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[ARTICLES] Witch’s Chin: Achieving a Natural Chin Line Through Customized Surgery Considering Muscle Structure and Incision Method

A “witch’s chin,” where the chin extends downward and creates a sharp impression or disrupts facial balance, is more than just a cosmetic issue—it can also cause functional discomfort. It may arise not only from congenital factors but also as a side effect of procedures such as facial contouring surgery, chin fillers, or fat grafting. The primary causes are displacement of the chin muscles and imbalance in the surrounding soft tissues. As a result, the chin can appear longer when speaking or smiling, disturbing the overall harmony of the face. The core of witch’s chin correction surgery lies in muscle repositioning. By restoring and fixing sagging muscles upward, surgeons can reestablish the chin’s natural curve and refine the facial contour for a softer, more balanced appearance. In particular, the choice of incision site should not be limited to intraoral approaches alone. It is crucial to conduct a precise assessment of each patient’s condition and select the most effective meth...

*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.


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[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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