Chin dimple Botox: does it get worse before it gets better? (photo)

Question

I got botox for the first time on Friday, and one of the areas we targeted were my chin dimples when I smile. Today is day 3, and I'm not expecting much yet. However, for the past day and a half or so, my chin dimples have actually been a lot worse, particularly when I frown with my mouth. Is it normal for it to get worse before it gets better?

Thomas A. Lamperti, MD · Answer

It typically takes 7-14 days for the botox to take full effect so it's best to wait until the botox has had time to work. You may have noticed worsened dimpling early on related to reactive swelling from the injection itself.

Jonathan Kulbersh, MD · Answer

I'm sorry you're experiencing this, but it can take up to 2 weeks for final results with Botox. However, a touch-up may be needed. Botox results resolve in 3-4 months. Hope this helps.

Kenneth D. Steinsapir, MD · Answer

Botox into the muscles of the chin can smooth chin dimples when the treatment is good. When the treatment is bad, it can cause the muscle to be out of balance and wad and pinch and look just awful.  That is what you have. The solution is to go back to the injector and make them correct it.  It will require more botox. Generally I think it is better to put filler into the chin rather than botox.  Get this corrected and consider filler next time.

Jason Emer, MD · Answer

Botox results can take up to 2 weeks and can be softened with venus legacy and thermage treatments. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Monika Soni, MD · Answer

Thank you for your question! Botox usually takes couple weeks for full effect in the injected muscle. Most injectors prefered to wait 2 weeks before they re-evlaute the re-treatment an area. But becuase this is bothering you, I recommand you contact your injector today and share your concerns with them so they can compare to the before photo and help you. Best of luck!

Marty D. Casebier, MD · Answer

Botox selectively weakens the muscles injected and does not make them stronger before making them weaker.  It will take 7-10 days for you to start noticing the results.  Several of my patients will pay closer attention and notice things in more details after their first treatment.

Maha S. Shakir, MD, FACS · Answer

Botox usually takes couple weeks for full effect in the injected muscle. Most injectors prefered to wait 2 weeks before they re-evlaute the re-treatment an area. But becuase this is bothering you, I recommand you contact your injector today and share your concerns with them so they can compare to the before photo and help you. Wish you the best in health!

Andy Shieh, DMD · Answer

Look like your injector may not have gotten your mentalis muscle thorough enough.  Botox effects usually can be seen as soon as day 2-3 but the full final effect not until 10-14 days.  You'll need to visit your injector in another week and show them your results then.  Hopefully the chin dents will improve by then.

Susan Longar, MD · Answer

Hi Escheveria,
Thank you for your question!  Even though it has only been 3 days, it looks to me like you may need a few more carefully placed units.  Of course, this is based on the "after" pics--return to your injector and have him/her even you out.  Just my opinion, but if you are very bothered by waiting the full 2 weeks, go in a little sooner so your injector can see how you reacted to the injections, they will definitely want to know so they can make adjustments in the future.
Best wishes from SF,

John E. Burke, MD · Answer

Dimpling in the chin is a common reason for Botox injection to this area directed at relaxing the mentalis muscle underlying that area.  While it is not usual for the area to look worse after a Botox injection, at day 3, it is too early to evaluate whether the amount injected and the location of the injections was appropriate for you and your face or not.  I would counsel patience for the next week, but I would encourage communication with your Botox injector on this issue.  If unimproved in the next week, you will definitely need re-evaluation and perhaps additional Botox.

Chin dimple Botox: does it get worse before it gets better? (photo)

Answers (14)

More Botox Questions

WE SEND PRETTY
EMAILS

Answers (14)

More Botox Questions

Can Botox in the eyes area cause loss or thinning of eyebrow hair?

Bulging masseter muscle after Botox, is this normal? (Photos)

Is Botox a solution for correcting a sneering upper lip when I smile?

Volume loss in cheek after Botox on masseter (Photo)

Is it normal to feel sick after Botox/filers?

How long does a Botox brow lift last/how long until results are seen?

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS