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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] Breast Augmentation: Caution is Crucial from the First Surgery… Prevention of Complications is Key

 


Breast Augmentation: Caution is Crucial from the First Surgery… Prevention of Complications is Key

Breast augmentation is not simply about increasing size—it requires a comprehensive approach that considers shape, symmetry, and skin elasticity in order to achieve a satisfactory outcome. Even when using the same implants, the results can vary significantly depending on the surgeon’s experience and skill, making the choice of clinic and medical staff especially important.

In particular, the main reasons for revision breast surgeries include capsular contracture and rippling. Capsular contracture occurs when the tissue capsule surrounding the implant hardens excessively, causing the breast to become firm and deformed. In severe cases, it can even result in pain. Rippling happens when the skin is too thin or the implant is unsuitable, making the implant visible or palpable beneath the skin. Other common reasons for revision include implant displacement, asymmetry, and implant aging.

Dr. Kwon Soon Beom of Arc Plastic Surgery Clinic stated, “When considering breast augmentation, it’s important to look beyond just the desired size. Factors like skin thickness, chest width, and body shape must be analyzed comprehensively to select the most suitable implant. Regular check-ups and post-operative care are also essential in preventing complications and enhancing patient satisfaction.”

Reckless or poorly considered breast augmentation is also a major cause of revision surgeries. Choosing a clinic solely based on cost—especially one that lacks proper medical credentials—raises the risk of inappropriate implant selection or low surgical precision. Therefore, it is crucial to thoroughly consult with experienced medical professionals to create a personalized surgical plan tailored to the individual's body characteristics.

Additionally, it is important to regularly monitor the condition of the implants after surgery. Choosing a clinic with a structured aftercare system to prevent issues like capsular contracture and rippling is key. If complications do occur, they can often be improved through options like implant replacement, capsule removal, or fat grafting.

Since breast augmentation is not a one-time procedure but one that requires ongoing management, a careful approach from the very first surgery is necessary. The most effective way to minimize complications and achieve desired results is by thoroughly evaluating the surgeon’s skills and the clinic’s post-operative care system.

Reported by Jo Sung Woo, Medical Today (ostin0284@mdtoday.co.kr)

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