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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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[ARTICLE] Dr. Soonbeom Kwon of ARC Plastic Surgery Gives Lecture on Zygoma Reduction at ‘APS KOREA 2025’

Dr. Soonbeom Kwon, Chief Director of ARC Plastic Surgery Clinic, presented his research on zygoma reduction techniques at APS KOREA 2025 (Aesthetic Plastic Surgery Korea 2025), an international aesthetic plastic surgery conference held on April 19 at Seoul Dragon City. APS KOREA is Korea’s leading academic conference in aesthetic plastic surgery, held annually since 1985. It brings together plastic surgeons from Korea and abroad to share the latest insights and research findings. At this year’s event, Dr. Kwon delivered a lecture titled “Zygoma Surgery Methods Based on Facial Conditions,” drawing from his extensive experience in facial contouring. He introduced the high-L and low-L osteotomy techniques tailored to various patient cases and shared clinical outcomes of each. In his presentation, Dr. Kwon emphasized that zygoma reduction is not merely a procedure to reduce bone size, but one that requires a precise, proportional approach considering the overall balance of the face. As the zygomatic bone plays a central role in determining facial contour, excessive resection can result in an elongated or artificial appearance, making personalized surgical design essential. Dr. Kwon also highlighted the importance of thoroughly analyzing the patient’s facial bone structure, soft tissues, and zygoma morphology to refine surgical techniques. He stressed the need for surgical planning that balances both aesthetic outcomes and functional safety. Dr. Kwon continues to contribute to the advancement of plastic surgery techniques through active academic participation and research, fostering collaboration with professionals both in Korea and around the world. – Medical Today, Reporter Seongwoo Cho (ostin0284@mdtoday.co.kr)
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