Where is the correct location for Botox injections of a pebble or peau' orange chin? (photo)
Doctor Answers 10
Botox for the chin
Thank you for your question scutebb. Botox is a purified protein used to address wrinkles associated with facial expression. Botox can be used in the lower face to address a number of concerns, for example the dimpling or peau d'orange of the chin or elevating the corners of the mouth. In the center of the chin, directly under the lower lip, lies the mentalis muscle. It may be a single muscle or it can be two muscles side by side, there is anatomical variation. When the mentalis muscle is relaxed with Botox, one can see improvement in the dimpling of the chin. Adjacent to this muscle on either side is the depressor labii inferioris (DLI), which pulls down the lower lip. It is important to avoid this muscle because if Botox spreads to this muscle one is not able to pull down on the lower lip and an asymmetric smile can be seen. Going further along the jawline toward the ears is the depressor anguli oris (DAO), a muscle that pulls down the corners of the mouth. Over time this muscle can get strong, pulling down on the corners of the mouth and giving a sad face appearance. When the DAO is relaxed with Botox, the corners of the mouth are elevated by about a millimeter. Here also care must be taken to avoid the DLI so it does not result in an asymmetric smile. Most people enjoy their results for three to four months. If the intended muscle was not treated fully, it can be retreated after two weeks. Reimbursement policies vary from office to office. Please follow up with your doctor for specific recommendations. Good luck!
Where is BOTOX injected for "pebble chin"?
To effectively target the "pebble chin" or orange-peel chin (as it is more commonly referred to), the midline mentalis muscle can be treated with as little as 4-8 units of BOTOX Cosmetic with effects seen within about 3-5 days.
I would speak with your initial treating physician and illustrate your concerns. I'm sure they will take good care of you.
I hope that helps!
Botox and Results
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My typical injection for cobblestoning of the chin is 6-9 units of Botox injected into the mentalis muscle using 2-3 separate injections.
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i would recommend that you go back to see your injector and discuss your concerns in person. If you are not satisfied, I would recommend that you see another injector. In my practice, all Botox and filler injections are administered by the physician, not by a lesser-trained individual.
Botox for Chin Dimpling
This muscle causes the corners of the mouth to be pulled down, so when it is injected, we can see an elevation in the mouth corners.
For the chin, the usual injection point is either a single site in the midline or two injections sites either side of the midline. The normal dose is 3-6 units in total.
i cannot comment on whether you would be entitled to a refund but perhaps your practitioner would be willing to add the additional chin injections complimentary.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.