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There’s nothing like Botox for treating crow’s-feet, those little lines that hover on the outer corner of each eye. These lines are known as dynamic wrinkles, or wrinkles in motion, and their existence is related to the constant movement of that part of the face And like I said earlier, Botox is, without question, the treatment of choice for any type of movement-induced wrinkling. Plastic surgery does nothing for crow’s-feet but pull them tighter and collagen injections will make them appear softer when the patient isn’t animated, but daily facial expressions will bring them back in no time. As for treating them with lasers, you will see an improvement but it comes at the price of two weeks of recovery time and a risk of permanent changes in your pigmentation.A fatty deposit under the eyes is best treated with surgery but I’ve found that a lot of patients, particularly those who are past forty years old, mistake a bulge right under their eye for fat. This bulge is actually an overworked muscle and believe it or not, a touch of Botox injected there will soften it. As bizarre as it sounds to inject your eye with Botox, it is very safe to do so. The only consequence is that this can round out the eye shape. (Some of my Asian patients actually consider this to be a perk.) The bottom line is: if you love your almond-shaped eyes then I wouldn’t recommend this for you.*51\82\8*

These exercises are very beneficial in promoting a general feeling of well-being and relaxation. In fact, they combine a mixture of hypnotic induction and yoga with reassuring suggestions about inner calmness. These exercises can be learnt under the auspices of the Council of Adult Education, at the Cairnmillar Institue, and elsewhere.

A useful adjunct to this type of treatment is the series of tape-recordings put out by the Australian College of Recorded Education in Sydney. One of their medi-talk series is called, for example, ‘How to relax’.

Hospitalization. Occasionally, a patient requires hospitalization for the treatment of a severe skin disorder. Not infrequently, children with bad eczema require five to ten days in hospital to bring their condition under control and help their mothers learn to manage.

Many other skin disorders subside dramatically following hospitalization. This no doubt is due to a change in environment and the escape from the daily stresses and strains, as well as to the psychological effect of the patient turning himself over to physicians and nurses, who then fulfil the role of parent substitutes.

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