Botox for chin to relax it and to give it a more pronounced appearance? (photos)

I perform a great deal of non surgical and surgical chin augmentation.  Although it would seem that the mentalis muscle activity may have some adverse effect on the placement of filler or an implant into the chin area for augmentation, I have not found this to be the case.  You should also see someone who can provide computer imaging for you so that you have a reasonable expectation of what filler can achieve in chin augmentation.  My preferred filler in this area is Radiesse.

Dear senap,Thank you for your question. I would advise you to avoid Botox injection to your chin when addressing the issues you mentioned. A filler is a safe, reliable, although temporary way to augment the chin and the mentalis muscle should not bare any significant impact on the result.You need to be assessed for mentalis strain, which I doubt you truly have. It helps to see someone with extensive anatomical knowledge, such as a board certified plastic surgeon, in these instances. Hope this helps.Nirmal R. Nathan, M.D.Certified, American Board of Plastic SurgeryMember, American Society of Plastic Surgeons

Yes, Botox can relax your mentalis muscle. The chin can be improved with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. This will allow you to try on the look before committing to a permanent option like fat or implants. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Hi,Thank you for including your photos. You appear to be a great candidate for a non-surgical chin augmentation. The filler is relatively dense and injected deep to the muscle; so the change of it moving is low. Best,Mehdi Sina, MD

Thanks for your question and photos.  A combination of a small amount of botox and filler can work very well together.  Using 5 units of botox in the mentalis and placement of a firmer filler such as Radiesse deep onto the bone can give great results.  Using Radiesse by itself will work, too but the combination will give better results.  Best!

Yes, Botox can be used to improve this and can be combined with fillers to augment the chin. Botox results resolve in 3-4 months. Hope this helps.

Hello and thank you for the question.  Fillers can be used to improve the projection of your chin.  The best fillers for this purpose are thicker and provide more lift for a given volume injected like Voluma or Radiesse.  Placement is safest deep along the bone.  Make sure the physician you choose is board certified in plastic surgery and is experienced in structural augmentation with filler.  Injection of Botox into the mentalis will make the muscle atrophy, which will make your lower lateral cheeks above the angle of your mandible, where this muscle lies more narrow.  Relaxation of this muscle is not necessary before injection of filler to augment the chin, but if you desire a more pear shaped face, it is a great adjunct.  Hope this helps.

Senap,Thanks for the question and photos.  The best option for your chin would be an implant.  Since this is not an option for you, Botox and a filler (Radiesse) would work well together to both relax the muscle and add fullness and projection to your chin.Best of luck with your decision.Dr T

5-10 units of Botox to the mentalis will make it less tight and less protruding and then an injection of Radiesse will build your face in the area to what you desire. Be sure your dermatologist is experienced in treating this type of problem

I wouldn't use Botox in this situation because asymmetric injection could alter your lips during speaking and/or smiling. Dense fillers such as Radiesse or Bellafill would be my first choice, or even fat transfer. I would recommend layered approach with the majority of filler in the deep layer with small amount in the subdermal layer to give you foundation and sculpted look.