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[ARTICLES] Understanding Chin Ptosis: Causes, Solutions, and Why Accurate Diagnosis Matters

A chin that appears long or drooping is often considered a simple aesthetic concern. However, in many cases, it is the result of multiple underlying factors rather than just a superficial issue. Visually, a drooping chin can elongate the lower face and affect overall facial balance and impression. Chin ptosis is rarely caused by skin laxity alone. Instead, it often involves a combination of factors such as the length or position of the chin bone, fat accumulation in the chin area, and loosening of the skin and soft tissues. In particular, when the chin bone is long or protrudes downward, it can make the face appear longer or create a heavier impression. As the causes vary, treatment approaches must also be tailored to each individual. When the issue is related to the chin bone structure, surgical procedures such as genioplasty to adjust the length and position of the chin may be required. On the other hand, if soft tissue sagging or fat is the primary cause, less invasive treatmen...

*Surgery Diary - 4 - "Patient's health always comes first"

 [Doctor's Surgery Diary] - 4 - 

"Patient's health always comes first"


I'd like to tell you the story of my patient who visited from Europe for facial contouring surgery a while ago.

Usually receiving dental treatment, she came to Korea after completing all preparations with CT scans and medical treatment before entering Korea.

After arriving at ARC clinic, she took the pre-test for the final diagnosis before surgery, and the results are as follows.



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[1]

This is the X-ray panorama and the front view of CT.


1_1


1_2

 At first glance, it can just be passed. However, if you look closely, you slightly can see that the density of the right mandible image looks different from the normal left.

So, I checked the CT image again in a different mode.



***

[2]

You can definitely see the difference between left and right.

2_1

2_2


The yellow drawing indicates the right side of the face, and the condition of the bone surface is completely different from that of the green drawing (left side), and it's slightly inflated.


***

[3]

3

 In the cut-sectional picture, it is confirmed that the cortical bone, which determines the hardness of the bone, is very thin, and the status inside is also different from the normal spongy bone on the left.



***


As a result, facial contouring surgery was put on hold because normal progress seemed to be impossible.

In the cooperative dental clinic even suspected that it might be a malignant tumor, however, a professor of radiology at a university hospital strongly suspected it was a benign disease.

So, our clinic decided to proceed with taking a biopsy for her.

Eventually, she received a detailed diagnosis result and returned home safely without anxiety.

As seen in this patient, successful surgery requires comprehensive observation as well as the area and the strength of several experts.



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