Are there solutions for “orange peel” skin on the chin?

This, for those of you who don’t have it, it’s that bumpy – well – orange peel like skin on many chins.  🙂  The French call it peau d’orange, which somehow always sounds better.

What causes this?  Some think it has to do with the change in, and loss of, chin fat over the muscle (mentalis muscle).  Some think it’s related to enlargement of the oil glands on the chin and upper lip as women age.  We have less estrogen and more androgens (“male” hormones). I think it’s usually a bit of both!  Kinda of like cellulite on the chin.

Some ideas that may help:

  • A few drops of Botox/Dysport/Xeomin/Jeuveau in the chin if you’re getting treatments anyway helps.  It relaxes the underlying muscle which smooths it out.  Also, many people don’t know that these muscle relaxers also shrink the oil glands.  Temporary just like the muscle relaxation.  But it really helps the texture over time.  Don’t let providers inject in your chin unless they do it all the time.  It’s tricky and a wrong injection will make your smile look odd for months.
  • If you have a pronounced under bite or receding chin, it’s more a dental issue, but can aggravate this problem.  Then, the above may help.  But also you may want to have an expert (greater than 10 years experience) doctor/nurse/PA-C add volume with a hyaluronic acid filler in your chin for more forward projection.  Pitfalls…..don’t let anyone use Sculptra (can get bumpy here), Radiesse (not adjustable), or Belafill (always a bad idea since little plastic permanent beads).  Something like Voluma or Restylane Lyft is safer.  Talk to your provider.
  • Loss of fat pad with aging?  Same solutions as above, but a little more volume with the hyaluronic acid filler may solve the problem.  Should last 9-12 months.
Hope this helps,
Dr. Brandith Irwin
Founder, SkinTour
Director, Madison Skin & Laser Center
Follow my skin tips and travels on Instagram!

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