How do I fix the line/crease/divot in my lower left chin? (Photos)

Question

Why is there a pronounced line/crease/divot in my lower left chin one month after botox which I had to fix the orange peel appearance (see last three pictures to see the final results). In the past, I had the orange peel look (see first picture) and after botox, I did not have the same problem ( see second picture ).

Anna Chacon, MD, FAAD · Answer

Thank you for your detailed explanation and for sharing the photos. Based on your images and description, here’s what may be happening:

The crease or divot in your lower left chin could be a result of how Botox affected the mentalis muscle, which is responsible for chin movement and the dimpling or "orange peel" effect. While Botox effectively smoothed the peau d’orange texture (as seen in your second image), it may have relaxed the muscle unevenly or exposed a pre-existing volume deficiency in that specific area.

Possible Causes:
Asymmetrical Muscle Relaxation
If Botox was injected unevenly or one side of the muscle responded more than the other, it can cause imbalanced tension—resulting in a visible crease or shadow on one side.

Unmasking of Volume Loss
In some patients, muscle tension may have previously masked an underlying soft tissue depression or scar. Once the muscle is relaxed, that volume loss becomes more apparent.

Over-relaxation of the Chin Muscle
If too much Botox was used, it can sometimes lead to excessive muscle relaxation, creating a slight hollow or droop in specific areas.

Treatment Options:
Dermal Filler: A small amount of hyaluronic acid-based filler can be carefully placed in the affected area to smooth out the crease or divot and restore symmetry.

Rebalancing with Botox: In some cases, adjusting the Botox units in surrounding areas can help even out the muscle tone and correct the asymmetry.

Combination Therapy: Sometimes, a combination of Botox for muscle control and filler for contour is the most effective approach for chin issues.

This type of post-Botox effect is not uncommon, especially when treating dynamic areas like the chin. With the right adjustment, it’s typically correctable.

How do I fix the line/crease/divot in my lower left chin? (Photos)

Answers (1)

Recommended reading

Everything you need to know about Botox

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

How do I fix the line/crease/divot in my lower left chin? (Photos)

Answers (1)

Browse related questions

Recommended reading

Everything you need to know about Botox

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