Dysport vs fillers for chin: I'm wondering if filler would be better to get rid of the dimpling? (Photo)

Hi catalinda8,No need for embarrassment! Thanks for putting yourself out there by asking questions and posting photos.I agree that a combo of fillers and Botox/Dysport would be a great treatment for you. The filler not only helps with the dimpling and "divots", but also restores lost volume in the chin area -- the effect is a more youthful and stronger profile. Botox/Dysport is effective for relaxing the muscle causing the small dimples, so together, Dysport and filler can really make a difference in the chin.

This may need both, in combination, to get the improvement you want. I suggest getting a consultation to go over your desired results. Hope this helps.

It's often not an either or, when it comes to nonsurgically improving a dimpled chin. Neuromodulators, such as Botox, Dysport and Xeomin work to diminish the muscular hyperactivity that plays a significant role in their formation, and volumizing fillers, such as Voluma XC (which is my favorite for this in my Manhattan practice) and Restylane Volyme (my favorite in my Israel satellite facility, where a far greater number of regulatory agency approved fillers are available) work well for nonsurgical augmentation. Neuromodulators plus injectable volumizers together exhibit a synergistic effect and the results of combined treatment are typically not only better, but last longer. Be sure that you consult with a board certified aesthetic physician and make certain to ask to see his/her personal before and after photos of chins before agreeing to proceed. Best of luck.

This can be improved with a combination of Dysport with fillers. Results will take 1-2 weeks. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Dysport or other neuromodulators can be used to decrease the appearance of chin dimpling. This is achieved by affecting the ability of the muscle to contract resulting in a softening of this look. Fillers would not address the muscle activity but can be used in conjunction with the neuromodulators for a more complete result. I've included a video on how neuromodulators work that I hope you find helpful.

The use of fillers is an effective way to rejuvenate the skin. It will smooth out folds and wrinkles. It will add volume where needed and contour the face especially in areas that lost fullness due to aging and other causes.

Yes, the chin area often benefits from both filler and a neuromodulator like Dysport or Botox. Botulinum toxin helps to relax wrinkles from movement like dimpling. This condition is sometimes referred to as “orange peel” skin and responds well to just a small amount of Botox.

When patient's bring a concern in, often times it is not one treatment vs. another but a combination of treatments that I would suggest.  The chin area often benefits from both filler and a neuromodulator like Dysport or botox.  I like to use Dysport/Botox in this area to erase what my patient's call a "butt chin" that leads to that orange peel texture here.  Filler would also be a great addition to this treatment to help smooth the skin appearance and give extra chin projection.  Every treatment is going to be tailored to the patient and depend on their overall end goal.

I agree with the answers above, that a combination would be best. Typically I would inject a neurotoxin into the area, wait two weeks, and then inject a filler. Depending on your goals, you could pick a variety of fillers. If you are looking to also enhance the jawline/chin profile, I would probably recommend Radiesse, Voluma, or Restylane Lyft. All three of these products give volume. Radiesse is a calcium-based filler, whereas the other two are Hyaluronic acid fillers. The only disadvantage to the Radiesse, is that it is non-reversible. If you are nervous, and wanting to give an even more subtle smoothing to the area, I would inject Juvederm or Defyne. These two products are softer than the above mentioned products. These products should last you anywhere from 9-15 months in my experience. Cheers! Sarah RN BSN 

Thank you for your question. Dysport can be very effective when trying to combat the effects of dimpling in the chin commonly called "peach pit chin." Post injection, results would set in as 48 hours to two weeks later and last for up to 4 months. The procedure is relatively painless with minimal to no downtime.