouth and Newport.
These dates are primarily designated for scheduled post-operative reviews and pre-arranged consultations, with limited availability for additional appointments.
To arrange an appointment or confirm specific times, please contact our clinic coordinator team via the link in our bio, direct message or the details below.
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #newport #devon #bristol
You’ve heard of a tummy tuck, but what about a reverse tummy tuck?
This patient had a breast lift with implants (augmentation mastopexy), alongside a reverse abdominoplasty—a combination of breast and abdominal surgery often known as a “mummy makeover”.
A reverse abdominoplasty addresses loose skin above the belly button. The skin is lifted upwards, with excess skin removed through incisions along the folds beneath the breasts.
She’s very pleased with her results, and so am I. For some patients, the difference goes beyond what we see in the photographs. Feeling more comfortable in their body and in the clothes they wear can make a real difference to everyday life.
Individual results vary. All surgery carries risks, which are discussed at consultation.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#mummymakeover #abdominoplasty #breastaugmentation #mastopexy #paulwilsonaesthetics
Breast reduction or breast lift? What’s the difference?
It’s a question that often comes up when someone is unhappy with the shape or position of their breasts.
A breast lift, or mastopexy, removes excess skin and reshapes the breast tissue to lift the breasts and reposition the nipples. A breast reduction also removes breast tissue to make the breasts smaller, usually with a lift as part of the procedure.
The right choice depends on more than appearance. We discuss whether you want to be smaller, how the weight of your breasts affects you, and what you hope to achieve.
These photographs show this patient’s mastopexy result from the front and side.
At consultation, we can talk through which approach suits your anatomy and goals, including the scars and recovery involved.
Individual results vary.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#PaulWilsonAesthetics #Mastopexy #BreastLift #BreastReduction
What haunts a plastic surgeon? Sometimes, it is a few familiar words.
“My partner thinks I should have it done.”
“This will fix everything.”
“Just one more little change…”
And occasionally:
“Of course I’ll rest… I’ve just got the school run and the house to clean.”
This Halloween, we’re opening the book on the conversations behind these familiar phrases. Whose decision is it? What do you hope surgery will change? When is it time to pause? And have you really made room for recovery?
Each deserves time, honesty and understanding.
You don’t need to arrive at a consultation with perfect answers. Bring your questions, your expectations and anything you feel unsure about.
Nothing to hide. Everything to discuss.
Wishing you a lovely Halloween weekend.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #PatientCare #plasticsurgeon #paulwilsonaesthetics
Swipe to see the before & after in motion →
The art of subtlety ✨
Revisiting this preservation rhinoplasty result.
This lovely patient wanted to soften the dorsal hump on her bridge while maintaining a natural appearance in harmony with her features.
Preservation rhinoplasty aims to retain as much of the nose’s existing anatomy as possible. In suitable patients, the bridge can be lowered by modifying the supporting structures beneath it, rather than removing the hump directly from above.
The aim: a subtle refinement that respects the individual character of the face.
Procedure: Preservation rhinoplasty
Anaesthetic: General
Hospital stay: One night
Every nose is unique. The surgical approach is tailored to each patient’s anatomy and goals.
Individual results and recovery vary.
Photo shared with patients kind consent .
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#preservationrhinoplasty #rhinoplasty #paulwilsonaesthetics
Your surgical team is here to protect you, never to judge you.
An open, honest conversation about your health, medications and lifestyle is an important part of preparing for surgery and planning your recovery.
Whether it’s smoking, weight-loss injections (GLP-1s), HRT or difficulties wearing your prescribed compression garment, please tell us. These details help us tailor your care, reduce avoidable risks and support your recovery.
Even if something feels uncomfortable to mention, we’re here to listen and help.
If you have questions about preparing for surgery or your aftercare, my team at Paul Wilson Aesthetics is here to guide you every step of the way.
🔗 Tap the link in our bio to learn more or to book a confidential consultation.
📍 Consultations: Bristol • Plymouth • Newport • London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #patientcare #paulwilsonaesthetics
It was a pleasure to catch up with my lovely patient this week, 16 months after her deep plane facelift and neck lift with me.
This reel follows her journey from before surgery to six weeks post-op, and then to her recent review.
