Unusual Cleft Chin - can Botox eliminate it? (photos)

Question

I have a shallow cleft in my chin that extends from my bottom lip to nearly the end of my chin. It didn't become visually apparent until puberty, and has become more noticeable as I've aged. Now at 35, I notice that I've developed wrinkles in the cleft. I've never seen one like mine. It nearly disappears when I smile, and is most apparent when my face is at rest. 1) why did this show up when I was 15? 2) Is this as uncommon as I presume? 3) could Botox eliminate it?

Camille Cash, MD · Answer

Yes, Botox can be used to help the "orange peel" look of the skin.  Fillers may also be indicated to help soften the depression.  These treatments are done in the office with the Botox results lasting 3 to 4 months and the filler lasting approximately a year depending on the filler selected.  See an expert injector near you for treatment.

Nelson Lee Novick, MD · Answer

A few microdroplets of Botox can help to quell the muscular motion responsible for the chin dimpling and an appropriate, cohesive, resilient HA filler would further help to smooth and maintain the contour of the chin at rest and with motion. Both treatments can be peformed in the same sitting and should take no more than about a fifteen minute session to complete in experienced hands. Make sure to consult with a board certified cosmetic dermatologist, and best of luck.

Jason Emer, MD · Answer

​Treatment for chin dimpling ("pebble chin" or "orange peel") is Botox injected into the mentalis muscle. This typically gives great improvement to the appearance of the chin. Results take about 1 to 2 weeks​. I suggest getting a formal evaluation with a board-certified cosmetic dermatologist. Best, Dr. Emer​

Laura Lewman, ND · Answer

Your upward chin movement is created by a muscle called the mentalis. In some people the muscle has a sharp and wide upside-down V-shape. When the muscle contracts, it pulls sides of the chin together to create that vertical line. 1. This might have shown up at age 15 just due to development of your facial structure and musculature with puberty. 2. The chin line is not so common (this is due to your more unique muscle anatomy), but chin dimpling is very common and shows up more as we age. 3. Yes, Botox could definitely help.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

Yes Botox would be great to take care of your orange peel.  Try that first and then perhaps a bit of filler as well.  
Best of luck!

Unusual Cleft Chin - can Botox eliminate it? (photos)

Answers (5)

Answer: Mentalis muscle action

Answer: Mentalis muscle action

Answer: Botox

Answer: Botox

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Everything you need to know about Chin Filler

Our mission is to create a world where every investment in modern beauty is Worth It.

Unusual Cleft Chin - can Botox eliminate it? (photos)

Answers (5)

Answer: Mentalis muscle action

Answer: Mentalis muscle action

Answer: Botox

Answer: Botox

Browse related questions

Recommended reading

Everything you need to know about Chin Filler

Our mission is to create a world where every investment in modern beauty is Worth It.