Please tell me how to get rid of the orange-peel chin and deep lines above my upper lip? (photos)

Question

I moisturize daily but to no avail.1. Would filler help and if so, which filler would be best?2. If filler is recommended, how much would I need?3. Would the same filler (if that's what you recommend) be used to remedy both chin and upper lip? 4. If an injectable is used, typically how bad is the bruising in these two areas?5. Instead of filler, would laser treatment be more beneficial?  Thank you! Thank you!

Richard Burgmeier, MD · Answer

The most effective treatment to improve lip and chin lines is laser skin resurfacing. Both Co2 and Erbium lasers work very well but erbium lasers have less risk for developing post laser hypopigmentaion in this area. I combine PRP with Erbium laser skin resurfacing for the better results and quicker healing. Downtime can range from 1-2 weeks but mild redness may persist longer. 
Minimal to no downtime treatments include botox, fillers, non ablative resurfacing like Fraxel, Profractional  or Halo, RF miconeedling and ulthera. These treatments help but will take multiple treatments and will not give you the same level of improvement as laser skin resurfacing.

Raffy Karamanoukian, MD, FACS · Answer

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Michael A. Persky, MD · Answer

Hi Dt,The absolute best treatment for the area around your mouth is fractionated CO2 laser with PRP (platelet rich plasma).  There is downtime involved but the results are excellent.  Botox in your chin helps as does micro needling and less aggressive lasers depending on the amount of time that you have to recover.  Most importantly choose your treating physician carefully as these treatments are not standard commodities.  Good luck and be well.Dr. P

Jason Emer, MD · Answer

Treatment for orange peel(""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

Michael A. Zadeh, MD, FACS · Answer

Thank you for your question and pictures. Significant improvement can be seen in the texture of the chin and upper lip lines using a combination of treatments including Lasers, Chemical Peels, Microneedling, Radiofrequency, Fillers, etc. To see which combination of treatments would be best for you I would recommend an in-person consultation and evaluation by an experienced physician provider. Best wishes.

Please tell me how to get rid of the orange-peel chin and deep lines above my upper lip? (photos)

Answers (6)

Answer: Orange Peel / Pebble Chin / Chin Dimpling -- Botox/Dysport/Xeomin/Jeuveau to Mentalis Muscle

Answer: Orange Peel / Pebble Chin / Chin Dimpling -- Botox/Dysport/Xeomin/Jeuveau to Mentalis Muscle

Answer: How To Get Rid of Orange Peel Chin and Upper Lip Lines

Answer: How To Get Rid of Orange Peel Chin and Upper Lip Lines

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Please tell me how to get rid of the orange-peel chin and deep lines above my upper lip? (photos)

Answers (6)

Answer: Orange Peel / Pebble Chin / Chin Dimpling -- Botox/Dysport/Xeomin/Jeuveau to Mentalis Muscle

Answer: Orange Peel / Pebble Chin / Chin Dimpling -- Botox/Dysport/Xeomin/Jeuveau to Mentalis Muscle

Answer: How To Get Rid of Orange Peel Chin and Upper Lip Lines

Answer: How To Get Rid of Orange Peel Chin and Upper Lip Lines

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Recommended reading

Everything you need to know about Skin Rejuvenation

Our mission is to create a world where every investment in modern beauty is Worth It.