Early results are only part of the story. At six weeks, healing is still underway. As swelling settles and the tissues heal, the result can continue to soften and refine.
We are both delighted with how her result has settled.
Every patient’s recovery is different. These photographs show one patient’s experience;
Healing takes time, and patience is an important part of the process. Results evolve over months as swelling settles and tissues soften. Giving yourself that time allows you to appreciate how your result settles, beyond the early stages of recovery.
Photos shared with patients kind consent.
📍 Consultations: Bristol • Plymouth • Newport • London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
🌐 paulwilsonaesthetics.co.uk
💳 0% finance options available.
#DeepPlaneFacelift #Facelift #NeckLift #FaceliftRecovery #paulwilsonaesthetics
I’m pleased to announce that I will be offering monthly specialist consultations at The Erme Clinic in Plymouth, beginning on Friday 27 November.
This new clinic will make it easier for patients across Devon and Cornwall to meet with me closer to home and discuss options for face, breast and body surgery.
Each appointment will be a full, personal consultation, allowing time to discuss your concerns, explore the appropriate options and ask any questions you may have.
Consultations will take place in Plymouth, with surgery undertaken at Northwood Hospital in Bristol.
At Paul Wilson Aesthetics, patients receive consultant-led care throughout their surgical journey, with comprehensive support and aftercare from our experienced dedicated team.
All surgery is subject to a full consultation and individual assessment.
My team and I look forward to welcoming you to our Plymouth clinic.
For more details or to arrange a consultation, please contact our team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
🌐 paulwilsonaesthetics.co.uk
💳 0% finance options available for selected procedures, subject to status, eligibility and terms.
#Plymouth #Devon #Cornwall #PlasticSurgery #paulwilsonaesthetics
OPEN RHINOPLASTY
Before and immediately after an open rhinoplasty I performed at Northwood Hospital, Bristol .
Our aim was to reduce the height of the nasal bridge and address a slight deviation, improving the symmetry of the patient’s nose while maintaining breathing function.
The after photograph was taken immediately following surgery in theatre. Swelling is present at this stage, and the result will continue to develop as healing progresses.
Both the patient and I are pleased with how healing is progressing and the results so far.✨
Individual results vary.
Photos shared with patients kind consent.
For more details, contact our team:
📱 Enquiries: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
#OpenRhinoplasty #Rhinoplasty #rhino #PaulWilsonAesthetics
As we approach our first birthday since opening Northwood Hospital, it’s wonderful to receive feedback like this from a patient who underwent a deep plane facelift and neck lift with me. ✨
Choosing to have surgery is a big decision, so knowing that she felt supported and well cared for throughout her experience means a great deal to me and the whole team.
Thank you for taking the time to share your experience with us.
Swipe to read more of our patients review 🤍
For more details, contact our team.
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
#patientfeedback #deepplanefacelift #paulwilsonaesthetics #patientcare
“What if I regret it?” is a completely understandable question when considering permanent surgery.
Careful planning is an important part of hairline lowering surgery. The position and shape of the new hairline need to suit the patient’s facial proportions, existing hairline and hair density.
Our lovely patient is shown before surgery and 12 months afterwards. The aim was to create a softer, lower hairline that still looked natural and individual to her.
For more information about hairline lowering surgery with Mr Paul Wilson at Northwood Hospital, Bristol,please contact our team:
📱 Enquiries: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
Photos shared with patients kind consent.
#HairlineLowering #HairlineLoweringSurgery #PaulWilsonAesthetics #foreheadreduction
ANNOUNCEMENT
More flexibility when planning your surgery.
We are pleased to announce that Paul Wilson Aesthetics has partnered with Chrysalis Finance, giving eligible patients the option to spread the cost of their surgery through monthly payments.
Finance options are now available for surgery with Paul Wilson at Northwood Hospital, Bristol and The London Welbeck Hospital.
For more details, contact our team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
Subject to status, eligibility and terms.
#PaulWilsonAesthetics #northwood_hospital #LondonWelbeckHospital #PlasticSurgery
WATERMANS BAY LIMITED trading as Paul Wilson Aesthetics is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. WATERMANS BAY LIMITED is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated.