I have an orange peel chin. What can be done to fix this?

Question

I know Botox can be used, but is this something I’d have to keep getting done every couple of months? I’d prefer a more permanent option if there is one. Do symptoms of the orange peel chin keep improving until you no longer need treatement or will I need to get it every time the Botox runs out. I’m only 19 and hate my chin and wouldn’t want to have to keep treating my chin forever. What Can I do?

Kristin M. Baird, MD · Answer

Botox is an effective treatment for the "orange peel" chin appearance since the irregularity is typically due to muscle contraction. It provides a very nice aesthetic result and may last 4-6 months. This area requires very few units so it is quite affordable. Please consult a board certified dermatologist or plastic surgeon experienced in Botox injections to the lower face. Best wishes.

Mitchel Goldman, MD · Answer

Botox can do a great job of smoothing out your chin and removing the orange-peel look. It only takes a small amount of Botox to make a big difference in this area. Over time, as your muscle weakens, you may need less Botox. Regardless, it would only have to be re-administered every 4 to 6 months. That’s a much longer maintenance schedule than that for a haircut or a manicure. Looking our best takes constant vigilance! Another option is the use of a very fine hyaluronic acid filler like Restylane Silk or Belatero. Please consult a board-certified dermatologist who can help you feel better about your chin.

Jessica Lattman, MD · Answer

Botox is very effective at treating this issue.  You will most likely need to have Botox treatments every 4-6 months to maintain the effects.

David Yew, MD · Answer

The chin dimpling you see is from dynamic movement of the chin causing "p'eau d'orange" appearance.   A small amount of botox (5 units) would be sufficient but it needs to be placed in the right location and it will only help the lower appearance of the chin.   There will still be some dimpling above the treatable area as we must avoid placement too superiorly so that it will not affect your smile.    Find an experienced provider to do this.   This lasts 3-4 months and must be repeated if you like it.

Philip Solomon, MD, FRCS · Answer

At your age, my recommendation would be to continue using botox as a means of treatment and prevention.  Over time, the muscles will weaken with continued botox injections, and a lower dose may perhaps be required or you may be be able to go a bit longer between injections.  Luckily, this area doesn't require a lot of product to treat this area.  Ensure that you are in good hands with a board certified and experienced practitioner.Best of luck,Dr. Philip Solomon, Solomon Facial Plastic

Hannah Vargas, MD · Answer

The best treatment for this concern is Botox or Dysport.  This issue is occurring due to movement in the muscle.  Luckily it doesn't take that much to achieve results!

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Botox is the best initial treatment at your age to correct the overactive chin muscle creating the orange peel effect.  Like all of Botox's benefits it is only temporary and the appearance will return once your Botox runs out.  Hope this helps.

Dhaval M. Patel, MD · Answer

Thank you for your post. While Botox is a common method to treat what you are experiencing, another option that has longer lasting effects would be fillers. It's best to have a thorough in person consultation with a board-certified plastic surgeon in your area to discuss all of your treatment options. Best of luck!Dr. Dhaval M. Patel Double Board Certified Plastic SurgeonChicago-Water Tower Place, Oakbrook, Hoffman Estates, Orland Park

Kory Kitagawa, MD · Answer

The orange peel surface of your chin is probably caused by tense chin muscles. A touch of Botox will relax them, allowing your skin to smooth out. The Botox should last about 6 months in the chin. A board-certified dermatologist will be able to evaluate you to determine if this is the best procedure for you, or if you’d benefit from some dermal fillers, too.

Kevin Tehrani, MD, FACS · Answer

Thank you for the detailed question. A small dose of Botox to relax the mentalis muscle that overlies the chin would stop the orange peel appearance and give you the outcome you want. Botox usually lasts between 4-6 months and although it seems cumbersome to have to do it so often, if this is something that bothers you so much, it will be worth it. I recommend seeing an expert injector in-person so they can look at the activity in the muscle and correctly dose you so that the Botox lasts as long as possible. For more information please visit our webpage.