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[ARTICLES] The “Witch’s Chin” That Becomes Prominent When Smiling—Restoring Natural Expression Through Mentalis Muscle Repositioning

The so-called “witch’s chin,” a condition in which the chin appears excessively elongated, pointed, or pulled downward when smiling, is not merely a cosmetic concern. In many cases, it originates from abnormal tension and misalignment of the mentalis (chin) muscle. While it may be unnoticeable at rest, facial expressions such as smiling or speaking can cause the chin to sink inward or be drawn downward, a result of overactivity of the mentalis muscle and imbalance with surrounding facial muscles. Recently, mentalis muscle repositioning surgery has gained attention as an effective solution for this condition. Rather than altering bone structure, this procedure repositions and re-fixates the overactive chin muscle to its proper anatomical location, structurally correcting the distortion that appears during facial expressions. Because it can address the witch’s chin deformity without bone resection, patient satisfaction has been notably high. Dr. Jang Yong-jun of ARC Plastic Surgery e...
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*Surgery Diary - 9 - "Everything about Revision surgery of Facial Contouring "

 [Doctor's Surgery Diary]

- 9 -

"Everything about Revision Surgery of Facial Contouring"


I will talk about various cases of revision facial contouring surgery. 

For revision facial bone surgery, the cases are diverse from simple pin removal to some serious cases with functional problems.


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[1st Case]

This patient made a decision to reduce the lower face more after taking a CT scan for pin removal.

Primary           --->            Revision


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[2nd Case]

This patient only had genioplasty to reduce the length of the chin, and then decided to go for a long curved mandibular angle reduction surgery because he/she didn't like the lower face line.


Primary           --->            Revision


As you see the CT, you can figure out that he/she did cheekbone reduction together to make the overall face slimmer from the front.


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[3rd Case]

In this case, the patient already had done facial contouring twice on the lower face, however, he/she decided to go for a third revision surgery as last time because he/she was very stressed out with his/her bumpy jawline.

Primary           --->            Revision



***


[4th Case]

This patient underwent mandibular angle reduction surgery and sliding genioplasty, however, the asymmetry of his/her face got even more severe.

Primary           --->            Revision


So he/she decided to go for a revision surgery of the two areas and add cheekbone reduction together.


***


[5th Case]

In the previous surgery, he/she was recommended to go for mandibular angle reduction to make the face slimmer and got the surgery, however, he/she couldn't get the effect from the front view. Rather, his/her chin seemed more blunt.

Primary           --->            Revision

As his/her asymmetry was quite serious on the CT and the length of the mid-chin was short, the length was extended to create a slim facial line with my operation.


***


In summary, these kinds of cases are pretty common in revision facial contouring consultations you don't know exactly what kind of surgery you had done and what your current status is because you have not taken a CT during the progress check step.

I think it is essential to make sure that the diagnosis and surgery in the previous surgery were appropriate and if there were further things to improve.






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Location: 대한민국 서울특별시 서초구

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