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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...

[ARTICLE] Removing Pins After Facial Contouring Surgery: A Decision That Requires Prudence

 


Facial contouring often involves performing three common areas of surgery to improve facial shape. These procedures include cheekbone reduction, mandibular angle reduction, and chin reduction surgeries. They help to refine the overall facial bone structure, making the face appear slimmer and reducing its size.


It is not always necessary to undergo all three areas of surgery. Many people achieve improved facial contours by addressing only the problem areas. When performing surgeries that involve moving the facial bones to enhance the facial shape, pins are used to secure the repositioned bones.


The pins play a crucial role in stabilizing the bones in their new positions, allowing for proper fusion. This fusion process may take 3 to 6 months, though the exact duration can vary between individuals. Pin removal can be done after 6 months, but it is recommended to remove them within 2 years to avoid potential adhesion of bones or muscles to the pins. 


Even if a significant amount of time has passed, a specialist can carefully assess and decide whether to remove the pins.


Removing the pins is not always necessary. However, it can be chosen if a patient wants to avoid others knowing about the surgery or if they do not want the pins to be visible during detailed examinations. It is also advisable to remove the pins if there is discomfort, pain, or concern about accidents.


During the pin removal surgery, a precise 3D CT scan should be performed beforehand to accurately determine the pins' locations and the condition of the bones. Therefore, it is important to choose a clinic equipped with advanced diagnostic tools and where experienced professionals perform the procedure.


Temporary pain or discomfort may occur after pin removal. Pain relievers and ice packs can help manage swelling and accelerate recovery. Proper and minimal incisions during the procedure lead to a shorter recovery time and less swelling. It is crucial to have the surgery performed at a reliable facility.


Dr. Kwon Soon Beom, Director of ARC Plastic Surgery Clinic, advises, “During the recovery period, avoid strenuous activities and intense exercises. Take adequate rest and avoid hard or chewy foods that could irritate the surgical area. It is also important to keep the wound clean and well-treated.”


Source : Medisobiza News(메디소비자뉴스)

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