Occasionally, I come across a patient who has developed a “resistance” to Botox. Many times, the patient will respond to Botox as long as it is properly dosed. But beyond Botox, you can consider a fine injectible filler. An example would be collagen or hyaluronic acid. You may also be a candidate for upper eyelid blepharoplasty. The heaviness of excess upper eyelid skin can make crow’s feet look worse.
A blepharoplasty can help improve your appearance by removing the excess skin. You have several options from which to choose, so good luck!
Written by Dr. Halaas