Why is my chin like this? (Photo)

Question

My chin gets dimply when I smile. It's bad enough I have a very sharp angled chin. I hate it! Looks worst in person...

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

Thank you for your picture.  The skin irregularities are due to a very active mentalis muscle.  There is very little treatment for it unless you have an underlying bony abnormality of your lower jaw and/or chin.  Some recommend neurotoxins to reduce the activity of the muscle but this can be fraught with complications that are not easily solved.  Additionally, neurotoxin is not FDA approved for that area of the face.

Eric M. Joseph, MD · Answer

Many times this dimpled chin appearance is due to a hyperactive mentalis muscle. Depending on your examination, a treatment with a neurotoxin like Botox or Xeomin may prove to be helpful.Thank you.Dr Joseph

Michael J. Yaremchuk, MD (license resigned) · Answer

It appears that you have mentalis strain. Your skeleton is relatively large for the skin envelope. Your chin may have been augmented with an implant or sliding genioplasty. consider downsizing. If not surgically altered, titrating botox, or an equivalent, can be helpful.

Why is my chin like this? (Photo)

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Why is my chin like this? (Photo)

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