Large mentalis muscle (witch chin) reduction with Botox?

I have a very prominent chin, with pebbling that becomes even more prominent when I smile. Is it possible that I can have size reduction of the over-active muscle with Botox injections?

Doctor Answers 7

Botox treatment for hyperactive Mentalis Muscle

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Yes it is possible to treat a large/hyperactive Mentalis muscle with Botox.  As with all botox treatments the injections will need to be repeated to maintain the effect.  Best wishes.

San Jose Plastic Surgeon
4.7 out of 5 stars 63 reviews

Botox in Chin

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I have had some sucess by injecting a small amount of Botox in the mentalis muscle to prevent the dimpling and pebbling of the skin. I have not used it on a patient with a prominent mentum (chin bone).

Consult a Board Certified Plastic Surgeon

Best wishes

George C. Peck, Jr, MD
West Orange Plastic Surgeon
4.8 out of 5 stars 25 reviews

Neuromodulators (Botox, Dysport, Xeomin) Work Well For Smoothing Dimpled (Pebbly) Chins

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I have been using Botox for aesthetic purposes since 1991 and have been treating dimpled chins for at least fifteen years. If the dimpling or pebbling is related to hyperactivity of the chin muscle (mentalis muscle), then the instillation of one to three tiny droplets in specific locations of neuromodulator using any of the three currently available (Botox, Dysport, Xeomin) can suppress this activity and lead to smoothing of the chin. If a few individual depressions remain following this treatment, they can be smoothed by injecting a tiny amount of filler (my favorite for this being Restylane L due to its better lifting capacity and more limited ability to attract tissue fluid to itself). The result of these treatments: a smoother chin (without contributing to further chin projection). 

It should be clear that it is important to seek consultation and treatment by a board certified aesthetic physician with extensive experience in nonsurgical chin enhancement. 

Nelson Lee Novick, MD
New York Dermatologic Surgeon
4.9 out of 5 stars 33 reviews

Orange peel chin

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The orange peel chin is due to overactivity of the mentalis muscle. Botox injected into this muscle can reduce the bumpy appearance but will not diminish a protruding chin to any great extent.

Gail Nield, MD, FRCPC
Toronto Dermatologist

Botox for "witch's" chin

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A prominent chin, often associated with dimpling of the chin can indicate a hyperactive mentalis muscle which can be calmed down significantly with small amounts of BOTOX.  It is very important that the injection is placed precisely or it can affect adjacent muscles with unpleasant results in facial expression and chewing.
 It ususally takes several treatments about 3 months apart to see a reduction in size.

Stephen Mandy, MD
Miami Dermatologic Surgeon

Improving the chin with Botox

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Botox is a very nice and effective treatment for dimpled chins. Typically 8-10 units is effective for most patients. Best to find an experienced injector for treating this area such as a dermatologist. ~ Dr. Benjamin Barankin, Toronto Dermatology Centre.

Benjamin Barankin, MD, FRCPC
Toronto Dermatologic Surgeon

Treatment of Witch's Chin Deformity

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"Witch's chin" usually refers to a deformity in which the soft tissue (skin, fat, and/or muscle) of the tip of the chin is both protruding and hanging downward. This can be corrected with relatively minor surgery in an office setting using numbing medicine (local anesthesia) through a short incision just under the chin, where the scar won't be very visible. On the other hand, Botox works as a muscle relaxer and when injected into the muscles near the center of the chin will relax those muscles and decrease any of the crinkling or dimpling of the skin that you might see over the chin when you have an expression. However, Botox does not actually reduce the muscle or size of the chin. You should see an experienced, board certified plastic surgeon to discuss your goals and let the doctor analyze your condition and then form a treatment plan best for you.

Richard G. Schwartz, MD
West Palm Beach Plastic Surgeon
5.0 out of 5 stars 32 reviews

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.