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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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VASER liposuction or traditional liposuction? It’s a question we’re asked a lot.
Both can be effective options for removing unwanted fat and improving body shape, but they work in different ways. VASER uses ultrasound energy before the fat is removed and can allow for more detailed contouring. Traditional liposuction may be more suitable when larger areas or volumes need to be treated.
There isn’t one option that is right for everyone. Your anatomy, skin quality, treatment area and the result you’re hoping to achieve all need to be considered.
During your consultation, Mr Paul Wilson will talk you through the options and recommend the approach best suited to you.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#VASERLiposuction #Liposuction #Vaser #BodyContouring #PaulWilsonAesthetics
Preservation rhinoplasty is about refining the nose while preserving its natural character and key structures where appropriate.
This lovely patient is 29 years old and is now 18 months post surgery. Her result shows a smoother bridge and a more refined tip, creating a softer, more balanced profile while keeping everything in harmony with her face.
Most importantly, she’s delighted with her result.
Swipe to view the result from another angle and learn more about preservation rhinoplasty.
Every rhinoplasty is planned individually following consultation.
Images shared with the patient’s full consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#preservationrhinoplasty #rhinoplasty #rhinoplastybeforeandafter #paulwilsonaesthetics
Before and immediately after preservation rhinoplasty.
These operating-theatre photographs show the change in profile directly after surgery. The bridge has been carefully refined while maintaining a natural shape that remains in keeping with the rest of the face.
Preservation rhinoplasty uses techniques designed to retain as much of the nose’s natural structure as possible while making the planned changes to its shape.
At this stage, swelling is already present and will continue to change during recovery, so this should not be viewed as the final result.
As with any rhinoplasty, the surgical plan is tailored to the individual patient’s anatomy and the changes they would like to achieve.
Images shared with patient consent. Individual results will vary.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#PreservationRhinoplasty #Rhinoplasty #NoseSurgery #PaulWilsonAesthetics
A refreshed, natural result at six months.
This lovely 69-year-old patient came to see me hoping to improve the signs of ageing around her eyes, cheeks, jawline and neck, while still looking like herself.
She underwent a face and neck lift, upper and lower eyelid blepharoplasty, dermal fat grafting to the upper eyelids to improve hollowing, and silicone cheek implants to add support through the mid-face.
At her six-month review, she was delighted with the outcome, and I am very pleased with how naturally everything has settled.
Images shared with the patient’s full consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#FaceAndNeckLift #deepplanefacelift #Blepharoplasty #FacialRejuvenation #paulwilsonaesthetics
A change in volume, while still keeping the result in proportion.
Breast augmentation is about much more than simply choosing a size. Implant width, profile and projection are all considered alongside the patient’s existing breast tissue, chest width and personal preferences.
The aim for this patient was to add volume and upper pole fullness while creating a shape that complemented her frame.
Every patient is different, which is why every surgical plan is individual.
Images shared with patient consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #BreastSurgery #PaulWilsonAesthetics
Choosing to have surgery is a big decision, so feeling listened to and supported throughout the process really matters.
Thank you to this patient for taking the time to share such kind feedback about her body contouring experience with Paul and the team. It is always lovely to know that a patient felt informed, reassured and in safe hands from their first consultation onwards.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BodyContouring #PatientReview #PatientExperience #PlasticSurgery #PaulWilsonAesthetics
Two different operations, planned to create one balanced result.
This lovely patient came to see me with significant developmental breast asymmetry and a tuberous breast appearance. It had understandably affected her confidence, particularly when choosing bras and swimwear.
Her aim was for both breasts to look and feel as similar as possible. As each breast required a different approach, the surgery was carefully planned to achieve a more balanced result.
The surgical plan:
◽ Left breast: subfascial augmentation using a 315cc Silimed silicone implant
◽ Right breast: augmentation and reduction mastopexy using a 225cc implant, with 375g of breast tissue removed
I always explain that improving breast shape means accepting scars. These will continue to settle with time.
At six months, I am very pleased with the balance we have achieved and, most importantly, she is delighted with her result.
