Do I need Botox or filler for a temporary solution for my butt chin? (Photo)

Question

I need to save up to get a more permanent solution, but not sure if botox will alleviate it or not. I don't want a bigger chin so I'm afraid to do filler in the area

Nick Slenkovich, MD · Answer

Hi, I’m Lauren, the aesthetic injector here at Colorado Plastic Surgery Center. This is a common concern among patients, and filler is typically recommended in this area as it adds volume and definition. I recommend starting with a consultation with a skilled provider to perform a full facial assessment and develop a personalized treatment plan that aligns with your goals.

Joe Gryskiewicz, MD, FACS · Answer

Hello, I would recommend filler to the area to fill the indented area. Botox is used to relax muscles minimizing fine lines and wrinkles, while filler can add volume to make the chin over all more round and not as indented.

Jill Hessler, MD · Answer

Chin dimples can occur for a variety of reasons. Dimming can occur from the result of the mentalist muscle and this is best treated with botox. If the depression is present all the time and not with certain chin or mouth movements then you can consider a filler as a longer lasting result for the depression. It is difficult to tell from your photo which is best as dynamic movements are so important to fully assess this area.

Nelson Lee Novick, MD · Answer

Botox is unlikely to help; HA fillers can help, but are only temporary; and permanent fillers run the risk of permanent long-lasting complications that are not easy to treat when they occur. 
Subcision, on the other hand, which I have personally been performing since 1995, has a several decades" long track record of safety and efficacy for elevating and smoothing all kinds of skin depressions and indentations. It is predicated on stimulating the skin to produce its own new collagen and elastic fiber synthesis and hence the results are typically long-lasting to permanent. 
You would be wise to consult with an experienced, board certified cosmetic dermatologist and best of luck.

Anna Chacon, MD, FAAD · Answer

When considering temporary solutions for a "butt chin" (also known as a cleft chin), it's important to understand how Botox and fillers work and their effects on the area you're concerned about.

Botox
- **Mechanism**: Botox (botulinum toxin) works by temporarily paralyzing muscles. It's typically used to reduce the appearance of dynamic wrinkles caused by muscle movement.
- **Effectiveness for Cleft Chin**: Botox is not usually effective for treating a cleft chin because it doesn't fill or smooth out the indentation. It might reduce the appearance if the cleft is accentuated by muscle activity, but this is not common.

Fillers
- **Mechanism**: Dermal fillers, such as hyaluronic acid-based products, add volume and can smooth out indentations or irregularities in the skin.
- **Effectiveness for Cleft Chin**: Fillers are more likely to address the appearance of a cleft chin by filling in the indentation, making the chin appear smoother. They can be carefully applied to avoid making the chin look significantly larger, but this requires a skilled injector.
- **Temporary Nature**: The effects of fillers are temporary, usually lasting from 6 months to 2 years, depending on the type of filler used.

Considerations
- **Consultation**: It's important to consult with a qualified and experienced dermatologist or plastic surgeon. They can assess your specific anatomy and recommend the best temporary solution.
- **Concerns About Size**: Express your concerns about not wanting a larger chin. A skilled practitioner can use fillers in a way that smooths the cleft without significantly increasing the overall size of your chin.
- **Permanent Solutions**: If you're planning to save up for a more permanent solution, discuss these options during your consultation. Permanent solutions might include surgical procedures like genioplasty (chin surgery).

For a temporary solution to address a cleft chin, dermal fillers are generally more appropriate than Botox. However, the result will largely depend on the skill and experience of the practitioner. Scheduling a consultation with a qualified professional will help you make an informed decision and ensure that your concerns about chin size are addressed.

Brian Rike, DO · Answer

It’s hard to tell from the pictures, but if you’re getting more scrunchy looking skin on your chin, Botox can help with that relax the muscle but if you’re actually trying to fill in an area, I think filler would probably work better.

Jacquelline Leva, DO · Answer

By relaxing the mentalis muscle can have the chin even out ..it would be nice to have a picture of overall side profile to see if you would benefit from dermal filler into the chin area depending how it is porportioned to your mandible, as well lips and nose.

Stefan Weiss, MD · Answer

Botox is a muscle relaxer and thus cannot help restore lost volume or structural defects. In this case only a filler will correct. If done correctly, it should create a smooth chin and not a bigger chin.

Camille Cash, MD · Answer

Botox would not help the appearance of the cleft in your chin.  Botox is a neuromodulator that impacts the ability of a muscle to contract.  Muscle activity is not influencing the appearance of your chin.  Filler may be helpful in softening the depth of the cleft.  See an expert injector near you to discuss treatment.

Do I need Botox or filler for a temporary solution for my butt chin? (Photo)

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