Hello beautiful people, today’s tip of the day is the mental crease, the line you have here below the lip. If it is very deep it will look like a witch chin, so that is why we add a little bit of filler when we are working on this whole area. I am going to explain what causes it, why treating the crease alone is not the answer, and what the before and afters actually show.
Dr Rami Haidar | 20th January 2026 | Excellence Medical Boutique, Dubai
The mental crease is the horizontal line that runs across the chin below the lower lip, separating the lip from the chin pad. Everyone has one to some degree, and in a balanced face it reads as a soft transition rather than a line.
It becomes a concern when it deepens. Muscle activity from the mentalis below it, loss of soft tissue support, and skin quality all influence how sharply it sits, which is why the same crease looks mild in one patient and severe in another of the same age.
When the crease is deep, it cuts a hard line across the chin and the chin pad below it appears to project separately from the rest of the lower face. Dr Rami Haidar’s description in the reel is blunt and accurate: it will look like a witch chin.
The chin has not actually grown. It looks that way because the crease above it has become a fold rather than a transition, and the eye reads the segment below it as a distinct shape. This is why patients say their chin looks pointed or heavy when the underlying bone has not changed at all.
Filling a deep crease on its own tends to disappoint, because the crease is a symptom of what is happening around it. Dr Rami Haidar’s approach is to add a little filler into the crease as part of treating the whole chin area, so support is restored across the region and the line softens rather than being packed out.
Amount matters here. This is an area where a small volume, well placed, does more than a large one. Overfilling a crease can flatten the natural definition between lip and chin, which trades one unnatural look for another.
This suits patients with a deepening crease below the lip, or those who feel their chin looks pointed or heavy in profile.
It suits others less well. A crease driven mainly by strong mentalis activity may need the muscle addressed rather than more volume, significant skin laxity calls for a different approach, and a chin that genuinely projects too far is a skeletal question rather than a filler one. Dr Rami Haidar’s background in Oral and Maxillofacial Surgery means the bone, the muscle, and the soft tissue are separated out at assessment before anything is injected.
A witch chin is usually a crease problem rather than a chin problem. When the line below the lip deepens into a fold, the chin pad starts to look like its own shape, and softening that transition with a small amount of filler across the whole area changes how the lower face reads. If you are comparing clinics in Dubai, ask whether the crease is being treated as part of the chin or as a line on its own.
If the line below your lower lip has deepened, or your chin looks pointed in profile in a way it did not used to, book a consultation with Dr Rami Haidar at Excellence Medical Boutique in Jumeirah, Dubai. Assessment separates the crease, the muscle beneath it, and the underlying chin structure before any treatment is recommended.
The mental crease is the horizontal line running across the chin just below the lower lip, separating the lip from the chin pad. Everyone has one, and in a balanced face it reads as a soft transition rather than a line. It becomes a concern when muscle activity, loss of soft tissue support, or skin quality cause it to deepen into a fold.
Witch chin describes the appearance created when a deep crease below the lower lip makes the chin pad look like a separate, projecting segment of the face. The chin itself has usually not changed. The fold above it is what makes it read that way, which is why the crease rather than the chin is often the thing to address.
A small amount of filler placed into the crease as part of treating the wider chin area can soften a deep mental crease for suitable patients. Filling the crease in isolation tends to disappoint, because the line reflects what is happening around it. Suitability and the right amount are decided at consultation after a facial assessment.
Less than most patients expect. This is an area where a small volume placed accurately does more than a large one, and overfilling can flatten the natural definition between the lip and the chin. Dr Rami will discuss the amount and the plan with you rather than working to a fixed quantity.
No. Where the crease is driven mainly by strong mentalis muscle activity, addressing the muscle may be more appropriate than adding volume, and significant skin laxity or a genuinely over-projected chin call for different approaches altogether. Separating those causes is the purpose of assessment, and no injectable treatment is risk free.
Located in the heart of Jumeirah, Dubai, Excellence Medical Boutique is more than a clinic, it’s a destination. A sanctuary where innovation, expertise and care come together to enhance your natural beauty and confidence. Excellence Medical Boutique is conveniently located on 197 Jumeira St, Jumeirah, Jumeirah 1, Dubai. This makes it easy for patients travelling from across Dubai to visit for consultation and treatment.
