How to improve divots and chin texture? (photo)

Peau d'orange, or the skin of the orange, is a dimpling of the skin over the chin that can easily be relaxed with Botox, and only a small amount of units is needed. There are risks with all cosmetic treatments so see a board-certified dermatologist or plastic surgeon. The treatment will need to be repeated every four months or so.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

Often a combination approach will produce the best results. I would recommend some botox to the mentalis muscle to relax the chin and then consideration for a chin implant to produce an improved jaw. texture problems of the skin can be improved with microneedling, PRP, and chemical peels.

Thank you for your pictures and questions. I am going to disagree with a couple of the answers posted on here which have listed things that you absolutely do not need. Dr. Sieber and Dr. Dorner have taken the time to review your questions and pictures and they have provided the right answer rather than providing some canned cut and paste response. The issues you are having is from overactivity of the muscle of the chin (mentalis) and you are the textbook case for treatment with Botox. Make sure you see an experienced injector for this treatment.Best of luck!

This can be improved with a combination of fillers, lasers, microneedling/prp and peels. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Dear thechingirl:Looking at your photo, I would recommend Botox to relax your over active mentalis muscle on your chin and thus even out your "divots."  Best wishes.

Thanks for the great question. The cobble-stoning you see on your chin is from an overactive mentalis muscle. This can easily be treated with some botox in that area to help smooth it out. I hope this helps!!Best,~Dr. Sieber

Although fillers may work, many times the divots it in your chin are related to chronic mentalis muscle strain. In order to stop the muscle from being overreactive, Botox should be used. At your age, a chin implant will give you the best cosmetic result and long-term the least expensive. Considering fillers will cost you between  upwards of $700 per treatment and you’ll need them every year or two, it will quickly outpaced the cost of a chin implant surgery. Hope this helps. 

Filler could be used to improve chin definition and projection. My preferred filler for the chin is Restylane Lyft although Juvederm Voluma and Radiesse work too.