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Dimpling of the Chin and Downturned Corners of the Mouth

As we age, our face changes in various ways.  Two of the ways our face changes with age are noticeable in the lower face.  The chin can become pebbly appearing, and the corners of the mouth can turn downward making a frown.

These changes happen, in part, because our face loses volume with age.  Volume loss is one factor in how our face changes with age.  As we lose bone mass in our chin and jaw, the overlying muscle and skin has to adapt to this loss of support.  As a result, the muscles in the chin adapt by puckering and create a peppled appearance in the skin of the chin.

The corners of the mouth pull down because there is a muscle that runs from the corners of the mouth down to the jaw.  As we get older, this muscle can tighten and pull the corners of the mouth down.

Both of these areas can be treated with Botox.  Botox relaxes the strong muscle of the chin making the overlying skin smoother and softer. By releasing the downward tension of the muscle that pulls the corners of the mouth down, Botox can also lift the corners of the mouth.

These are not often the most obvious signs of aging at first glance, but treating them can be an important part of making the rejuvenated face look more natural and harmonious.

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Meet the Doctor

Lawrence Osman, MD

Lawrence Osman, M.D. is a board-certified dermatologist and liposuction surgeon in Los Angeles specializing in minimally invasive techniques such as liposuction using local anesthesia. He has offices in the Los Angeles area in both Northridge and Calabasas. Visit to learn more.

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