Hyperactive mentalis muscle.How many Botox treatments will I do a year for treatment of its appearance?Is surgery a safe option?

This treatment is usually needed 3-4 times a year.  However, you are asking more specific questions that really need a photograph or video to assess, also I suggest a formal consultation with a botox and filler expert.  Best, Dr. Emer.

Thank you for your questions.  As far as Botox therapy, treatment of mentalis muscle hyperactivity would likely require treatment 3-4 times a year.  Botox effects can last anywhere from 3-4 months per treatment session, and yes with recurrent treatments, it will lead to mild atrophy of the muscle, and some prolongation of Botox's effects.  Botox effects are never permanent, however, so if you elected to stop, your mentalis muscle would hypertrophy back to its original size.  I would be cautious of any surgery to the mentalis muscle, as permanent injury or removal can cause issues with your lip shape, balance, as well as issues with your chin soft tissues.  

An overactive mentalis muscle may be part of your genetic makeup which is accentuated by age or may be caused by jaw / teeth malocclusion. Having Botox will certainly help, used in very small doses between 2 and 3 times a year. Best to let it completely ware off before re-injection. Also ask an orthodontist to look at your mouth and teeth bite in order to make sure there is no underlying orthodontic contribution.

Thanks for your question. This is a question that we
get asked often by our patients.  As far as Botox treatments, you would likely require treatment 3 times a year.  The effects can last from 4-6 months and with recurrent treatments, mild atrophy of the muscle will occur and the effects may start to last slightly longer than previous treatments.  Botox effects are never permanent and eventually if you stop treatments, you muscle would return to its original size. These are
advanced techniques so be sure to get an experienced cosmetic dermatologist
consultation for recommendations and treatment options.

Botox is an excellent treatment for reducing the appearance of "pebbling" of the chin from a hyperactive mentalis muscle.Expected duration of results: 3 monthsLong-term: Frequency of treatments may lengthen a bit, but treatment will always be necessary.Downtime: None

Hi, Botox treatments to the Mentalis muscle would be performed about 3-4 times a year.  We do not recommend surgically altering the muscle as this can create permanent cobblestoning of the overlying skin or other surface irregularities.  Hope this helps.