How can I fix my orange peel chin? When I close my mouth my chin wrinkles as if it was orange peel. (photo)

Question

I think this is what they call mentalist muscle strain. It really bothers me. I do not know if this has anything to do with the fact that my jaw is always open when I sleep. Is it because my muscle is too weak? I would really love to have a smooth chin... my camera is not very good butbI hope you can get an idea about my problem. Thank you!

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

Brian Maloney, MD, FACS · Answer

The chin becomes more dimply as we age due to the Mentalis muscle inserting into the chin skin. BOTOX is a great treatment for this area. Occassionally depending on the depth of the dimpling , a hyaluronic acid filler can help smooth it even more.

Payman Kosari, MD, FAAD · Answer

I typically place about 8 units total in the mentalis muscle and this can significantly help with the dimpling.  Just like botox in other places, effects eventually wear off in 3-4 months requiring additional botox.  Best of luck!

Jason Emer, MD · Answer

Usually a combination approach is best with lasers, microneedling/prp, peels, radiofrequency and skin care. It may take a series of treatments to get improvement. I recommend getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer

Gabriel Chiu, DO · Answer

Thank you for your question. For your case, a small amount of Botox would relax the mentalis muscle, which is causing the dimpling, pulling, and the “orange peel” appearance. You could also add filler to this area, which in combination with Botox, could make the area appear much smoother.  
If you have an orange peel appearance with the mentalist muscle at rest, options would include microneedling with PRP, lasers, peels, and routine skin care. A consultation with a practitioner to discuss your goals would be best!

How can I fix my orange peel chin? When I close my mouth my chin wrinkles as if it was orange peel. (photo)

Answers (9)

Answer: Improving orange peel texture on chin--lasers, microneedling/prp, peels, radiofrequency, skin care

Answer: Improving orange peel texture on chin--lasers, microneedling/prp, peels, radiofrequency, skin care

Answer: Corrections for an Orange Peel Chin

Answer: Corrections for an Orange Peel Chin

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How can I fix my orange peel chin? When I close my mouth my chin wrinkles as if it was orange peel. (photo)

Answers (9)

Answer: Improving orange peel texture on chin--lasers, microneedling/prp, peels, radiofrequency, skin care

Answer: Improving orange peel texture on chin--lasers, microneedling/prp, peels, radiofrequency, skin care

Answer: Corrections for an Orange Peel Chin

Answer: Corrections for an Orange Peel Chin

Browse related questions

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.