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Guide · Chin wrinkles

Chin wrinkles and dimpling treated with a targeted approach in Berlin

Uneven chin skin, a horizontal crease below the lip and a recessed chin are different concerns. I therefore examine the skin, muscle movement and how your mouth closes before recommending a treatment.

Close-up of natural chin texture with dimpling when the chin muscle is tensed
Understanding your wishes and taking time to weigh up the options.

The short answer

What helps with chin wrinkles?

With an orange-peel or cobblestone chin, strong activity of the chin muscle, the mentalis, can shape the skin’s surface. Targeted muscle relaxation may be an option following an examination. Filler may suit selected structural deficits, but it does not automatically address the cause of tension in the chin during facial expression.

  1. Observe the skin’s surface

    Does the dimpling appear only with movement, or also at rest?

  2. Check how your mouth closes

    Does the chin muscle have to work particularly hard to bring the lips together?

  3. Plan changes to shape separately

    Changing chin projection is a separate treatment.

From wishes to understanding

Understanding chin wrinkles in more detail

The following distinctions help you make sense of what you have noticed and bring relevant questions to your consultation.

01Facial expression

How movement changes the chin’s surface

Small dimples can become visible when you tense your lower lip or chin.

Understand the connection

This is not exclusively a sign of ageing. Natural predisposition and muscle activity can also play a role in younger people; skin changes may make the texture more pronounced later on.

Skincare and sun protection support the skin. Facial yoga or deliberately pressing the lips together do not reliably address the cause. In particular, I check whether the muscle activity is needed for your mouth to close properly.

02Chin–lip crease

The horizontal line needs its own assessment

The labiomental crease runs horizontally between the lower lip and chin and is not the same as marionette lines.

Understand the connection

Its depth depends on factors including anatomy and movement. Adding volume with filler is only considered if there is a structural finding that can be treated appropriately. Additional material should not make the area unnecessarily larger.

If you have difficulty closing your mouth, an unusual bite or significant jaw misalignment, a dental or maxillofacial assessment may be more important than an aesthetic injection.

03Treatment

Botox and hyaluronic acid have different aims

The decision depends on muscle activity and structural findings.

Understand the connection

Botulinum toxin temporarily reduces the activity of the treated muscles. Its use on the chin is usually outside the licensed aesthetic indications, and this requires appropriate explanation as part of informed consent.

Hyaluronic acid adds volume; it does not relax muscles. Combining the two only makes sense where there are suitable, separate findings. A recessed chin or a softer jawline is explained separately on the chin correction page.

Comparing procedures

Which option suits which findings?

The choice is guided by the examination and your wishes. Benefits, limitations and recovery are discussed for the specific procedure.

Botulinum toxin

The aim
Reduce excessive chin muscle activity.
The limitation
Off-label use; mouth closure and lip movement need to be considered.
Recovery
Effects develop over several days, with possible temporary changes in function.

Hyaluronic acid fillers

The aim
Treat selected structural deficits.
The limitation
Does not relax the chin muscle; risks to contour and blood vessels.
Recovery
Swelling and bruising are possible.

Chin correction

The aim
Address shape and projection separately.
The limitation
Not an automatic solution for every chin wrinkle.
Recovery
Depends on whether the method is non-surgical or surgical.
Andrea Caletti during a personal consultation.A decision that fits your life

A closer look

Examining the chin and lower lip together

I observe your face at rest and ask you to speak, smile and close your lips. Previous treatments, medical conditions and medication are taken into account. Any functional concerns are assessed before an injection is considered.

After discussing the treatment and obtaining informed consent, a suitable approach is planned conservatively. The aim is to potentially smooth the surface while preserving function as far as possible. We agree on follow-up and how to get in touch after treatment; some remaining movement early on is not a reason to arrange another treatment independently.

  • Assess whether the mouth closes properly before treatment.
  • Plan treatment for chin dimpling and chin projection separately.
  • Follow-up once the effect has developed.

Costs in Berlin

Costs and scope
for your planning

A general price for Botox or hyaluronic acid treatment is not a binding price for treating chin wrinkles. The method, extent of treatment and any additional shape correction determine your individual quote.

The prices shown for each method are indicative figures for the scope described. Before you decide, you will receive a personalised cost plan detailing the treatment included, follow-up appointments and any potential additional costs. Further areas or repeat treatments are not automatically included.

Discuss your individual treatment needs

Deciding together

Preparation, daily life and aftercare

The advice that applies to you personally depends on the findings, the procedure and your progress.

  1. 01

    Preparation

    Provide full details of medication and previous treatments.

  2. 02

    Daily life

    Follow the advice on pressure, exercise and heat. Report any changes in drinking or speaking promptly.

  3. 03

    Repeat treatment

    The muscle-relaxing effect usually lasts several months; repeat treatments are planned individually.

Personal consultations in Berlin-Charlottenburg
Kurfürstendamm 200 · 10719 Berlin
c/o Vita Aesthetica

Contact & directions

An informed decision

Safety and risks
considered carefully

For the chin, particular consideration must be given to temporary weakness, changes in mouth closure, asymmetry of the lower lip, or difficulty speaking and drinking.

  • Pain, redness, swelling and bruising are possible after injections.
  • Fillers can cause nodules, infections or, rarely, vascular occlusion resulting in tissue damage and harm to vision.
  • Botulinum toxin can affect neighbouring muscles; skin treatments have their own risks of irritation and pigmentation changes.

When you need immediate helpSevere pain, unusual skin discolouration or rapidly increasing swelling must be assessed immediately. Seek emergency medical help straight away if you experience problems with vision, breathing or swallowing.

Dottore Andrea Caletti with a warm smile.

The doctor you will meet

Andrea Caletti

Specialist in Plastic and Aesthetic Surgery

I want you to recognise yourself in your appearance and feel comfortable with it.

My professional journey

Exploring the connections further

Lines around the mouth

Guidance on the lips and corners of the mouth.

Chin correction

Shape, projection and assessment of function.

Good to know

Frequently asked questions:
Chin wrinkles

A website can offer guidance. We will discuss your personal situation together during a medical consultation.

Ask your question
01

Is a dimpled chin always age-related?

No. Muscle activity and individual anatomy can cause dimpling at any age. Skin ageing can make it more noticeable.

02

Will Botox make my chin smaller?

Muscle relaxation can change the skin texture that appears during movement. It neither reduces the size of the chin bone nor removes a fat pad. Changes to shape require a separate assessment.

03

How quickly does the treatment take effect?

Botulinum toxin takes effect over the first few days; a follow-up usually takes place after about two weeks. Filler changes volume immediately, although swelling initially obscures the result.

04

Will my facial expressions be preserved?

Changing certain muscle movements is part of the effect. The dose is carefully chosen, but lip movement or the ability to close your mouth may still be temporarily affected.

05

Can hyaluronic acid fill the deep crease below the lip?

It may be an option if the findings are suitable. Muscle pull, chin projection and bite are assessed beforehand; a deep line alone is not sufficient reason for treatment.

Sources & medical background

Further medical information on the procedures described, their limitations and risks.

Dottore Andrea Caletti in a warm, friendly conversationDottore Andrea Caletti

Let’s begin with a conversation

Personal consultation
about your wishes

Tell me what matters to you.
I will take time for your questions.

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