Today, let’s talk about filler treatments for those with a small or recessed chin (referred to as “no chin”) and for “hodoo wrinkles” (the marbled, dimpled wrinkles often seen on the chin).

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The Importance of Lower Face Balance and the Need for Chin Correction
When the face is divided into the upper, middle, and lower sections, the chin is a key part of the lower face.

 

Especially among East Asians, it is said that when the vertical length of the lower face accounts for about 80% of the entire face, it reflects a youthful proportion. In other words, the length and shape of the chin play a very important role in facial aesthetics.

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Problems Caused by a Recessed Chin and the Effects of Filler Treatment

If the chin is small, it can make features like a “protruding mouth” (buck teeth) or a “double chin” more noticeable.

When looking at the profile, the line connecting the tip of the nose (Pronasale) and the tip of the chin (Pogonion) is called Rickett’s Esthetic Line (E-line), and it is an important reference point even in plastic surgery.

 

An attractive profile is typically defined as having the upper lip slightly behind this line, and the lower lip just barely touching it.

 

When the chin is short, the lips appear more prominent, giving the impression of a protruding mouth.

In such cases, enhancing the chin can significantly improve the appearance of the profile.

 

Not only the chin tip, but filler in the jaw angle (masseter area) can also be effective.

If the jawbone (mandibular angle) is small, a person may appear to have a double chin or sagging cheeks — even without much facial fat.

 

This is referred to as a “double chin due to a recessed chin (microgenia).”

 

Filler in the jaw angle area can be particularly effective in the following cases:

• When the lower face appears short in proportion to the rest of the face

• When a small chin makes the mouth look protruded (buck teeth impression)

• When a recessed chin makes the double chin more prominent

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Are there any side effects or precautions with fillers?

There are relatively few large arteries around the chin area, so the risk of vascular embolism is lower compared to other facial areas.

However, over-injection increases the risk of skin necrosis.

 

This is because the chin region consists of dense, firm tissue, and injecting too much filler can cause pressure-related complications such as skin irritation or necrosis.

 

Therefore, it’s crucial to consult a doctor with a solid understanding of facial anatomy who can administer only the minimal, precise amount needed.

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Key Injection Points and Case Examples for Recessed Chin (Microgenia) Treatment

Many doctors tend to inject filler only into the tip of the chin,
but doing so can create a pointy, unnatural "alien-like" chin.

 

In particular, the "MD Code" method by Dr. De Maio from Portugal recommends dividing the injection into multiple anatomical points to build a three-dimensional, natural chin line.

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Case ①: Improvement of a Double Chin Caused by Recessed Chin (Microgenia)

A woman who was not overweight still struggled with a noticeable double chin.

The true cause wasn’t excess fat, but rather a small and recessed mandible.

 

In her case, we first administered filler to the jaw angle (mandibular angle), and that alone led to improvement in both cheek sagging and the double chin.

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Walnut Chin Wrinkles ("Hodu Wrinkles") Treatment and Case Study

Hodu wrinkles refer to the wrinkled appearance of the chin, resembling a walnut or pickled plum.

 

This condition isn’t caused solely by muscle contractions —
a small chin bone (mandible) can also contribute.

Thus, simply injecting botox may not be effective in all cases.

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Case ②: Improvement of Hodu Wrinkles

This patient received filler not only to the chin tip but also along the mental crease and marionette lines, resulting in a smoother and more natural appearance with noticeable wrinkle improvement.

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Importance of Proper Diagnosis and Counseling

 

Even today, it’s common for non-medical counselors to provide diagnoses or suggest procedures.

This often leads to ineffective treatments and in some cases, unwanted side effects remain.

 

For filler procedures, it is highly recommended to consult with a board-certified dermatologist who has anatomical expertise and clinical experience.

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Chin Asymmetry and Its Treatment

In a case involving a man whose jawbone became asymmetrical due to childhood trauma, filler treatment was used to bring the protruding right side into alignment, resulting in a balanced and symmetrical appearance.

 

For men, the ideal chin shape tends to be broader and more defined than for women. It is important to avoid an overly sharp or pointed look to maintain a masculine appearance.

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Rickett's E-Line and Profile Correction for Protruding Mouth

When the chin is positioned too far back, the lips can appear to protrude beyond the E-line, giving the impression of an "overbite."

 

By adding volume to the chin with filler and projecting it forward, the lips can be brought closer to the E-line, improving the balance of the side profile.

 

In conclusion: 3-line summary

A recessed chin can cause wrinkling (pebble chin), protruding mouth, double chin, and sagging cheeks.

Even seemingly simple concerns may show significant improvement with jawline (mandibular angle) filler alone.

A one-point injection into the chin tip may be simple, but it’s often not enough to create a natural chin line for everyone.

 

We hope this information is helpful to many people.

 

If you have any questions, feel free to leave a like or comment — we’ll respond with care.

Thank you.

 

📍 Primi Clinic
3F, 52 Seongsuil-ro, Seongdong-gu, Seoul (Primi Clinic)

 

📍 Primi Clinic
서울특별시 성동구 성수일로 52 3F（Primiクリニック）