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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 - 2 - "Detailed Design = Basics of Facial Contouring Surgery"

 [Doctor's Surgery Diary] - 2 -

*Detailed Design = Basics of Facial Contouring Surgery*


One of the biggest concerns for those planning cheekbones surgery is "cheek skin sagging".



As shown in Figure 1, there are ligaments around the cheekbones that protect against sagging.

Looking at Figure 2, you can see that the osteotomy line in green is located in the area where these ligaments are located.


Therefore, the extent of detachment, location of the osteotomy, and bone fixation should be determined in consideration of the current patient's bone structure and skin condition.

It is not always for the patient by just simply fixate on it high.

Surgery should be differentiated to suit individual needs, as can be seen in the CT of patients who performed surgery in ARC.

Of course, accurate bone fixation is fundamental.


(These four pictures are postoperative photos corresponding to the above.)






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