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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.
An abdominoplasty is about more than removing excess skin.
Where rectus diastasis is present, the abdominal wall can be tightened by bringing the separated tissues back towards the midline. This creates a firmer internal foundation and can help improve the shape and support of the abdomen.
The procedure may also include removing excess skin and fat, reshaping the abdominal contour and repositioning the belly button where appropriate.
Every abdominoplasty is planned around the patient’s individual anatomy, concerns and goals. Not every patient will require the same elements of surgery.
Images shared with patient consent. Individual suitability, recovery and results vary. A consultation is required to discuss the most appropriate treatment for you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#Abdominoplasty #TummyTuck #RectusDiastasis #paulwilsonaesthetics
“Can surgery make me look like my filter?”
It’s a question that comes up more often than you might think.
Bringing a filtered or AI edited image to a consultation can be helpful because it shows me what you are drawn to. The difficulty is that these images often change several things at once, including the eyes, nose, brows, jawline and skin. They do not take account of real anatomy or how the face moves.
Surgery works with living tissue, so a filtered image cannot be treated as an exact blueprint. It can, however, be a useful starting point for an honest conversation about what you would like to change and what may be achieved safely and naturally.
The aim should be a result that still looks like you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#plasticsurgery #AestheticSurgery #PatientEducation #paulwilsonaesthetics
A patient journey following VASER liposuction to the neck.
These photographs show the progression from careful pre-operative planning and marking, through the early post-operative stage, to three weeks after surgery.
VASER liposuction uses ultrasound-assisted technology to target and remove localised areas of fat with precision. This can make it a suitable option for carefully selected patients seeking greater definition beneath the chin and along the neck and jawline.
At three weeks, healing is still at an early stage and some swelling may remain. The result will continue to settle and refine over the coming weeks and months. Our patient is already very pleased with her progress and the outcome so far.
Thank you to our lovely patient for kindly allowing us to share her journey.
Individual suitability, recovery and results vary. A consultation is required to discuss the most appropriate treatment for you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#VASERLiposuction #NeckLiposuction #liposuction #PatientJourney #PaulWilsonAesthetics
A heartfelt patient review, shared in her own words. ✨
At just three days post-op, our patient describes the early changes she could already see, how emotional the experience felt and the care she received at Northwood Hospital.❤️🏥
Swipe to read her full review.
Recovery and results are individual, and this patient is still at a very early stage with swelling yet to settle.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#PatientReview #Northwood_hospital #PaulWilsonAesthetics #Vaser
Three years on from breast reduction surgery ✨
Our patient has kindly allowed us to share her journey and these photographs, showing how she feels today following her procedure. It is wonderful to see her looking so happy and confident.
Breast reduction surgery can help alleviate the physical discomfort associated with disproportionately large breasts, while creating a shape that feels more comfortable and in proportion.
Thank you to our patient for allowing us to share her experience.
Every patient and outcome is individual. A full consultation is required to discuss suitability, potential risks and expected results.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastReduction #breastsurgery #patientjourney #paulwilsonaesthetics
A very enjoyable day at the joint BAAPS & ESAPS 2026 Meeting in London! 🇬🇧
These meetings are always a valuable opportunity to learn, exchange ideas and catch up with colleagues and industry partners.
It was good to spend time with the teams from VASER, MACOM and Silimed, as well as catching up with a fellow consultant friend from Truro, Cornwall.
Looking forward to the rest of the scientific programme over the next couple of days! 🩺✨
#plasticsurgery #plasticsurgeons #paulwilsonaesthetics
We do not always have the opportunity to capture the first time a patient sees the result of their surgery, but when we do, it can be incredibly special.
This patient underwent forehead reduction surgery, and this was the moment she saw her new hairline for the first time. The happiness in her reaction says everything.
Moments like this remind us that surgery can mean far more to a patient than the physical change alone.
This was an early postoperative reveal and the patients healing continued for her over the following months.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#hairlinelowering #foreheadreduction
#patientjourney
#paulwilsonaesthetics
Not every question is easy to ask.
Some can feel personal, awkward or even a little embarrassing, but they are often the questions that matter most.
A few honest answers to things patients sometimes hesitate to say out loud.
There is no such thing as the wrong question in a consultation. It is important to understand what surgery involves, what recovery may really be like and how it could affect your everyday life.
Clear, straightforward answers allow patients to consider their options properly and make decisions in their own time.
If you are considering surgery but are not yet ready for an in-person appointment, we also offer introductory virtual consultations. This can be a helpful first step and an opportunity to talk through your initial questions.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #plasticsurgery #plasticsurgeon #paulwilsonaesthetics
One result, seen from different angles.
With septo-rhinoplasty, it is important to consider how the nose sits within the whole face, not only how it looks from the side.
In this case, surgery addressed the dorsal hump and tip projection while maintaining a result that remained in keeping with the patient’s natural features.
The profile shows the change most clearly, while the oblique views demonstrate how the new shape complements this lovely patient’s natural features.
Swipe to see the result from each angle.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#rhinoplasty #septorhinoplasty #septoplasty #paulwilsonaesthetics
Weight loss affects every body differently.
For some people, the biggest change is around the face and neck. For others, it may be the upper arms, breasts, abdomen or thighs. Sometimes it is one area; sometimes several.
Surgery after significant weight loss is never one-size-fits-all. Depending on your anatomy and concerns, options may include a facelift and neck lift, brachioplasty, thigh lift, abdominoplasty or breast surgery. VASER may also be considered for targeted body contouring where appropriate.
The aim is to address the changes that weight loss can leave behind and create a treatment plan that feels right for you.
Swipe through to explore some of the areas that can be affected.
All photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#surgeryafterweightloss #weightlosssuccess #glp1 #weightlosssurgery #paulwilsonaesthetics
This lovely 30-year-old patient came to see me hoping to move from an AA cup towards natural B/C cup proportions.
Her priority was to add shape and volume while keeping the result balanced with her slim frame.
We used Vectra 3D imaging during the planning process and selected 295cc high-profile Silimed True Texture Natural-Biodiesign implants.
The photographs show her before surgery and at 12 months, once the implants had settled and the result had matured.
Implant selection is about much more than volume alone. Chest width, existing breast tissue, body proportions and the patient’s preferred look all need to be considered carefully.
Every patient and every result is different. A consultation is needed to discuss what may be suitable for you.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #PaulWilsonAesthetics
Thinking about breast augmentation? Your consultation with Mr Paul Wilson is the first step.
Mr Wilson will talk you through your goals, expectations and the options available to you. Every patient’s breast anatomy is different, so the choice of implant needs to be tailored to your individual shape, proportions and desired result. You will have the opportunity to discuss different implant types, sizes and profiles, as well as what to expect from surgery and recovery.
Vectra 3D imaging will also be used during your consultation to help visualise how different implant sizes and shapes may look on your individual frame. It’s a useful tool for discussing your options and ensuring your treatment plan is tailored to your anatomy and goals.
It’s also a chance to ask questions, understand your options and feel fully informed before making any decision—there’s no pressure to decide on the day.
To book a consultation, please contact us using the details below:
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#breastaugmentation #paulwilsonaesthetics #northwoodhospital #londonwelbeckhospital