Botox injection for hyperactive mentalis, "pebbled" chin - how do I find an experienced injector? 28 y/o female. (photos)

Question

For the past 10 years I've had a noticeable amount of dimpling in my chin. Also, the muscle makes a "bubble" below my jawline when I smile. I had Botox injected in my chin 5 years ago, and although it did smooth the pebbled appearance it also resulted in a lopsided smile! Only 3 units were injected, in a triangle shape. It obviously wore off eventually, but now I am nervous to try Botox again. The first injector was a board certified plastic surgeon. How do I find an experienced injector? TY!

Mariusz Sapijaszko, MD, FRCPC · Answer

When it comes to any treatments, it is all about the experience and training (not weekend courses). I recommend seeing experienced doctor who has done it for many years. Please make sure that you see an experienced doctor for a thorough consultation and assessment prior to undergoing any treatments.Best regards and I hope this helps, Dr. Sapijaszko.

Kristin M. Baird, MD · Answer

Botox can be very satisfying and beneficial in the chin area to soften the dimpling and smooth the chin when performed correctly. The lopsided smile can occur if not placed properly or if too much was used.  I would recommend a board certified dermatologist or plastic surgeon who specializes in aesthetic injectables like filler and Botox as the main focus of their practice.  Some physicians may do Botox but focus mainly on surgical procedures. Most cosmetic dermatologists focus on neurotoxins and fillers rather than surgery. Do some research and I know you will receive successful treatment. Best wishes.

Alex Eshaghian, MD, PhD · Answer

Thank you for your question Jamie from Oklahoma. I understand your concern. Botox
is a purified protein used to address wrinkles associated with facial
expression. It can be placed in the mentalis mucle on the chin to help with dimpling of the chin. If it spreads to the nearby DLI muscle it can lead to a temporary asymmetric smile. Please click the link above to find a doctor in your area. Please consult with a doctor for specific recommendations. Good luck!

Kiran Polavarapu, MD · Answer

Call around and ask offices about their experience in injecting that area. Look at reviews and talk to your friends! Realself is a great search engine to find an experienced injector!

Sameer Bashey, MD · Answer

Injecting the mentalis is pretty easy for pebbled chin. It actually doesn't require much skill. It is possible that your adverse event last time was due to either too high an injection or too lateral an injection in this area. Usually 4 injection points in the lower mentalist of 2 units each is enough for this indication. These injections are into the muscle and not superficial injections.

Botox injection for hyperactive mentalis, "pebbled" chin - how do I find an experienced injector? 28 y/o female. (photos)

Answers (8)

Answer: Experienced injector

Answer: Experienced injector

Answer: Injecting the mentalis is very easy

Answer: Injecting the mentalis is very easy

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Botox injection for hyperactive mentalis, "pebbled" chin - how do I find an experienced injector? 28 y/o female. (photos)

Answers (8)

Answer: Experienced injector

Answer: Experienced injector

Answer: Injecting the mentalis is very easy

Answer: Injecting the mentalis is very easy

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.