Are the indentations on my chin after filler a result of placement or is this a normal result?

Question

I’ve had 2 chin filler appointments to fill a cleft chin, which did soften the appearance of it, but there are now two indentations on each side. Is this a normal result with filler, or was it due to placement. Would botox or filler fix it?

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. The presence of indentations on each side of the chin after receiving fillers for a cleft chin can occur for several reasons, including uneven placement of the filler or natural settling of the product over time. While some degree of asymmetry or irregularity can be normal, pronounced indentations may suggest that the filler did not fully integrate or that it has shifted. To address these indentations, a follow-up consultation with your injector is essential. They might recommend additional filler to fill in the indentations and create a smoother, more even appearance. Botox is generally not used for correcting indentations, as it primarily relaxes muscles rather than addressing volume issues. I hope this helps and best of luck!

Anna Chacon, MD, FAAD · Answer

Hello,
Indentations on the chin after filler treatments can occur for a few reasons, and it's important to differentiate whether they are due to the technique used or an expected outcome that needs additional treatment. Based on your description, it sounds like the indentations might be related to the placement of the filler.

Filler Placement: If the filler was not evenly distributed or if it settled unevenly, it can result in indentations or irregularities. This is more common if the filler is placed too superficially or if there is an asymmetrical distribution.

Normal Adjustment Period: Sometimes, minor irregularities can appear shortly after the treatment and may resolve on their own as the filler integrates with the surrounding tissue. This can take a few weeks.

Treatment Options:

Additional Filler: A touch-up with additional filler can often smooth out these indentations. The goal would be to even out the surface by carefully placing more filler in the right areas.
Botox: Botox is typically used to relax muscles rather than fill in indentations. However, if there's a muscle component contributing to the irregularity, Botox might help in specific cases.
Consultation: It's best to consult with your treating physician or a board-certified dermatologist who can assess the specific situation in person. They can provide a tailored approach to correct the indentations, whether it involves additional filler, adjustment of the current filler, or another treatment modality.

I recommend scheduling a follow-up appointment with your provider to discuss your concerns and explore the best options for achieving a smooth and natural appearance.

Daphney Gracia Antony, MBBS, DipDerm, MScSurg(Ed) · Answer

Chin fillers can result in lumpiness or nodules and these indentations are probably not the after-effects of the chin filler. The hyperactive mentalis has become more noticeable after your chin fillers. Botox injected into the mentalis muscle overlying the chin will relax it and make the chin contour appear better.

Are the indentations on my chin after filler a result of placement or is this a normal result?

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Are the indentations on my chin after filler a result of placement or is this a normal result?

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Everything you need to know about Chin Filler

Our mission is to create a world where every investment in modern beauty is Worth It.