45 - chin looks aged. Will chin filler help side dents? Are there better options? (Photos)

Hello and thank you for your question. Chin filler can definitely be an option to enhance the chin by smoothing out areas of volume loss. At our practice we ask our patients to provide photos of youth for their consultation. These are photos from 5-10 years prior when you felt your best. This is helpful in evaluating the natural facial structures versus age-related changes to the face. With aging, the chin undergoes several changes related to collagen loss, fat redistribution and alterations in bone structure leading to a less defined chin and jawline. Hope this helps! Esther Litenatsky AGACNP-BC on behalf of Dr. Ran Rubinstein, facial plastic surgeon in Newburgh, NY and Montvale, NJ.

The orange peel like appearance is from the muscle 'Mentalis'. You can paralyze it with Botox and chin becomes smooth. Filler can help but can make the chin look larger. Sometimes the chin develops extra tissue and looks like a 'Witch's Chin'. In those cases a surgical chin reduction can help.
Regards
Dr. Janjua

If the puckering is worsened by lower facial movements, then a few droplets of Botox can be helpful. If puckered at rest, then a robust HA volumizing filler can be used to help smooth them out. And, of course if there is both static and dynamic chin puckering, a combination of the aforementioned treatments can be used. You would be wise to consult with an experienced, board certified cosmetic dermatologist injection expert and best of luck.

Chin fillers can be an effective solution for addressing volume loss and smoothing out lumps, puckering, and side dents in the chin area. They work by adding volume and structure, which can help create a more youthful appearance. Here are some considerations and alternative options:

Chin Fillers: Dermal fillers, such as hyaluronic acid-based products, can be used to add volume and smooth out irregularities. They are minimally invasive, and results are typically visible immediately, with minimal downtime.

Other Options:

Radiesse or Sculptra: These are biostimulatory fillers that not only add volume but also stimulate collagen production, providing longer-lasting results.
Botox: If there is muscle activity contributing to the puckering, Botox can help relax these muscles and smooth the skin.
Thread Lifts: This is a minimally invasive procedure that uses dissolvable threads to lift and tighten sagging skin.
Laser Resurfacing: This can improve skin texture and tone, reducing the appearance of fine lines and wrinkles.
Surgical Options: In some cases, a surgical procedure such as a chin implant or a lower facelift might provide the most dramatic and long-lasting results.
Consultation: A consultation with a dermatologist or plastic surgeon can provide personalized recommendations based on your specific anatomy and aesthetic goals. They can assess the cause of the aging appearance and suggest the most appropriate treatment plan.

Overall, there are multiple options available, and a tailored approach will yield the best results.

Some dermal filler in the marionettes plus the actual apex of the chin could help this. I’d also consider placing some Botox in the Mentalis (chin) to prevent the upwards recession and creasing.