How Residual Dimpling can Occur after Botox® Chin Treatment

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A lady received two injections of Restylane and some Botox® to address the appearance of her chin. The results look fine until she frowns or scrunches up her face, after which a dimple shows up in the chin area. She wants to know if this is because the filler is still settling, or if she should have it fixed again.

New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. reviews her concerns in this video, and explains how asymmetric effect of Botox® could have likely caused the exaggerated dimpling effect, and that this is easily solved by adding more Botox® to the area:

1:14 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience using Botox® and fillers in his practice

2:11 — How placing injectable fillers into an area addresses volume without affecting muscle function

2:43 — The concept behind a procedure called Structural Volumizing

3:11 — How facial movement and activity typically allows for the filler to mold

3:30 — How a muscle in the chin, called the mentalis muscle, is the cause for chin dimpling

3:58 — How the solution for exaggerated chin dimpling is easily solved with more Botox®

4:17 — Dr. Prasad talks about the onset and maximal effect of Botox®; and the value of following-up after 2 weeks

4:50 — How this lady’s case of chin dimpling is likely caused by an asymmetric effect of the Botox®

5:07 — Dr. Prasad’s recommendation

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