Get Rid Of Chin Dimpling With Chin Botox

Did you know that Botox not only fights wrinkles, but can also smooth out a strawberry chin? Discover how Chin Botox can make your chin smooth again and your face look harmonious.
Dr. Eva Maria Strobl
Botox bei Erdbeerkinn

Chin Botox at a Glance

  • Indication: Uneven or dimpled chin caused by overactive chin muscle
  • Mechanism: Chin Botox relaxes the mentalis muscle, smoothing the skin’s surface
  • Treatment: Usually 2 small injection points, about 3 units each (sometimes up to 5)
  • Result: Noticeable within a few days, typically lasts 3–5 months
  • Possible Combination: Dermal filler treatment with hyaluronic acid if deeper creases or dimples are present
  • Cost: Minimal when performed as part of a larger Botox treatment session, approximately €150 when performed as a standalone procedure (indicative, billed according to the German Medical Fee Schedule – GOÄ)

What Is a Dimpled or “Orange Peel” Chin?

Uneven, Textured Surface on the Chin

A dimpled or “orange peel” chin—often called a cobblestone chin—refers to an uneven, textured skin surface in the chin area. The cause is excessive contraction of the mentalis muscle, which pulls the skin into small dimples and ripples. The result is a bumpy appearance that can make the chin look tense or uneven. In more pronounced cases, this irregular texture may disrupt overall facial harmony.

Dimpled Chin and Horizontal Chin Crease

The mentalis muscle controls movement of the chin and lower lip. When it’s overactive, visible dimples or a distinct orange-peel texture can appear. Often, a horizontal crease forms just below the lower lip, emphasizing the uneven look even more.

Causes: Genetics and Aging

Several factors can contribute to a dimpled chin—genetic predisposition, overactive chin muscles, or the natural aging process. As skin loses elasticity and volume with age, persistent muscle tension causes the surface irregularities to become more visible, creating the characteristic cobblestone texture.

Treating Dimpled Chin with Botox

Chin Botox Proven Effective

Treating a dimpled chin with Botox is a well-established method to visibly smooth uneven skin texture on the chin. The toxin is precisely injected into the mentalis muscle to reduce its overactivity. As the muscle relaxes, the skin becomes smoother and more even in appearance.

Fast, Noticeable Results

Chin Botox is ideal for individuals bothered by an uneven chin surface or a smile that looks tense or dimpled. It can be performed on both younger and older patients, regardless of whether the cause is genetic or age-related.
Results typically appear within just a few days: the chin looks smoother, calmer, and more balanced. The treatment can be performed on its own or combined with other aesthetic procedures.

Hyaluronic Acid as a Complementary Option

In some cases, I combine Botox with a hyaluronic acid filler to soften a horizontal crease below the lower lip or a deep dimple. Together, the muscle relaxation from Botox and volume correction with filler create a particularly natural and harmonious result.

Benefits of Chin Botox

Compared to other methods, Chin Botox offers several advantages:

  • Quick Results: The effect of Chin Botox is usually visible within just a few days. A single session is often enough to noticeably smooth the skin on the chin.
  • No Downtime: The treatment requires no recovery period. Patients can return to their normal routine immediately.
  • Minimal Discomfort: The injections are virtually painless and require no anesthesia. Usually, just two small injection points are sufficient to relax the chin muscle effectively.
  • Temporary but Flexible Effect: Results last for several months before gradually fading. A touch-up can be done anytime but is not mandatory.
  • Cost-Effective: Because only a small amount of Botox is needed, the treatment cost remains moderate—significantly lower than with alternatives such as laser, radiofrequency, or filler treatments.

Treatment Procedure

  1. Consultation and Assessment: Every Chin Botox treatment begins with a detailed consultation to analyze the aesthetic concern and determine the most suitable approach. During this discussion, I also explain possible risks, side effects, and contraindications.
  2. Preparation: The treatment area is carefully cleansed and disinfected. I also take before-and-after photos to document the progress and results.
  3. Injection: The Botox is injected directly into the mentalis muscle using an ultra-fine needle. Typically, two small injection points at the tip of the chin—about 3 units each, totaling roughly 6 units—are sufficient. In cases of stronger muscle activity, up to 10 units may be needed.
  4. Aftercare: Mild redness, swelling, or small bruises may appear immediately after treatment but usually resolve quickly.
  5. Results and Safety: Due to the low dosage and precise placement, Chin Botox is considered a low-risk and nearly side-effect-free procedure. The chin appears smoother and more balanced just a few days after treatment.
Botox bei Erdbeerkinn -Injektionspunkte
Chin Botox: Typically, 3 units per injection in two points (marked in black) are sufficient.

Risks and Possible Side Effects

As with any aesthetic procedure, Chin Botox can involve certain risks and side effects. These may include mild redness, swelling, small bruises, or, in rare cases, local infection at the injection sites.

In isolated cases, there may be uneven results or a temporary weakening of nearby muscles. If the chin muscle relaxes asymmetrically, the chin may briefly appear uneven, or slight speech changes can occur.

Such effects are largely preventable with precise injection technique and experienced administration. As with all medical-aesthetic treatments, it is essential to seek care from a qualified and skilled physician.

Is Chin Botox Right For Me?

