Cleft Chin Botox – A Non-Invasive Solution

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Botox injections offer a non-invasive solution for those seeking to reduce the appearance of a cleft chin or chin dimples. This treatment targets the mentalis muscle, responsible for the dimpled or “orange peel” texture often seen in cleft chins.

By relaxing this muscle, botox smooths the chin’s surface, creating a more uniform appearance. The procedure is quick, typically lasting only a few minutes, with results visible within days and lasting for several months. While not a permanent solution, botox for cleft chin provides a temporary yet effective option for those who wish to alter their chin’s appearance without resorting to more invasive surgical procedures.

Botox as a Treatment for Cleft Chin

Botox has emerged as a popular non-surgical option for addressing cleft chin concerns. This treatment offers a less invasive alternative to surgical procedures, with minimal downtime and relatively quick results.

How Botox Works on Cleft Chin

Relaxing the Mentalis Muscle: The mentalis muscle, located in the chin area, is responsible for the dimpled or cleft appearance when contracted. Botox works by temporarily paralyzing this muscle, reducing its ability to contract. When injected into specific points of the mentalis muscle, the neurotoxin blocks nerve signals that cause muscle contractions. This relaxation of the muscle leads to a smoother chin surface, effectively minimizing the appearance of dimples or clefts. The treatment is precise, targeting only the necessary areas to achieve the desired aesthetic result without affecting surrounding muscles or facial expressions.

Smoothing the Appearance of Cleft Chin: As the mentalis muscle relaxes due to the botox injections, the skin overlying the chin becomes smoother and more even. This smoothing effect helps to reduce the visible indentations or dimples characteristic of a cleft chin. The treatment not only addresses the immediate appearance of the chin but can also have a preventive effect on the formation of deeper lines or wrinkles in the area over time. By consistently relaxing the muscle, botox can help maintain a smoother chin contour, potentially slowing the development of more pronounced clefts or dimples that might otherwise deepen with age and repeated muscle contractions.

Botox Injection Procedure for Cleft Chin

Consultation and Assessment: The initial consultation for botox treatment of a cleft chin is crucial for determining the most effective approach. During this assessment, a qualified practitioner examines the patient’s chin structure, muscle activity, and overall facial anatomy. They evaluate the depth and extent of the cleft or dimpling to determine the appropriate dosage and injection sites. The practitioner also discusses the patient’s aesthetic goals, ensuring realistic expectations are set. Medical history is reviewed to identify any contraindications or potential risks. This comprehensive evaluation allows the practitioner to create a personalized treatment plan adapted to the individual’s specific needs and desired outcome, ensuring optimal results while prioritizing safety and natural-looking results.

Injection Sites and Techniques: The injection of botox for cleft chin treatment requires precision and expertise. Typically, the practitioner administers injections into the mentalis muscle, which is responsible for the dimpling effect. The main injection site is usually at the center of the chin, just below the lower lip. Depending on the individual’s anatomy and the severity of the cleft, additional injection points may be placed on either side of the central point. The technique involves using a very fine needle to deliver small amounts of botox directly into the muscle. Practitioners often use a fanning technique, where multiple injections are made in a radial pattern to ensure even distribution of the product. This approach helps to achieve a natural-looking result and prevents over-correction in any one area.

Number of Units Required

Factors Affecting Dosage: The number of botox units required for cleft chin treatment varies based on several factors. The strength and size of the mentalis muscle play a significant role, with larger or stronger muscles typically requiring more units. The depth and prominence of the cleft or dimpling also influence the dosage, as more pronounced features may need more product for effective smoothing. Patient gender is another consideration, as men often require higher doses due to stronger facial muscles. Additionally, the patient’s age and skin elasticity can affect the dosage, with older patients or those with less elastic skin potentially needing more units to achieve the desired result. Previous botox treatments in the area may also impact the dosage, as regular users might develop some resistance over time.