Images shared with the patient’s kind permission. Individual results vary.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAsymmetry #BreastAsymmetryCorrection #TuberousBreast #BreastAugmentation #paulwilsonaesthetics
Made it to Northwood on two wheels this morning 🚴♂️
Most of the team here are quite used to seeing me arrive by bike. I cycle into work whenever I can, as it’s a great way to enjoy some fresh air, fit in a little exercise and start the day feeling energised.
Now for a quick change out of the Lycra and on with the working day!
#paulwilsonaesthetics #cycletowork
Only three appointments remaining.
Once these appointments have been filled, you can request to join our priority cancellation list.
Meet Consultant Plastic Surgeon Mr Paul Wilson at Northwood Hospital, Bristol, on Saturday 12th September.
These complimentary 15–20 minute introductory appointments offer an opportunity to meet Paul, discuss the surgery you are considering, ask initial questions and understand the next steps.
This is an introductory appointment rather than a full clinical consultation. Advance booking is essential.
To request one of the remaining appointments:
DM us
WhatsApp: 07414 163133
Office: 0117 332 1585
Email: info@paulwilsonaesthetics.co.uk
#PaulWilsonAesthetics #NorthwoodHospital #Bristol #AestheticSurgery #PlasticSurgery
A result worth revisiting.
Photographed just over two months following a deep plane facelift and neck lift, this result shows a fresher, more supported appearance without changing the patient’s character.
The surgery addressed the cheeks, early jowling and neck, creating a smoother transition through the lower face and jawline.
With the patient’s short hairstyle, the area around the ears is particularly visible, making the discreet appearance of the incisions an important part of this result.
The aim of facelift surgery is not to create a different face. It is to help the patient look refreshed while still looking like themselves.
What would you most like to know about deep plane facelift surgery?
Shared with patient consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#DeepPlaneFacelift #NeckLift #FaceliftResults #NaturalResults #PaulWilsonAesthetics
Considering aesthetic surgery and unsure where to begin?
Join us at Northwood Hospital, Bristol, on Saturday 12th September for a complimentary 15–20 minute introductory appointment with Consultant Plastic Surgeon Mr Paul Wilson.
With extensive experience across facial, breast and body surgery, Paul offers a considered and individual approach to every patient.
You are welcome to discuss procedures including:
• Rhinoplasty
• Facelift and facial surgery
• Facial implants
• Hairline lowering
• Breast surgery
• Abdominoplasty and body contouring
• VASER liposuction
• Arm and thigh lifts
This relaxed one-to-one conversation provides an opportunity to meet Paul, ask initial questions, discuss whether the procedure may be appropriate for you and understand the next steps in your surgical journey.
This is an introductory appointment rather than a full clinical consultation.
Appointments are available between 10am and 2pm. Advance booking is essential, and a limited number of appointments are available.
To request an appointment:
WhatsApp: 07414 163133
Office: 0117 332 1585
Email: info@paulwilsonaesthetics.co.uk
Or send us a DM.
Please include the procedure you are considering and whether you would prefer a morning or afternoon appointment.
#PaulWilsonAesthetics #NorthwoodHospital #Bristol #AestheticSurgery #PlasticSurgery
Choosing a surgeon for rhinoplasty involves more than considering the procedure itself. Experience, surgical approach, aftercare and the wider clinical team all form part of the decision.
Mr Wilson has more than 30 years of experience in facial surgery, including extensive experience in rhinoplasty. His practice has evolved from structural rhinoplasty to also incorporating preservation techniques, allowing the surgical plan to be adapted according to the patient’s anatomy and individual concerns.
A significant proportion of his rhinoplasty practice also involves secondary or revision surgery. These procedures are often more complex because the nasal structure may have already been altered by previous surgery, making careful assessment and detailed planning particularly important.
Patients undergoing surgery at Northwood Hospital are supported by an experienced surgical, anaesthetic and nursing team throughout their treatment journey. From the initial consultation and pre-operative assessment to surgery and long-term follow-up, the aim is to provide continuity of care within one clinical setting.
Ultimately, choosing a rhinoplasty surgeon is a personal decision. Patients should feel comfortable asking about experience, techniques, expected outcomes, limitations, risks and aftercare before deciding whether to proceed.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk