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[ARTICLE] Square Jaw Surgery: Facial Bone Structure and Lower-Face Balance Matter More Than the Amount of Bone Reduction

A square jaw may be a concern when the lower part of the face appears wide from the front or when the angle of the jawbone below the ear is prominent from the side. This facial shape can be influenced by various factors, including not only the size and shape of the mandible, but also the development of the masseter muscles used for chewing and the amount of fat beneath the chin. Square jaw surgery is a type of facial contouring surgery that aims to improve the contour of the lower face by adjusting the shape and width of the mandible. However, the surgical outcome is not determined simply by removing a large amount of bone. It is important to determine the appropriate extent and location of bone reduction based on each individual’s skeletal structure and overall facial proportions. In particular, excessive reduction of the mandibular angle located below the ear may result in an unnatural side profile. On the other hand, reducing only the prominent area visible from the side may not ...

[ARTICLE]Chin Muscle Repositioning to Improve ‘Witch’s Chin’… A Fundamental Solution Is Needed

 


As the trend of preferring small and well-balanced facial contours continues, facial contouring surgery and chin filler procedures have become widely popular. However, many cases of “witch’s chin” have been reported as a side effect following chin correction procedures or genioplasty.

Witch’s chin refers to a condition where the chin muscles sag downward, making the chin appear longer. This becomes more pronounced when smiling or opening the mouth.

Causes of Witch’s Chin

This condition can occur congenitally, but in many cases, it develops acquiredly due to various factors. Common causes include:

  • Excessive use of fillers or fat grafting
  • Removal of chin implants after surgery
  • Failure to properly fix the muscles after facial contouring surgery

In particular, if the muscles are not properly secured, chin sagging is likely to occur, increasing the chances of developing witch’s chin.

Chin Muscle Repositioning as a Solution

When witch’s chin is caused by muscle sagging, it can be corrected through "chin muscle repositioning." This procedure involves restoring the chin muscles to their original position by lifting and securing the sagging muscles. As a result, the chin regains a natural curve, and the elongated appearance when opening the mouth or smiling is improved.

However, witch’s chin can also be caused by underlying bone structure issues, not just muscle sagging. Therefore, rather than applying a one-size-fits-all muscle repositioning procedure, an accurate diagnosis is essential to determine the most appropriate treatment.

Expert Advice

Dr. Soonbeom Kwon from Arc Plastic Surgery emphasized, “Since the surgical method for witch’s chin varies depending on the cause, it is essential to have a thorough consultation with a specialist to determine the most suitable treatment for each individual.”

📌 Source: Medical Today, Reporter Seongwoo Cho
📎 Original Article

Comments

  1. Does Arc offer chin muscle repositioning for witch's chin?

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