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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 - 5 - "Revision Genioplasty Case"

[Doctor's Surgery Diary] - 5 - 

"Revision Genioplasty Case"


Surprisingly, a lot of people who have a concern about having a long chin come to me. And some as many people come for revision surgery as there are for the first surgery.

Let's take a look at one of those cases.



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1-1

1-2


[1]  This is the case that the surgery was performed by reducing only "the chin tip" for the patient concerned about having a long chin.

As the surgery was performed completely by dissection of the skin from the bone, the shortening effect decreased and the chin tip looked wider than pre-op.


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2-1

2-2

[2]  In this case, as well, it literally was performed by reducing only the chin tip without considering the harmony of the connective jawline.

Both of them have thin skin, so the secondary angle was not only palpable but also visible on the outside.

In addition, as only one part was reduced, the skin and bone didn't get harmonized well as well as the skin of the area seemed sagging like a jowl. 


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3_1  #post-op of case 2

3_2  #post-op of case 2

[3]  This is the post-op CT of <Case_2> patient.

The patient wanted to remove the existing wires and remove the secondary angles as well as the angular feeling overall, so the revision surgery was processed by making the line smoother and connecting it to the angle under the ear.

Also, she had zygoma reduction surgery together.



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You don't always have to do two or three types of facial contouring surgery at once, but it's desirable to plan surgery in consideration of getting connected with facial lines.

Plus, proceeding with the surgery considering the condition of the skin surrounding the bone at all times can produce satisfactory results without unnecessary further surgery.







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