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?
Botox Combined with Filler at Chin
Doctor Answers 15
Combining fillers and botox in the chin
Fillers like restylane can be very helpful to augment the chin, which often recedes with aging and bone thinning/osteoporosis. For dimpling of the chin, adding some Botox can be a great adjunctive therapy. Make sure to see an expert injector such as a dermatologist or plastic surgeon for the best treatment results. Dr. Benjamin Barankin, Toronto Dermatology Centre.
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.
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.
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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.
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.
Fillers and not botox are the best choice for this region
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.
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 to mentalis contraction, but Botox injections have to be performed cautiously in this area so as not to cause a lip droop.
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.
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.
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