Weak chin. Fillers or Botox? (Photos)
Doctor Answers 21
Achieving Facial Harmony
Thanks for the question! You illustrate a very good point about the proportion of the chin in relation to the rest of the face. In my opinion, a person's chin (or any other single facial feature) has to be assessed in the context of the rest of that person's face and what looks beautiful and proportionate. For instance, a weak chin or an over-projected chin can have profound implications on how someone sees that person's nose projection. Botox- as an agent that prevents muscle activity and therefore dynamic wrinkles associated with that muscle- is not likely to be useful in enhancing projection of the chin. Main options may include fillers, chin implantation, or a surgery to move that part of the jaw forward (known as a genious osseoplasty). In my experience, any are great choices in the correct patient. One advantage of using fillers is that it can give you an idea of how a more permanent solution in the form of an implant or moving the bone would look. It is temporary, relatively inexpensive, and almost painless. It could be a great starting point after consulting with your doctor!
Weak Chin Treatment Options
Thank you for sharing your question and photos. You are an excellent candidate for Botox to the chin to soften the mentalis muscle. Although it is difficult to tell based on your photos, you may be a good candidate for a chin implant. In my practice, I like to use 3-D volumetric photos to communicate realistic surgical outcomes for chin implants. It is important that your chin is the right size to be in proportion to the rest of your facial features. Without seeing a photo of your full face, it is difficult to evaluate. If you are not ready for surgery, dermal fillers can be used to improve the contour of the chin temporarily. I recommend consulting with a board certified plastic surgeon who is also an experienced injector in order to evaluate your best treatment options. Best of luck!
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Botox/Filler Chin Treatment
For best results for chin, I
would combine Botox with Filler. With Botox, I treat the mentalis muscle (chin
orange peeling or dimpling) and the the depressor anguli oris muscle (DAO) to
help relax downward pulling of the oral commisures or corners of the mouth. The
dose is approximately 10 units. To help with chin projection, Radiesse Filler
is my favorite filler and I use one or two 1.5 ml syringes. Radiesse and Botox
are a great way to strengthen your chin. It also allows you to quickly see what
you like and with less downtime. If and when you decide, you are still able to
get a chin implant for a more permanent solution in the future.
Weak Chin Treatment Options: Filler or Botox?
Options for chin injections
Botox injection can be used to relax the mentalis muscle. This would improve the orange peel appearance of your chin. However, augmenting (re-volumizing) the chin would require a filler. My preferred filler for the chin is Juvederm Voluma although Juvederm UltraPlus, Restylane, Restylane Lyft and Radiesse can be used as well. Fillers offer a temporary result with Voluma lasting up to 2 years. A surgical chin implant is a permanent solution but I usually recommend patients first start with a filler to see if they like the look.
Improving a small chin
Weak chin. Fillers or Botox?
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.