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Botox for an orange peel chin

  • The chin can develop an excessively dimpled, pebbly or orange peel (peau d’orange) look.
  • The orange peel (peau d’orange) appearance of the chin gets worse whenever the Mentalis muscle (chin muscle) contracts. The two Mentalis muscles are highlighted in the image below.
Botox for an orange peel chin
Botox for an orange peel chin


  • The patient sits back on a bed with the backrest up.
  • The area is cleaned.
  • The skin overlying the muscles to be injected is marked out with a skin marker.
  • Care is taken not to inject too laterally (to the sides), to avoid weakening the Depressor Labii Inferioris muscle.
  • Care must also be taken not to inject too superiorly (closer to the lip) to avoid weakening the Orbicularis Oris muscle that surround the mouth.
  • The muscles are injected. It takes about 30 seconds.
  • Light pressure is applied to the area to prevent bruising.
  • The skin marker marks are wiped off.

Botox dosage for Mentalis muscle  injection (highlighted in the image above) for orange peel chin:

  • in females: 2 units per muscle
  • in males: 3-5 units per muscle


  • Slight bruising can occur, but can be concealed with make-up. It resolves in a few days.
  • The effect will kick in after 3-10 days and last between 2 and 7 months, depending on the Botox dosage used and the patients physiology. Some patients dissolve Botox faster than other patients.
  • First time patients will sometimes be requested to return after 2-3 weeks for a check-up and top-up if required.
  • Most patients have the injections repeated once or twice a year.


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