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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...
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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.


***


[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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