I Have a Deep Horizontal Wrinkle on Both Sides of my Chin. Can Botox Help?

Question

I am 65 and have no other wrinkles that bother me. My skin is fairly smooth otherwise and I am frequently taken for my mid 40s.

Harold J. Kaplan, MD · Answer

Hi Butz.  Based on your short desreiption only, you would most likely be a good candidate for a dermal filler such as Radiesse, Perlane, Juvederm or Restylane.  

	We would use the location of the line, it's depth and the proximity to the jowls to determine which filler to use, but often in the chin, we prefer Perlane or Radiesse.

Ron Shelton, MD · Answer

Fillers are usually much better than botox injections for deeply set lines or creases that run horizontally on the chin. Botox is used for dimpling in the chin or to lift the corners of a mouth that have started to droop by injecting the depressor anguli oris at the jawbone behind the line of the chin, but this is not expected to help most horizontal lines. Of course, your situation needs to be identified by an examination before someone could comment on your treatment.

Ken Landow, MD · Answer

with botox playing a minimal role in correcting the deep horizontal wrinkle of both sides of your chin...botox mostly controls the chin wrinkles in that area...sounds like you're a perfect candidate for wonderful improvement...sure you'll be pleased with the results...

Martie Gidon, MD, FRCPC, FAAD · Answer

You should be examined by a dermatologist or plastic surgeon. Botox minimizes muscle movement, but if loss of volume is your problem, it can be improved by dermal fillers such as Juvederm or Restylane. Sculptra may also be an option for you.

Dina D. Strachan, MD · Answer

Generally deep folds on the chin are usually best treated with fillers such as Juvederm, Resylane or Perlane. Botox is for wrinkles cause by movement of facial muscles.

James Bartels, MD · Answer

Horizontal lines in the chin area are often deeply etched, and the skin tends to be thick.  I have had good success treating these lines with Radiesse, concomitantly subcizing the tethering of the deep dermis with the needle. Radiesse gives better support of the dermis here than does Restylane or Juvederm.

	Botox, often with a filler, works well for the vertical marionette lines from the corners of the mouth, as well as for the dimpling, or "orange peel" look of the chin.  I don't think it would be the best option for horizontal lines, which you describe, but I'd recommend you have a consultation with an experienced facial plastic surgeon or dermatologist.

Henri P. Gaboriau, MD, FACS · Answer

Yes Botox could help. I usually inject Botox on the lateral sides of the chin (just few units to avoid a depression of the corners of the mouth) first, then about 1 week later I may inject some fillers like Juvederm if need be.

Emily Altman, MD · Answer

Botox acts by relaxing muscles of facial expression.  If the wrinkle treated is smoothed away when the face is relaxed, Botox may be helpful.  If it is present when the face is relaxed, Botox will not help smooth it away.

	The wrinkles and folds on the lower face are normally caused by volume loss both in the area and in the upper face.  If the soft tissue, fat and bone of the areas above the wrinkle thin out, the skin that was normally smooth and firm over those areas, descends down creating folds and wrinkles below.

	These types of wrinkles are best addressed with dermal fillers.  The wrinkle itself can be filled. Adding volume to the areas above the wrinkle will help smooth it out.

	Botox can be used to inject the lip depressor muscles, that pull the angles of the lips down.  Elevating the lip corners slightly may also help with wrinkles on the chin.  However, injections of Botox in the lower face have to be done by a physician with training and experience in this procedure, as incorrect injections may affect the function of the lip muscles themselves.

Francis R. Palmer, III, MD (retired) · Answer

Sure, you can have some Botox injected very superficially to that area and see how much the wrinkle is reduced.  You may want to start out with half an area of Botox split between both sides.

Deason Dunagan, MD (in memoriam) · Answer

I believe that your horizontal wrinkle lines might respond well to an injection of a filling material such as Juvederm or your own body fat. Juvederm is quick and easy and is not a surgical procedure. Fat grafting is an injection procedure, but more of a surgical one, meaning more possibility of bruising and a slightly longer recuperation period. Thus, for your first experience, I would recommend trying out a filler like Juvederm and go from there.

I Have a Deep Horizontal Wrinkle on Both Sides of my Chin. Can Botox Help?

Answers (14)

More Botox Questions

WE SEND PRETTY
EMAILS

Answers (14)

More Botox Questions

Side Effects After Botox in Forehead - Are They Permanent?

Can You Have Botox if You Have PBC?

Will Botox Expire if Left Unchilled for 24 Hours?

Eyelid Drooping, Ptosis from Botox. What Can I Do to Fix the Problem?

What Facial Treatments That Can Damage/easily Wear off Botox Effects?

How Do You Measure the Unit of Botox? Can It Be Diluted So Derma Can Charge More?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS