Best treatment for Chin dimpling and marionette lines?

My chin (and hands but that's another story) is what somewhat gives my age away. What is the best treatment? Restylane, Juvederm, Botox/Dysport or a combination?  Restylane SubQ or Perlane?

I live in Melbourne, AU and it's expensive so I don't want to needlessly spend money, not to mention I don't want to have to go through bruising more than once.

Could you let me know how long such injections are expected to last? I am not overweight and do not have any sagging skin.

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6 answers to “Best treatment for Chin dimpling and...”

A: Botox is great for chin dimpling

Andrew Miller, MD

I have used Botox for chin dimpling for years and it is extremely easy and usually provides great results. For the marionette lines, you can use a multitude of fillers, and usually the goal is to find the one that works best and lasts the longest for you.  I prefer Juvederm or Radiesse, but several others... more

A: My choice? Botox and Radiesse or Evolence

Mary Lupo, MD

For chin dimpling, I use Botox into the mentalis. It is less likely to diffuse than Dysport, so the risk of lip asymmetry is reduced. For marionette, I combine Botox into the DAO and either Evolence or Radiesse to reshape the area. These are my choices because they are more stiff and structural than HA fillers... more

A: Don't settle for inferior products.

Kenneth D. Steinsapir, MD

 Dear Julie I prefer a combination approach to the chin area.  Fillers are fantastic for the DAO area (prejowl sulcus) and the chin.  Dimpling can also be benefited with fillers as well but a little BOTOX is also helpful.  In terms of fillers, I favor Perlane because it will last up to a... more

A: Six units of Botox are great for chin dimpling.

George J. Beraka, MD

Hi!   Botox has to be injected just in the right place to avoid problems with lip motion, but it works well and lasts 4 months, and should not cost much since it is just a few units. For marionette lines, both Restylane and Juvederm work well.  Use whichever your doctor is most experienced with... more

A: Marionette Line, Chin Rejuvenation...What is Best Treatment?

Michael A. Persky, MD

Hi Julie Good day.  Fillers such as Radiesse, Evolence, Restylane, and Juvederm are all excellent products to restore volume to the marionette lines, chin, and pre-jowl area.  If your skin is dimpling (like an orange peel), then a little Botox would be beneficial. The best thing that you... more

A: More informatin needed.

Scott E. Kasden, MD

The injectable fillers are not permanent, so you will have to go through multiple procedures for upkeep. Depending on your facial proportions, including jaws/teeth, you may do well with a chin inplant. The marionette lines can be helped with fillers, but you may do better with a lower face lift.  Other... more

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