What can I do about un-smooth chin texture? (photos)

Question

I seem to have tried a few things to fix a problem that literally developed overnight - the unsmooth look I have developed on my chin but nothing has really solved it. 7 sessions of microneedling, laser, Botox every 3 months and 2ml of filler which did help volume loss. But to be honest my chin still doesn't look like everyone else's and I feel like it never will. If anyone has any ideas or been through my thing similar I wold love to hear it. Thanks

Jason Emer, MD · Answer

Treatment for chin dimpling ("pebble chin" or "orange peel") is Botox injected into the mentalis muscle. This typically gives great improvement to the appearance of the chin. Results take about 1 to 2 weeks. I suggest getting a formal evaluation with a board-certified cosmetic dermatologist. Best, Dr. Emer

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Charles M. Boyd, MD · Answer

Thank you for your question. Botox in the chin can help relax the mentalis muscle to smooth out any dimples you may have. You may also want to consider skin treatments, such as microneedling or peels, to help with any textural irregularities. Best of luck to you!

Jake Wardwell, DO · Answer

Contour TRL is a next generation full field laser (like CO2 but safer) that can remove deep layers of the skin that are creating this appearance. There would  be 2 weeks of downtime and significant aftercare precautions for the following month with regards to sun exposure but this would be much more likely to be effective then even an aggressive Halo.

John Frederick, MD · Answer

Hi and thank you for your question,
I am sorry to hear you have not had much success.  An option would be to attempt a more aggressive resurfacing option - this would include many types of lasers such as Halo / Pro-Fractional or fractional CO2 lasers.  It could be that the first laser treatment you have was on a low setting or done sparingly. 
I hope this helps,
John Frederick

What can I do about un-smooth chin texture? (photos)

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