Alexander went on to work with Ringling Brothers and Barnum & Bailey. At Madison Square Garden in the 1960s, ladies were so shocked by his face he was ordered off the stage. He later worked with the Clyde Beatty Circus. He later started his own sideshow company. Alexander had 72 operations throughout his life to repair his face, all were unsuccessful. Eventually, he decided the remaining years of his life were not best spent behind the mask. He died in 1997.