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Can you have Botox in your chin area?

Yes, Botox can be used off-label in the chin to relax the mentalis muscle. This helps in patients with a wrinkly or pebbly appearance of the chin. The mentalis sits just under the skin, and when it contracts while talking, puckering, or making expressions, it can create that dimpled, cobblestone look. Injecting a small amount of Botox weakens this contraction so the skin lies smoother. Results usually show up within a few days and last three to four months, similar to Botox elsewhere on the face. It works best when the dimpling appears mainly with chin or lip movement rather than at rest, since resting dimpling can involve thin skin or volume loss that Botox won't fully correct. Worth discussing your specific pattern at consultation so we can set realistic expectations.

Clinical Context

Chin dimpling isn't always caused by muscle activity. The mentalis muscle sits just under the skin, and its contraction during talking or puckering can create a pebbly texture. If the dimpling shows up mainly when you move your chin or lips, it's more likely muscle-related and may respond well to Botox. If the skin looks dimpled even at rest, thinning skin or volume loss could be contributing, and Botox alone may not fully smooth the area.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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