Typical Dosage Range: The typical dosage range for botox treatment of a cleft chin generally falls between 2 to 8 units. Most practitioners start with a conservative approach, often beginning with 2 to 4 units for first-time patients. This initial lower dose allows for assessment of the individual’s response to the treatment. For men or those with more pronounced clefts, the dosage might increase to 6 to 8 units. It’s important to note that these are general guidelines, and the exact amount can vary significantly based on individual needs. Some cases might require up to 10 units for optimal results. Practitioners typically adjust the dosage in subsequent treatments based on the patient’s response and desired outcome, always aiming for the minimum effective dose to maintain a natural appearance.

Results and Duration of Botox for Cleft Chin

Onset of Results: The effects of botox treatment for cleft chin are not immediate but develop gradually over time. Patients typically begin to notice changes within 3 to 5 days after the injection. However, the full effect of the treatment usually becomes apparent around 10 to 14 days post-procedure. This gradual onset allows for a natural-looking transformation, as the mentalis muscle slowly relaxes and the chin’s appearance smooths out. During this period, patients may experience a subtle softening of the chin’s contours, with the cleft or dimpling becoming less pronounced. It’s important for patients to be patient during this initial phase and to avoid massaging or manipulating the treated area, as this could potentially affect the distribution of the botox and, consequently, the final results.

Longevity of Effects: The duration of botox effects for cleft chin treatment typically ranges from 3 to 6 months, although this can vary significantly among individuals. Factors influencing the longevity include the patient’s metabolism, muscle strength, and lifestyle habits. Those with higher metabolic rates or very active lifestyles may find the effects wearing off more quickly. First-time botox users often experience shorter durations, with effects lasting around 3 to 4 months. However, with repeated treatments, many patients notice that the effects tend to last longer, sometimes up to 6 months or more. This extended duration is often attributed to the gradual weakening of the mentalis muscle over time with consistent treatments. It’s important for patients to understand that the effects are temporary and will gradually diminish, requiring follow-up treatments to maintain the desired appearance.

Maintenance Treatments: To sustain the smoothing effects of botox on a cleft chin, regular maintenance treatments are necessary. Most patients find that scheduling follow-up sessions every 3 to 6 months helps maintain their desired appearance. The frequency of these maintenance treatments can vary based on individual factors such as metabolism, muscle strength, and the rate at which the botox effects wear off. Over time, some patients may notice that they require treatments less frequently, as the mentalis muscle becomes conditioned to being in a more relaxed state. It’s important for patients to work closely with their practitioner to establish an optimal treatment schedule. This personalized approach ensures consistent results while potentially adjusting the dosage or frequency based on the patient’s response and evolving needs.

Combining Botox with Other Treatments for Cleft Chin

While botox alone can be effective, combining it with other treatments can provide all-inclusive results for cleft chin correction. This approach allows for addressing multiple aspects of chin aesthetics simultaneously, offering adapted solutions for individual needs.

Botox and Dermal Fillers

Synergistic Effects: Combining botox with dermal fillers for cleft chin treatment offers a powerful synergistic effect. While botox relaxes the mentalis muscle to reduce dimpling, dermal fillers add volume to smooth out depressions and enhance chin contours. This dual approach addresses both the muscular and structural aspects of a cleft chin. Fillers can help fill in the central groove of the cleft, creating a more uniform surface. Meanwhile, botox prevents the muscle from creating further indentations. This combination often results in a more dramatic and longer-lasting improvement than either treatment alone. The filler provides immediate volume, while botox’s effects develop over time, leading to a gradual and natural-looking enhancement of the chin’s appearance.

Treatment Protocol: The protocol for combining botox and dermal fillers for cleft chin treatment typically involves a two-step process. Initially, botox is administered to relax the mentalis muscle. This is usually done first to allow the muscle to relax before the filler is introduced. After about two weeks, when the full effects of botox are visible, dermal fillers are injected to address any remaining depressions or contour irregularities. The practitioner carefully assesses the chin’s appearance post-botox to determine the optimal placement and amount of filler needed. Some practitioners may choose to perform both treatments in a single session, especially for minor corrections. The choice of filler depends on the desired longevity and specific characteristics of the cleft, with hyaluronic acid fillers being a popular choice due to their versatility and reversibility.

