27, female, can Botox address my chin issues or will I need to do something more? (Photo)

Question

I’m a 27 year old female who went through extreme weight loss and am discovering that some features I attributed to being overweight, aren’t due to that and I’m now considering my options. I have tmj and will be getting Invisalign next year to fix my bite which I imagine will help, but I believe my lower face muscles are overactive. Will Botox in my mentalis muscle help improve my smile and overall jaw’s appearance? My chin and jaw feels too round and like a U and protrudes too much when I smile

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your concerns. It sounds like you're considering various options to address changes in your facial appearance following significant weight loss. Here are some thoughts on how Botox might help, along with other considerations:

Botox for the Mentalis Muscle: Botox can indeed be effective for relaxing the mentalis muscle, which may help in reducing the appearance of a prominent or protruding chin when you smile. This can lead to a smoother and more balanced appearance of the lower face.

TMJ and Overactive Muscles: Since you mentioned TMJ, Botox can also be used to relax overactive jaw muscles. This might help alleviate some of the tension and contribute to a more refined jawline appearance.

Invisalign and Bite Correction: Correcting your bite with Invisalign can also have a positive impact on your facial aesthetics. As your bite improves, you might notice changes in how your jaw and chin align, which could further enhance your results.

Consultation with a Specialist: It's best to consult with a board-certified dermatologist or plastic surgeon who can assess your specific needs and recommend a tailored treatment plan. They can evaluate your facial structure and muscle activity to determine if Botox or another procedure might be more suitable.

Combination Treatments: Depending on your goals, a combination of treatments such as fillers, Botox, or even surgical options might be recommended to achieve the desired outcome.

I hope this helps guide you in making an informed decision. Please consult with a qualified healthcare provider for personalized advice.

Falguni Patel, MD, FACOG · Answer

Consecutive treatment with Botox in your mentalis can relax and eventually atrophy or shrink the muscle. An in person evaluation would be needed for a more accurate assessment and treatment plan. Keep in mind as we age, good bone structure in the chin and jawline keeps us looking younger longer. So use caution when reducing projection in these areas.

Camille Cash, MD · Answer

You will likely have the best outcome from a combination of treatments.  Botox can be used to help alleviate symptoms of TMJ and slim the jawline.  Botox when used for the chin helps with the "orange peel" appearance.  Fillers and other treatments can help give you more of the jawline you are wanting.  Visit with an expert injector near you to learn more.

Miller Vieira Paula, DDS · Answer

Thank you for sharing your concerns! Here’s an overview of options that might help you achieve the results you’re looking for:
1. Botulinum Toxin for the Mentalis Muscle: Botulinum Toxin (Botox is a brand) can be effective for relaxing the mentalis muscle, which can help reduce the appearance of a pronounced or "pebbly" chin and make the lower face look smoother. It might help soften the rounded shape, especially if overactivity in this muscle is contributing to your concerns. Botulinum Toxin can also improve the appearance of a “dimpling” effect on the chin that sometimes happens when smiling.
2. Aligners and TMJ Treatment: Your plan to get Aligners (Invisalign is a brand) should contribute positively, as it can correct bite alignment, potentially alleviating some TMJ symptoms. By aligning your bite, the aligners may also subtly change the jaw and chin positioning, which might give you a more defined look. This could indirectly benefit the aesthetics of your lower face.
3. Jawline Contouring Options: If you’re still seeking more refinement after Botulinum Toxin and Aligners, you might consider fillers in the jawline to add structure and definition, which can enhance a more angular look. Sometimes, jawline contouring can help balance out a rounder or “U”-shaped lower face.
4. Alternative Treatments: If Botulinum Toxin and Aligners don’t fully achieve your goals, options like chin filler or a minor chin reduction surgery could be explored. Chin fillers can add subtle contouring without surgery, while a more permanent surgical option could help reshape the chin for a less protruding appearance.
5. Consultation with a Professional: Given your unique facial structure and TMJ concerns, consulting a facial aesthetic specialist can be beneficial. They can provide a tailored treatment plan that addresses your concerns holistically, balancing both functionality and aesthetics.
It sounds like you’re on the right track with Aligners and exploring Botulinum Toxin, and with these options, you’re likely to see an improvement in your chin and jawline.
Best regards,Dr. Miller Vieira Paula.

27, female, can Botox address my chin issues or will I need to do something more? (Photo)

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