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Botox Combined with Filler at Chin

asked 1 year ago by Victoria watson
Latest answer by Ronald Shelton, MD
Question viewed 685 times
Tags: chin, candidate, crease, labiomental

I have restylane filler done to augment my chin 1 month ago. However, I can still see my labiomental crease and would like to have botox injection to my mentalis. Is it a good choice for me?

14 answers to Botox Combined with Filler at Chin

+1

Botox for a Chin Crease?

Hi Victoria. It sounds like your injector did the right thing by using dermal fillers for the crease in your chin (labiomental crease). With that said, it's possible that not enough product was used to completely remove the crease. It's also possible that the crease is too deep to correct with dermal fillers. In either case, we do not think you should expect any improvement using Botox. It's not designed to solve the issue you have. more
Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon

www.celibre.com

+1

Restylane is great for smile folds

If your restylane is finished in the chin, you can go back to treat the smile folds. This is not an unusual condition.
Ronald Shelton, MD

Manhattan Dermatologist
+1

Combination of Botox or Dysport with Filler for Chin Augmentation

Botox or Dysport is effective for dimpling of the chin by treating the mentalis muscle. It’s not likely to have much of an effect on the labiomental crease. A deep labiomental crease is often associated with a “deep bite” or “underbite”. Reducing the depth of the crease significantly with any filler is usually of limited value.
Amiya Prasad, MD

New York Oculoplastic Surgeon
+1

Recommend Against Botox with Filler at Chin

I would reccommend against using Botox with Restylane filler in this area. Poor mobility of the mentalis muscle may cause you some problems with lip movement.
Richard Galitz, MD

Miami Facial Plastic Surgeon
+1

Fill in chin crease or use Botox

Botox to the mental crease will relax the mentalis muscle and a line or wrinkle in that area but will not add volume to the crease itself. If you want to fill in the crease, consider a thicker filler like Juvederm Ultra Plus or Perlane.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Fillers and not botox are the best choice for this region

I would recommend using one of the highly effective hyaluronic fillers in this area either the Juvederm Ultra or the Ultra Plus. Another alternative would be Radiesse for this region. Botox is not a good choice for this area as it will not effect the labio-mental crease. You should get some improvement by the fillers however it may not completely resolve your problem. Sometimes an improvement to the area is the best that can be achieved with fillers. Best regards!
Michael Elam, MD

Orange County Facial Plastic Surgeon

michaelelammd.com

+1

Treatment of labiomental crease

The labiomental crease can be improved with a dermal filler, such as hyaluronic acid fillers (Juvederm, Restylane or Perlane) or Radiesse. Botox is used to relax muscles and to treat dynamic wrinkles and folds, that is folds that appear when the face is animanted and disappear when it is at rest. Since the labiomental crease is a static fold, meaning it is present when the face is at rest, Botox would not improve it. Botox can be used on the chin to relax puckering due... more
Emily Altman, MD

Short Hills Dermatologic Surgeon
+1

Botox injections of the mentalis and the depressor anguli oris muscle combined with filler materials may be the best option for

Botox injections of the mentalis and the depressor anguli oris muscle combined with filler materials may be the best option for enhancing the lip/chin complex. In any case an evaluation must be performed before proceding.
Edward Lack, MD

Chicago Dermatologist
+1

Botox and fillers to the chin

Botox to the mentalis muscle would help if you have puckering or wrinkling of the chin overlying the mentalis, but it will not correct your labiomental crease. That crease is best improved with injection of filler. When the labiomental crease is deep set, it will likely improve with filler, but not be completely gone.
Anita Patel, MD

Beverly Hills Plastic Surgeon
+1

Botox and filler for chin augmentation

I like the combination of botox and filler for chin augmentation. The botox relaxes mentalis which may help with chin projection and also may result in the filler lasting longer. HA fillers for the labiomental crease.
Michael Weinberg, MD

Toronto Plastic Surgeon
+1

Bottom should not add any benefit

I don't think that using botox would solve your problem. I agree with those that said that Radiesse would be a better choice for this or the combination of Radiesse and a HA filler over it.
Jo Herzog, MD

Birmingham Dermatologist

www.brookwooddermatology.com

+1

Botox for labiomental crease

Botox blocks the impulses from the nerve to the muscle, thus paralyzing the muscle. Therefore,It is of no use in filling your labiomental crease. Also, it seems unnecessary to inject Botox into the mentalis inasmuch as you already have injected a filler (unless you still have wrinkles in the chin). The most effective way of improving the appearance of that area is with a filler injected into or below the muscle. For that purpose, Radiesse, Juvederm Ultra Plus and Perlane... more
Eugene Mandrea, MD

Chicago Dermatologist
+1

Radiesse is Best for the Labial-Mental Crease

I find that Radiesse is the best treatment for the labial-mental crease. For really deep lines, Juvederm or Restylane can be layered on top of the Radiesse-treated area. The unique viscosity and elasticity of Radiesse allows it to be molded to minimize irregularities in contour. It is injected deeper, beneath the skin and will generate more volume to create a much better lifting effect for sagging skin. Botox would not be effective for this area. see video
Mitchell Schwartz, MD

South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

+1

Botox might not be your best choice

We usually recommend a combination of Juviderm and Radiesse to decrease the labial-mental crease. Botox has little effect on the l-m crease. The l-m crease is the hardest area to improve and maintain improvement because of the complicated anatomy of the area. It is created by a combination of the interplay of multiple multiple muscle groups as well as sag of the cheeks. The mentalis muscle has little effect on the n-l fold. Dr. Mayl Fort Lauderdale
Nathan Mayl, MD

Fort Lauderdale Plastic Surgeon

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