Toxin for some reason doesn’t work on me. I recently had soft fillers around the eyes and that made minimal difference. Is there any other treatment you would recommend? My practitioner can’t understand why it doesn’t work because I still have muscle movement.

Hiya, editor Georgia here. It could be that you are resistant to the drug (botulinum toxin), but this is really quite rare. Manufacturer clinical trials showed that no more than 1.5% of patients develop ‘neutralising antibodies’, and the figures are something like 1 in 10,000 that it doesn’t work for. Usually, if the treatment doesn’t work, it can be because of the dosage (not everyone’s the same, and some people need a higher dose) or the dilution of the product. You could try another practitioner if yours perhaps isn’t quite so experienced. Toxin and fillers around the eyes will usually do different things (sometimes both are an option for the same indication), so this could be why you haven’t seen much of a result with your concern. I’d suggest finding a new practitioner and starting afresh with whatever your concern is – you don’t mention exactly what it is that bothers you about your eyes – and they can use their best judgement about what’s most likely to work.