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[ARTICLES] Witch’s Chin: Achieving a Natural Chin Line Through Customized Surgery Considering Muscle Structure and Incision Method

A “witch’s chin,” where the chin extends downward and creates a sharp impression or disrupts facial balance, is more than just a cosmetic issue—it can also cause functional discomfort. It may arise not only from congenital factors but also as a side effect of procedures such as facial contouring surgery, chin fillers, or fat grafting. The primary causes are displacement of the chin muscles and imbalance in the surrounding soft tissues. As a result, the chin can appear longer when speaking or smiling, disturbing the overall harmony of the face. The core of witch’s chin correction surgery lies in muscle repositioning. By restoring and fixing sagging muscles upward, surgeons can reestablish the chin’s natural curve and refine the facial contour for a softer, more balanced appearance. In particular, the choice of incision site should not be limited to intraoral approaches alone. It is crucial to conduct a precise assessment of each patient’s condition and select the most effective meth...

[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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