My chin flattens and points downwards when I smile, goes dimply, makes me look like I have a double chin? (Photos)

Question

Ever since I was younger (I'm 20), whenever I talk/move my chin/smile, my chin dimples up, presses back on itself, and rotates downwards. It gives my face a really flat look, and makes me extremely self conscious. I thought it was genetic, but no one in my family has this issue. I've done so much research, and I think I may have a hyperactive mentalis, or chin ptosis, or both? I'm not sure. I would like to avoid surgery at all costs. Is there any type of non-surgical procedure that can fix this?

Darryl J. Blinski, MD · Answer

Eter an in person consolation I would recommend Botox injections for wrinkling of the chin due to mentalist action. As for under can either minor lipo surgery or 2 KyBella sessions..

David A. Lickstein, MD · Answer

It is possible that botox might be helpful in weakening the muscle.  A consult with a surgeon may be helpful.

Francis R. Palmer, III, MD (retired) · Answer

Hi, I have performed many facial shaping procedures, including Chin Augmentation with dermal fillers or silastic chin implants, for over 30 years.  From the photos and history, this sounds like an over-active Mentalis muscle.  You might want to try Botox injections to weaken the strength of the Mentalis muscle to see if this effect will be diminished.Hope this helps.

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My chin flattens and points downwards when I smile, goes dimply, makes me look like I have a double chin? (Photos)

Answers (3)

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