Botox and Chin Augmentation

Addressing Chin Shape and Projection: Combining botox with chin augmentation techniques offers a complex approach to reshaping the chin area. While botox addresses the muscular aspect of cleft chin, augmentation focuses on enhancing overall chin shape and projection. This combination is particularly beneficial for patients with both a cleft chin and a recessed or weak chin profile. Chin augmentation can be achieved through surgical implants or non-surgical methods like dermal fillers. The augmentation adds volume and improves chin projection, creating a more balanced facial profile. Simultaneously, botox smooths out the cleft or dimpling, resulting in a harmonious chin contour. This dual approach not only corrects the cleft appearance but also enhances overall facial aesthetics by improving chin definition and balance with other facial features.

Timing of Treatments: When combining botox with chin augmentation, the timing of treatments is crucial for optimal results. Typically, botox is administered first to relax the mentalis muscle. This allows the practitioner to assess the true shape of the chin without muscular interference. After about two weeks, when the full effects of botox are visible, the chin augmentation procedure can be performed. This sequence ensures that the augmentation addresses the actual structural needs of the chin rather than compensating for muscular effects. In cases of surgical chin augmentation, some practitioners may prefer to perform the surgery first and then use botox for fine-tuning the results after healing is complete. The specific timing may vary based on individual cases and the practitioner’s approach, always aiming to maximize the synergistic benefits of both treatments.

Frequently Asked Questions

Is botox for cleft chin painful?

Most patients experience minimal discomfort during botox injections for a cleft chin. The use of fine needles and topical numbing agents can greatly reduce any pain, making the procedure easily tolerable for most individuals.

Can botox completely eliminate a cleft chin?

Botox can significantly reduce the appearance of a cleft chin, but it may not completely eliminate it for everyone. The extent of improvement depends on the individual's anatomy and the severity of the cleft.

How often do I need to get botox injections to maintain the results for my cleft chin?

To maintain the results of botox for a cleft chin, you will typically need to get injections every 3 to 6 months. Your provider will help you determine the best schedule based on your individual response to the treatment.

Can botox be used to treat cleft chin in both men and women?

Yes, botox can be used to treat a cleft chin in both men and women. The treatment is equally effective regardless of gender, though the dosage may vary due to differences in muscle strength and anatomy.

Can I combine botox with other treatments like dermal fillers for my cleft chin?

Yes, combining botox with dermal fillers can provide more comprehensive results for treating a cleft chin. While botox relaxes the muscle, fillers can add volume to smooth out the dimple or groove, enhancing the overall appearance.

Are the results of cleft chin botox reversible if I don't like the outcome?

Yes, the effects of botox are temporary and will naturally wear off within a few months. If you are not satisfied with the results, your chin will gradually return to its previous appearance as the botox effects diminish.


Botox offers a non-invasive, effective solution for improving the appearance of a cleft chin. By paralyzing the mentalis muscle, botox smooths the chin, providing temporary results that last several months. Combining botox with other treatments like dermal fillers can offer even more complete results. Regular maintenance and personalized treatment plans are essential for achieving and sustaining the desired outcomes. Consultation with an experienced and qualified provider ensures that the treatment is adapted to your specific needs, optimizing both results and satisfaction.

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Yi, K. H., Lee, J. H., Hu, H. W., Park, H. J., Bae, H., Lee, K., & Kim, H. J. (2023). Novel anatomical guidelines for botulinum neurotoxin injection in the mentalis muscle: a review.

Lorenc, Z. P., Corduff, N., van Loghem, J., & Yoelin, S. (2022). Creating Lift in the Lower Face With Botulinum Toxin A Treatment: An Anatomical Overview With Videos and Case Studies Illustrating Patient Evaluation and Treatment.

Park, E. J., In, S. K., Yi, H. S., Kim, H. I., Kim, H. S., & Kim, H. Y. (2019). Treatment of post-traumatic chin deformities using bilateral botulinum toxin injections.

Dr. Aurora Kalmanson

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The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.