Most people with a dimpled or “orange peel” chin are excellent candidates for Chin Botox, as the treatment reliably relaxes the overactive chin muscle and smooths the skin’s surface. However, there are certain situations where Botox should be avoided:

  • Pregnancy and Breastfeeding: Botox is not recommended during these periods, as potential effects on the fetus or infant have not been adequately studied.
  • Neurological Disorders: Individuals with myasthenia gravis or Lambert–Eaton syndrome should not undergo Botox treatments, since muscle weakness could worsen.
  • Allergies: The procedure is contraindicated in patients with known hypersensitivity to botulinum toxin or other ingredients in the product.
  • Active Infections or Inflammation: Any infection or inflammation in the treatment area must be fully resolved before proceeding.

If none of these conditions apply, Chin Botox is generally a safe and effective solution to create a smoother, more balanced chin appearance.kationen gelten für alle Botulinumtoxin-Anwendungen und werden selbstverständlich auch bei der Behandlung des Erdbeerkinns sorgfältig berücksichtigt.

Cost of Chin Botox Treatment

Treating a dimpled chin with Botox is typically very affordable, since only a small amount of toxin is required. From an economic standpoint, it often makes sense to include the chin when treating a larger area—such as the forehead, frown lines, or crow’s feet. This allows the contents of a 50-unit vial to be used efficiently, without increasing overall cost.

When the chin is treated alone, a new vial must be opened for the small quantity needed. In my Munich practice, the cost for a standalone Chin Botox treatment is approximately €150 (guide price, billed individually according to the German Medical Fee Schedule – GOÄ).

Combining Chin Botox with another treatment area is usually the most practical and medically sound approach, achieving a harmonious overall result with minimal additional effort.

Alternative Treatment Options

In addition to Chin Botox, there are several other ways to treat a dimpled or cobblestone chin, including:

  • Dermal Fillers: Hyaluronic acid fillers can effectively smooth uneven texture or dimples in the chin area. This approach works especially well for a horizontal crease running just below the lower lip. After Chin Botox, that line is often already softened, but a small amount of filler can smooth it almost completely. A deep chin dimple caused by muscle activity can also be corrected this way, making fillers a valuable complement to the muscle-relaxing effect of Botox.
  • Radiofrequency Therapy: This non-invasive treatment delivers controlled heat deep into the skin using high-frequency energy to stimulate collagen and elastin production. The result is firmer, smoother skin and a visibly refined chin surface. The procedure is pain-free, requires no downtime, and typically involves several sessions for lasting improvement. Deep microneedling can achieve a similar effect.
  • Laser Treatment: A fractional laser sends fine beams of light into the skin to trigger collagen remodeling and cell renewal. After treatment, the skin appears tighter and more even, visibly reducing the dimpled chin texture. The procedure is minimally invasive and performed over several sessions. Mild redness or swelling may occur but usually subsides quickly.

Why Choose Dr. Strobl for Chin Botox in Munich?

  • Extensive experience from numerous successful Chin Botox treatments performed in Munich to smooth dimpled or “orange peel” chins
  • Comprehensive medical expertise with specialization in aesthetic wrinkle therapy and precise Botulinum toxin injections targeting facial expression muscles
  • All injections to relax the mentalis muscle are performed personally by Dr. Eva Maria Strobl
  • Ongoing advanced training with leading experts in lower-face Botox treatments and the management of muscle-related skin irregularities
  • Use of modern, evidence-based techniques to ensure precision, safety, and reliable results in chin treatments
  • Focus on natural outcomes – gentle smoothing of the chin surface without altering facial expression
  • Conveniently located Munich practice, easily accessible by public transport, taxi, or car
  • Transparent pricing and an excellent cost-benefit ratio for all Botulinum toxin treatments
  • Personal aftercare and direct accessibility via phone, email, or WhatsApp
  • High patient satisfaction with Chin Botox, confirmed by numerous positive reviews on Google, ProvenExpert, and Jameda

Frequently Asked Questions

How Quickly Does Chin Botox Work?

The effect usually begins within a few days and reaches its full result within about two weeks. After roughly one week, the chin already appears noticeably smoother and more even.

How Long Do Chin Botox Results Last?

Results typically last 3 to 5 months, depending on muscle activity and individual metabolism.

Can the Dimpled Chin Reappear Once Botox Wears Off?

Yes. Since the effect of Botox is temporary, the mentalis muscle may regain its previous activity once it wears off. A maintenance treatment is recommended to keep the chin smooth and balanced.

About the Author

Dr. med. univ. Eva Maria Strobl is the founder and owner of LIPS and SKIN Aesthetic Medicine practice in Munich. She is a trained specialist in general medicine (MedUni Vienna) and has over 10 years of specialization in non-surgical aesthetic procedures. She is a member of the German Society for Aesthetic Botulinum Therapy e.V. (DGBT), the German Society of Anti-Aging Medicine e.V. (GSAAM) and of Network Global Health. She publishes regularly on her blog and on DocCheck.

Sources for This Content:

Sommer et al, Botulinum toxin in aesthetic medicine, Thieme.
Sattler, Pictorial Atlas of Aesthetic Botulinum Toxin Therapy, KVM.
Yu et al, Paradoxical bulging of mentalis after botulinum toxin type A injection, link.

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