Dimples after Chin Implant? (photos)

Question

Hi Doctors. I'm about 3 weeks post-op chin implant. Recovery went smooth. The only issue is, I've developed two dimples, one in particular is quite big. I've never had dimples before. Are these likely permanent and if so, is there anything that can be done about them? Does it point to any other potential issues such as mentalis strain that should concern me? I should note, I literally had no chin bone before, as you can see from my pre-op xray, so the implant was quite big. 8mm silastic to be exact.

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​

George Volpe, MD · Answer

It often takes a number of months before tissue surrounding a chin implant settles down. There can be swelling, bruising, scarring and other issues that may cause early undesirable effects that resolves with time. Also, dissolvable stitches placed under the skin can sometimes cause irregularities to the contour of the skin for a time. Discuss concerns with your plastic surgeon. He or she may advocate maneuvers such as massage to speed up the resolution process.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. You're early in your recovery. This may improve with time. If it does not simple in office fat grafting may improve this dimple. Best wishes.

Dimples after Chin Implant? (photos)

Answers (3)