Is it possible to get rid of chin wrinkles and peau d'orange with botox? or is it better to use dermal fillers? (photos)

Question

These chin wrinkles are quite visible when I shut my lips because of the muscular effort that I have to do in order to accomplish that (I have a big smile). To be more precise, my chin looks like orange peel in those cases. What treatment would be the right one for my case? Thanks in advance!

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thank you for your question and images. The clinical term peau d'orange is not the correct terminology but I understand what your concerns are. If you find that the wrinkling is related to muscular efforts when you shut your lips then a wrinkle relaxer would be the treatment of choice. Best of luck.RegardsDr Guy Watts

Robert M. Tornambe, MD · Answer

I see what you mean!  Botox, not fillers should do the trick. However, seek out an experienced board certified plastic surgeon or dermatologist, because it requires a specific technique to accomplish your goals and avoid paralyzing other muscles nearby, that could lead to a less than favorable result. Good Luck!

Dallas Buchanan, MD · Answer

If the wrinkles in your chin are due to muscular action of the mentalis muscle, then yes, Botox would be an effective treatment for these areas to help paralyze that muscle. I would advise you to have a consultation with a plastic surgeon and have them examine that area. They will be able to discuss with you the etiology of your problem and possible treatment strategies. Best of  luck!

Richard W. Westreich, MD · Answer

Botox is typically an effective treatment for chin wrinkles that result from over-activation of the mentalis muscle. The reason this typically happens, at least in part, is a lack of chin projection. An alternative to botox as a long term solution is a chin implant, which will help to build up the chin, creating less need for this muscle activity in the first place. Fillers can be used to simulate a chin implant but tend to have less effect on the muscle activity than botox or an implant.

Steven J. Pearlman, MD, FACS · Answer

Chin wrinkles often come from patients who are constantly contracting the chin muscle called the mentalis. Relaxing this muscle with Botox will help soften the orange skin or peau d'orange look and even a deep crease under the lower lip.

Jill C. Fichtel, MD · Answer

The “orange peel” appearance on your chin when you close your lips is due to your mentalis muscle. This muscle is located just beneath the skin under your lower lip and helps move that part of your face. In your case, Botox would likely give an excellent result. This would aid in relaxing the mentalis muscle and, as a result, create a smoother appearance on the chin when your lips are shut.I perform these procedures frequently and usually inject 4-6 units into the muscle initially. Because the effect of Botox is temporary, it would be necessary to have the procedure repeated after several months to maintain the cosmetic result.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.Peau d'orange refers to other clinical problems which this is not. It is referred to lymphatic conditions or congestion showing that appearance.This is related to muscle action and strategically placed Botox can relieve this problem very nicely.

Steven Wallach, MD · Answer

Chin wrinkles like the ones you posted are often from muscle action, and a few small aliquots of botox might help.

Robert L. Kraft, MD, FACS · Answer

Botox can be effective in the treatment of chin wrinkling if the cause is based in the muscles.  See a board certified plastic surgeon or dermatologist to assess your options!

Gregory Park, MD - Account Suspended · Answer

Mentalis muscle strain causes the wrinkles in your chin when you bring your lips together forcibly. Botox is the treatment of choice for improvement, not fillers. Thank you for sharing your question and concerns. Best wishes.

Is it possible to get rid of chin wrinkles and peau d'orange with botox? or is it better to use dermal fillers? (photos)

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