Is Botox my best bet for pebble chin treatment? What does it cost?

Some people involuntarily contract 2 small muscles in the chin (mentalis muscles) which cause the chin to dimple. Doctors refer to this as peau d'orange (French for "orange peel skin".) This can also be seen after chin implant surgery. Botox can be used to weaken the contraction of these muscles and improve the appearance of the skin overlying the chin. It takes just a few units of Botox for this, so you should not pay by the "site," but by the "unit." It should cost you less than $100.

​Treatment for chin dimpling ("pebble chin" or "orange peel") is Botox injected into the mentalis muscle. This typically gives great improvement to the appearance of the chin. Results take about 1 to 2 weeks​. I suggest getting a formal evaluation with a board-certified cosmetic dermatologist. Best, Dr. Emer​

Your pebbly chin may represent a hyperactive mentalis muscle which has nothing to do with a previous fall. If that is the case, a few units of Botox or any comperable neurotoxin would work just fine. 4-8 units are all that you would need at a cost of $100-200. See your dermatologic surgeon or cosmetic surgeon to get a proper diagnosis and treatment.

If you noticed a pebbled surface of the chin, some times referred to as peau d'orange (skin of the orange), it might be related to the scarring of your accident and then the botox may not work.  If it is not caused by scarring, then this surface irregularity that shows up more when moving the muscles, will probably improve with the use of Botox injections, the effect of which will last for about four months.

All of the currently available neuromodulators, including Botox, Dysport and Xeomin when injected in minute quantities and in the proper injection points work well for reducing the pebbly appearance of the chin area due to underlying chin muscle action. Prices vary according to whether a physician charges per area or per unit. As always, the best bet is to seek a board certified injector with great experience in the use of these agents outside the conventional areas of the frown lines, crow's feet and forehead worry lines.