What can I do to fix my chin? (Photo)

Congratulations on your weight loss! It's very common for changes in facial volume after losing weight to make the chin and lower face look different. From your photo and description, the "pursed" or dimpled appearance is likely related to a combination of volume loss, skin laxity, and increased activity of the mentalis muscle (the muscle in the chin that creates the "orange peel" or cobblestone appearance).

The good news is that there are several treatment options, and the best one depends on what is contributing most to your chin's appearance.

Botox® or Dysport® can relax an overactive mentalis muscle, smoothing the dimpling and reducing the puckered appearance. This is often one of the most effective treatments when the dimples become more noticeable with facial movement.
Hyaluronic acid filler can restore subtle volume if weight loss has left the chin looking hollow or uneven. In some cases, adding a small amount of filler also improves the contour and softens the dimpling.
If there is mild skin laxity, collagen-stimulating treatments such as Sculptra®, Radiesse®, microneedling with radiofrequency, or ultrasound-based skin tightening may help improve firmness over time.
Maintaining a stable weight and following a good skincare routine can also help preserve skin quality.

If the dimpling is present only when you move your chin or speak, it is more likely muscle-related. If it is visible even when your face is completely relaxed, volume loss or skin changes may be playing a larger role.

The encouraging part is that this is a very treatable concern. Many patients who notice chin changes after weight loss achieve a smoother, more balanced appearance with a conservative treatment approach. Often, only a small amount of treatment is needed to create a natural improvement without changing your facial features.

A profile view would have been helpful, as would knowledge of whether you were voluntarily tensing the chin in the photo provided. If the chin is the sole concern here, then the use of an appropriately robust HA volumizing filler in the hands of an experienced injector can yield immediate smoothing and appropriate chin projection. And treatment should not take more than about ten minutes to perform and engender little to no significant downtime. If underlying muscular movement is significantly contributing to the folds seen, then a couple of droplets of Botox properly placed can address this quite easily. You would be wise to consult with a board certified cosmetic dermatologist filler expert. Best of luck.

Hi @Fearless394286, It appears that this is due to a combination of skin laxity from your weight loss and dimpling from the chin muscle. You would likely benefit from surgery and possibly some botox to the mentalis muscle. I would recommend a consultation with a facial plastic surgeon for an examination. Best of luck, Dr. Ghazizadeh

Hello, thank you for your question, we suggest face and neck lifting surgery, stem cell included fat injection to face.
If you want to check the doctor's Instagram page, I added the link, you can take a look and have an idea about the surgery.
We can offer you a virtual consultation for a better evaluation, please send us your full name and phone number on our email: hi@estherianclinic.com. We will contact you as soon as possible.
Hope it helped!

Thank you for your question and providing pictures.What I would recommend you the most is working on the tightening of your skin, it could be via hyaluronic acid fillers with a cheek lift to take away the weight on your jowls.Along with treatments like Morpheus 8 which works directly on the collagen fiber to help renew the elasticity of your skin.
Hope this was helpful, best of luck!