I have developed an immunity or a strong resistance to Botox A. What are my other options for crow’s feet? I don’t think Botox B is an option in my area.

Answer:

I have occasionally come across a patient who has developed a Botox “resistance” however, the patient usually responds if it is properly dosed. Beyond Botox, a fine injectable filler, like collagen or hyaluronic acid, works well also. You could also be a candidate for upper eyelid blepharoplasty because the excess upper eyelid skin can make crow’s feet worse. This heavy excess skin can be removed with a blepharoplasty to improve your appearance. You have many options to choose from.