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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 - 8 - "If you are concerned with a double chin and protruding mouth"

  [Doctor's Surgery Diary]

- 8 -

"If you are concerned with a double chin and protruding mouth"


Since our clinic performs facial contouring surgery, many people naturally ask about liposuction.

In particular, many people want to solve the double chin problem. Technically, the double chin is not just a matter of "fat."

For those with a small lower face, especially a more severe weak chin, the more the double chin comes along regardless of their body weight.

The weaker the chin is like the picture below, the chin tip is closer to the neck. 

As there is not much space for skin tension, it looks more severe double chin even only putting the head down just a little bit.


Pre-Op

In the case of the male patient, he has a severely recessed chin as there is almost no curve under the lips.

For those like this patient, of course, their mandibular angle doesn't stand out because their bone itself is recessed backward and hidden inside the flesh.


Pre-Op


In the case of the female patient, she has a quite severe weak chin but the double chin doesn't seem to outstand because of the lengthy chin.
However, her mouth looks relatively protruded and the side profile balance doesn't seem to be good.


***

With the advancement genioplasty, there's a sense of distance between the tip of the chin and the neck, so the impression looks much more three-dimensional, the overall balance of the profile is improved, and the mouth is less protruding.

Pre-Op    VS    Post-Op

Of course, we shouldn't make a jutting chin as we aim for weak chin improvement.

However, it is relatively better for male patients to make the chin a little more advanced.


Pre-Op    VS    Post-Op


***

For those who have a double chin problem or have a protruding mouth, it is recommended to consult a specialist to find out the exact reason.





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