What is the best procedure to improve orange peel skin on chin? (Photo)

Question

I have large pores and indentations on my chin “orange peel skin” some call it. What will work the best for this?

Jeffrey H. Spiegel, MD · Answer

In your case we would want to remove the excess skin causing a problem. I'd suggest considering ellacor with laser as a combination. We do those in the office under local anesthesia.

Anna Chacon, MD, FAAD · Answer

The term "orange peel skin" on the chin is commonly used to describe a dimpled, uneven texture that can result from a combination of factors, including strong chin muscle activity, loss of collagen, enlarged pores, acne scarring, or normal aging changes in the skin.

One of the most common causes is overactivity of the mentalis muscle (the muscle in the chin). When this is the primary issue, small amounts of Botox can be very effective at relaxing the muscle and smoothing the dimpling. Many patients are surprised by how much improvement they see from this relatively simple treatment.

If the texture is related more to skin quality, enlarged pores, or acne scarring, procedures that stimulate collagen production tend to provide the best results. Options may include microneedling, radiofrequency microneedling, fractional laser resurfacing, or combination treatments. These procedures work gradually by remodeling collagen and improving skin texture over time.

Topical retinoids such as tretinoin can also be helpful as part of a long-term skincare routine. While they won't produce the dramatic changes seen with procedures, they can improve skin texture, collagen production, and overall smoothness.

In many cases, the best results come from treating both the muscle activity and the skin texture. For example, Botox to relax the chin muscle combined with a collagen-stimulating procedure can create a smoother and more refined appearance than either treatment alone.

From the photo, the exact cause of the orange peel appearance would determine which option is likely to provide the greatest benefit, but when I see this concern in practice, Botox is often the first treatment I consider if the dimpling becomes more noticeable with facial movement.

What is the best procedure to improve orange peel skin on chin? (Photo)

Answers (2)

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