Wrinkles are typically considered a problem facing middle-aged to older adults. They are usually age-related and caused by repetitive facial movements or the loss of collagen and facial volume, but this is not the only reason wrinkling can occur. Some younger people find they notice small wrinkles on their chin when they have their mouth closed. As this does not have to do with age, what causes these wrinkles, and how can they be fixed?
“Orange Peel” Chin Wrinkles
The wrinkling and pitting that can occur in the chin area when the mouth is closed is often called “orange peel” wrinkling. This a common name for the problem because the chin can take on the appearance of an orange peel, with many small wrinkles and pits disrupting the overall aesthetics of the chin. This problem is common with a short, weak, or recessive chin. The most prevalent theory as to why this occurs is that the chin muscles in a recessive chin have to work harder than in chins that have more projection.
Botox as a Solution
If you are struggling with frustrating chin wrinkles, there is good news: Botox injections are an effective, albeit temporary way to improve the appearance of chin wrinkling. Because chin wrinkles are “dynamic” (meaning they are caused by movement), Botox can be used to limit the movement of the chin muscles and ease the wrinkles for a period of 3-4 months. A skilled provider can produce improvement without limiting the movement of other areas of the face.
Botox is affordable, effective, and requires no downtime. Results begin to become apparent within a week or so following injection, and the process is quick and relatively painless. Many patients return to work the same day, and only minor side effects such as mild swelling and bruising at the injection site are common, with these typically subsiding within a day or two. The one major downside to Botox treatments, however, is the temporary nature of the treatment. Patients will need to come in periodically for treatment in order to maintain results.
A recessive chin can cause more problems than just chin wrinkling, and many people who experience “orange peel” chin may want to consider another procedure in addition to Botox treatments: chin implants. Chin implants are a permanent way to augment the chin and increase its projection. Because of the muscle memory involved with chin wrinkling, augmentations with implants may not solve the wrinkling issue, but it can sometimes reduce the appearance of these wrinkles. Most importantly, chin implant surgery can help improve overall facial balance and aesthetics.
The surgery is fairly simple, performed under general anesthesia or sedation. During the procedure, a custom implant made of silicone is inserted through a discreet incision. Initial downtime is up to 10 days, with swelling persisting for 3-6 weeks following surgery.
Which Method Is Best?
There is no one best method of treatment to suit every patient. The procedure that is right for you is highly individual, and an issue that should be discussed with qualified facial plastic surgeons during your consultations. Factors include your goals, budget, downtime allowance, health history, and personal feelings toward cosmetic procedures. No matter what treatment you are considering, you will have your candidacy assessed at your consultations to make sure you are healthy enough to undergo the procedure. One advantage of Botox is that it allows you to “preview” your new look before you choose surgery. You might find that you get sufficient results with this option. With that said, implant surgery also changes the appearance of the chin in other ways, and may not affect wrinkling at all. This is why plastic surgeons today use imaging technology to help patients make decisions and aid in communication.
Talk to a Facial Plastic Surgeon
Whether you are thinking about Botox or a chin implant, or both, you will want to speak with an experienced facial plastic surgery to plan your procedure. Only a board certified specialist will have the knowledge and skill to help you get the results you are looking for. Be sure to do your research on potential providers and take into consideration factors such as board certification, education, accolades, before-and-after photos, and reviews. In addition, it is important to be able to trust your doctor and establish rapport.
If you are looking for a specialist in the Boston area, come to Bentkover Facial Plastic Surgery and meet with acclaimed, board certified facial plastic surgeon Dr. Stuart Bentkover. Dr. Bentkover has over 25 years of experience helping patients reach their aesthetic goals, and is standing by to help you reach yours. To schedule your consultation, contact Dr. Bentkover at his offices in Worcester (508-363-6500) or Stoneham (617-247-0033), MA today.