Aging is inevitable, but how we respond to it is evolving. At Fountain of Youth Medical in Farragut/Knoxville, led by Timothy Fox and Lynne Worthington, we are excited to offer patients a more refined and sophisticated use of BOTOX—not just for smoothing forehead lines, but also as a strategic tool to address sagging jowls and chin dimpling.
Traditional BOTOX applications often focus on the upper face—crow’s feet, glabellar lines, and forehead furrows. But recent advances and refined injection techniques are expanding its role in lower-face rejuvenation: softening jowl descent, easing a “turkey neck” look, and smoothing the so-called “orange peel” texture in the chin that becomes more pronounced with age.
What’s Behind Jowls & Chin Dimpling?
Before diving into the treatment, it helps to understand the anatomy and aging dynamics:
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As we age, volume loss in the cheeks and midface allows gravity to pull the tissues downward, contributing to the formation of jowls along the jawline.
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Meanwhile, the mentalis muscle (in the chin) can become hyperactive—pulling the skin in and creating dimples or a “cobblestone/pebbled” texture.
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In many patients, these dimples—or “orange peel” chin appearance—are exacerbated by repeated contraction over time.
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For select individuals, tightening alone might not fully correct the textural irregularities; relaxing the muscle becomes key.
Thus, the modern approach involves combining volumetric support (fillers, skin lifting techniques) with targeted muscle modulation via BOTOX.
How BOTOX Can Help: Beyond Smoothing Wrinkles
Here’s how BOTOX is being innovatively used at Fountain of Youth Medical to treat lower-face concerns:
1. Jowl Softening / Support
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While BOTOX won’t “lift” sagging tissues the way a surgical facelift does, when placed judiciously, it can reduce downward pull by adjacent muscles—helping to relieve tension and allow lifting modalities (fillers, threads, radiofrequency) to work better.
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In practical terms, a minimal amount of BOTOX may be used in the platysma or along the lower facial bands to reduce gravitational pull and create a more harmonious contour.
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The idea is that by softening dynamic tension, other interventions (e.g., dermal filler, skin tightening) can better maintain their lift and not fight as much muscle strain.
2. Chin Dimpling / “Cobblestone” Chin
One of the most exciting developments is the use of chin BOTOX (i.e., injecting the mentalis muscle) to smooth dimpling, soften the labiomental crease, and improve texture. This is a more advanced application of neurotoxin that demands precision and deep anatomical knowledge.
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A well-trained injector can place small, calibrated doses (often in “boluses” or microinjections) into the belly of the mentalis muscle to relax it, reducing its pull on the skin.
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Overly lateral injection must be avoided (to prevent affecting the depressor labii inferioris and altering lower lip function).
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The result? A smoother, more uniform chin surface, with minimization or elimination of the “orange peel” texture.
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Effects typically emerge over days to weeks and last around 3 to 4 months (variable by individual) before a touch-up is needed.
Some practices refer to this as “pebble chin BOTOX” or “chin relaxing injections.”
By combining chin BOTOX with volumizing (if needed) and skin tightening, the lower face can be smoothed and balanced in many cases without resorting to surgery.
Why Fountain of Youth Medical Is Uniquely Positioned to Do This Well
Any neurotoxin treatment in the lower face requires finesse, anatomical mastery, and an eye for subtlety. That’s why the leadership of Timothy Fox and Lynne Worthington is so essential. Their clinic (Fountain of Youth Medical) has long emphasized not just “injectables,” but holistic facial rejuvenation—balancing form, function, and natural expression.
When patients in Farragut, Knoxville, or the broader region seek advanced lower-face treatments, they benefit from:
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Personalized assessment: every face is different; not every person with jowls or chin texture is a candidate for BOTOX in these zones.
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Layered strategies: BOTOX rarely works in isolation. Pairing with fillers, thread lifts, RF microneedling, or skin resurfacing amplifies results.
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Safety-first approach: Due to anatomical risk zones (such as lip function and nerve proximity), experienced hands are crucial.
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Natural, subtle results: The goal is not to erase or “freeze” expression, but to gently re-balance muscle dynamics.
What to Expect: Procedure, Recovery, & Results
Consultation & Mapping
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Timothy or Lynne will assess your chin muscle activity (you may be asked to purse or contract your lower lip to see how much the mentalis engages).
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They will discuss the severity of the dimpling, whether volume loss contributes to sag, and whether adjacent muscle modulation may be beneficial.
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Marking the precise injection points is critical.
The Treatment
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Ultra-fine needles (often 30-33 gauge) deliver microdoses directly into the mentalis or other targeted muscles.
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It’s quick—a few to several small injections—taking perhaps 10–20 minutes in most cases.
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Discomfort is minimal; topical numbing or ice might be used if needed.
Recovery & Aftercare
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Minimal downtime—some mild swelling or redness at injection sites, possibly faint bruising.
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Avoid rubbing, massaging, or strenuous facial movement for ~24 hours.
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The full effects appear gradually, typically within 7–14 days.
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Results typically last 3–4 months; some patients may extend this to longer intervals, depending on their metabolism and dosing.
Follow-Up & Maintenance
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A follow-up visit (2–3 weeks later) ensures symmetry and allows fine adjustments.
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Over time, patients may require a lower dose as muscle activity moderates.
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Combined maintenance strategies (skin care, energy-based treatments) help prolong the smoother, more youthful appearance.
Who Is a Good Candidate & What to Watch Out For
Ideal Candidates
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Individuals with mild to moderate chin dimpling (but with intact skin elasticity).
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Patients who want a smooth texture rather than only volumizing.
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Those who are comfortable with regular upkeep (touch-ups every few months).
Cautions & Contraindications
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People with neuromuscular disorders or contraindications to neuromodulators should avoid them.
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Over-injection or misplacement may lead to lower lip weakness or asymmetry.
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Patients with severe sagging or volume loss may need adjunctive or surgical methods.
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Realistic expectations are key: BOTOX smooths and refines—it does not reposition heavy sagging tissues as a facelift would.
Real-World Impact & Patient Stories
At Fountain of Youth Medical, patients have already begun to enjoy the benefits of these next-generation BOTOX uses. Before/after photos, testimonials. Whether a patient came in complaining of “that lumpy chin” or noticing new looseness around the jawline, the refined approach offers a subtle, rejuvenated, more harmonious face—without surgery.
One client told us: “After my chin BOTOX, I looked in the mirror and thought, ‘Is that really me?’ The texture was smoother, and the shadow under the jawline looked cleaner.”Anne T.
Final Thoughts
BOTOX has long been trusted for smoothing wrinkles—but the frontier is shifting. With skillful technique, it has become a precision tool for textural refinement in the chin and tension modulation in the lower face. When combined with volumetric and tightening strategies, the result is a more youthful and refreshed lower face—achieved with minimal downtime and maximal subtlety.
If you live in or near Farragut/Knoxville and want to explore whether this modern approach to BOTOX is right for you, Timothy Fox and Lynne Worthington at Fountain of Youth Medical would love to guide you through a consultation, assess your anatomy, and craft a plan that fits your face (and your expression) beautifully.
