Could Filler and Botox fix my side profile and chin crease? (Photo)

Question

I'm 23 and have always been insecure about my side profile. Would filler and botox do anything for me? If so how long would it take to see results from it? Thank you so much in advance.

Nelson Lee Novick, MD · Answer

If by chin crease, you mean the deep horizontal crease above the chin and below the lower lip, then the answer to your question would be that a robust HA lifting filler can absolutely improve this and thus improve the profile view. Botox is not necessary for this, nor would it be helpful. In experienced hands, this is a routine treatment, takes about five minutes to perform, yields immediate results, and engenders little to no significant downtime. It also frequently creates a slight, more sensual pout to the lower lip. You would be wise to consult with an experienced, board certified cosmetic dermatologist filler expert. Best of luck.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo. First, I want to say that at 23, your facial features are already well-balanced. What you're noticing appears to be a subtle concern rather than something that requires a dramatic change, which is actually a good place to start because small adjustments often create the most natural results.

Looking at your profile, I do think filler could make a meaningful difference, depending on your goals. If your chin is slightly recessed or lacks projection, a conservative amount of filler can help improve the balance between your nose, lips, and chin, creating a smoother, more harmonious side profile.

Regarding the chin crease, if it's present even when your face is relaxed, a small amount of filler can soften it by providing support beneath the skin. If the crease becomes more noticeable when you speak or make expressions, it may be related to the mentalis muscle, and a small amount of Botox can help relax that muscle and reduce the appearance of the crease. In many cases, the best results come from using both treatments together.

One of the nice things about filler is that you'll usually notice an improvement immediately after treatment, although there can be some temporary swelling for the first few days. The final result is typically seen within about 1–2 weeks once the filler has settled. Botox, on the other hand, works more gradually. Most people begin to notice an effect within 3–5 days, with the full result developing over about 2 weeks.

The key is to take a conservative approach. At your age, you don't need large amounts of filler to create balance. Thoughtful, subtle enhancement is usually enough to refine the profile while still looking completely like yourself.

Overall, based on the photo you've shared, I do think filler, with or without a small amount of Botox, depending on the cause of the chin crease, could improve your profile. The goal wouldn't be to change your face, but rather to enhance your natural proportions in a way that looks refreshed and balanced.

Anna Avaliani, MD · Answer

Thank you for photos. Your profile is simply perfect and super balanced. There is nothing wrong at all.The little tiny line in your chin can be softened with a little filler placed there. No need for botox. Please do not be so hyperfocused on the little line that is not visible to anyone except you. Also, no need to be insecure as it can be corrected in a 1 minute session to bring your confidence back.
Best of luck, Dr.Anna Avaliani

James Mirabile, MD, FACOG - Account Suspended · Answer

Adding any kind of volume enhancement to the chin area, such as dermal filler, would further accentuate the area. If your profile is bothersome, you could consider plastic surgery. There are surgical options available that can reshape the chin area. Best of luck to you!

Could Filler and Botox fix my side profile and chin crease? (Photo)

Answers (4)

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