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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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[Column] Revision Facial Contouring Surgery: Careful Consideration with Experienced Professionals

 




In today's society, there is a strong preference for small and slim faces. This has led to an increasing number of people choosing facial contouring surgery to address issues such as protruding cheekbones or angular jawlines.


Facial contouring surgery helps improve skeletal issues and is tailored according to individual facial shapes. Various techniques are employed, such as cheekbone reduction, mandibular angle reduction, or chin reduction or extension, to achieve a slim and small face.


However, due to the complexity of the surgery, a detailed, customized plan must be developed. Since the surgery involves modifying the skeleton, improper execution can lead to complications with facial nerves. Therefore, only necessary surgeries should be conducted under a customized plan to ensure safety.


If the results of the surgery are unsatisfactory or if complications arise post-surgery, secondary facial contouring surgery may be necessary. This type of revision surgery is more challenging due to the adhesion of bones or muscles and reduced space for nerves or bones compared to the initial surgery. It is crucial to be even more cautious than the first surgery, so consulting with experienced and skilled professionals is advisable.


Initially, a detailed examination of the bones and muscles using 3D-CT should be conducted to determine the surgical method and approach. Analyzing the causes thoroughly to prevent the need for further revisions and devising a plan that ensures stability is important.


Additionally, systematic post-operative management should be carried out to enhance satisfaction. Choosing a clinic with a robust post-operative care program ensures a stable completion of the surgery.


Revision facial contouring surgery must be carefully considered and scheduled appropriately. Therefore, it is essential to consult with experienced professionals and establish a customized surgical plan. 

(Dr. Kwon Soon Beom, Director of Gangnam ARC Plastic Surgery Clinic)


Source: Media Fine (미디어파인)

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Location: 대한민국 서울특별시 강남구

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