Can Botox fix the strange lines my chin makes when I smile? It's kind of like a dimple, but uneven on one side? (Photos)

Thank you for your question and for sharing your
photographs taylorgang. I understand your concern. Botox is a purified protein
used to address wrinkles associated with facial expression. When injected into
the skin Botox will relax the muscles and smoothen out the overlying wrinkles. The
most common areas of treatment are in the upper face. These include the
horizontal lines seen on the upper forehead when one raises the brows, the
vertical lines seen between the brows when one frowns (frown lines), and the
crow's feet seen around the eyes when one smiles.It is difficult to make an assessment without a
formal exam in the office where I can view the skin in multiple angles and observe
wrinkles formed with facial expression. However, I hope the information
provided here is useful.While the Botox is most commonly used in the upper face, it can be used in the lower face as well. Botox can be placed in the mentalis muscle on the chin to address a cobblestone appearance or dimpling on the chin. In this area 2-8 units of Botox are used. If I had a patient who looks like the person in these photographs I would say she is a good candidate for this treatment.Botox can also be used in various other areas in the
lower face. The nasalis muscle on the bridge of the nose is responsible for the
bunny lines that are sometimes seen there when one frowns or smiles. Usually
2-4 units of Botox are used per side for this area. Botox can be placed in the
orbicularis oris muscle around the lips to provide a pout to the lips and
reduce the appearance of vertical lines around the lips sometimes called
smoker’s lines (although they are seen in people who do not smoke as well). In
this area 2-4 units are used above the upper lip and 2 units are used on the
lower lip. Botox can be placed in the depressor anguli oris (DAO) muscle to elevate
downturned corners of the mouth which sometimes produce a sad face appearance.
In this area 2-4 units are used per side. Botox can be placed in the masseter
muscle in the lower face to contour the lower face and address pain associated
with TMJ. In this area 20-40 units of Botox are used per side. Botox can be
placed in the levator labii superioris alequae nasii (LLSAN) muscle located
just beside the nose on either side to address what is called the gummy smile.
The gummy smile is seen in some people whose upper lip elevates so high when
they smile that the upper gums are seen in addition to their upper teeth. In
this area 2-4 units are used per side. Botox can be placed in a vestigial
muscle (seen in some people) called the depressor septi nasii to prevent the
tip of the nose from moving downward when smiling. Here only 1-2 units is
required. Botox can be placed just under the jawline in what is called the
Nefertiti lift to relax the platysma muscle which pulls down on the lower face,
thereby improving jawline definition. When placed lower in the neck Botox can
address vertical neck bands. Approximately 10 units are used below each jaw and
in each band.With any injection, there are risks such as
pain, bleeding, bruising, redness, swelling, tenderness, and infection. We take
special precautions to minimize these risks such as using a painless technique.
We also treat bruises with a laser as early as the next day. Bruises usually
resolve within two weeks if untreated. After a laser treatment bruises usually
resolve in 1-3 days, but may still take two weeks for full resolution. In
addition to these risks, with Botox there is also a risk that the product spreads
or diffuses to nearby structures. Spread to nearby muscles can lead to side
effects such as the temporary appearance of droopy eyelids or a temporary
asymmetric smile.After a Botox treatment, I recommend that my
patients avoid heat exposure, alcohol consumption, and strenuous exercise for
24 hours and not lie down flat for four hours. This is because all of these
activities may possibly lead to the movement of the product and consequent side
effects such as droopy eyelids as described above. Although there have been no
definitive studies shown that these actually occur and some physicians do not
provide such aftercare instructions, in the absence of data I err on the side
of caution and recommend that my patients avoid such activities.Please consult with a doctor for specific
recommendations. Good luck!

Hi and thank you for your question. Yes Botox works well in the mentalis muscle associated with chin dimpling. 3 injections of 2 to 2.5 units in each location can significantly soften this issue...for 3 months or longer. Good luck to you!