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[ARTICLES] Understanding Chin Ptosis: Causes, Solutions, and Why Accurate Diagnosis Matters

A chin that appears long or drooping is often considered a simple aesthetic concern. However, in many cases, it is the result of multiple underlying factors rather than just a superficial issue. Visually, a drooping chin can elongate the lower face and affect overall facial balance and impression. Chin ptosis is rarely caused by skin laxity alone. Instead, it often involves a combination of factors such as the length or position of the chin bone, fat accumulation in the chin area, and loosening of the skin and soft tissues. In particular, when the chin bone is long or protrudes downward, it can make the face appear longer or create a heavier impression. As the causes vary, treatment approaches must also be tailored to each individual. When the issue is related to the chin bone structure, surgical procedures such as genioplasty to adjust the length and position of the chin may be required. On the other hand, if soft tissue sagging or fat is the primary cause, less invasive treatmen...
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[ARTICLE] Should You Remove Old Pins from Facial Contouring or Two-Jaw Surgery? Precision Diagnosis Is Key

An increasing number of people who have undergone facial contouring or two-jaw (orthognathic) surgery in the past are now considering whether to have their surgical pins removed. Pins are typically used in procedures like zygoma reduction, mandibular angle reduction, and chin reduction to fix repositioned facial bones in place and ensure proper bone healing. Pin removal is generally possible at least six months after surgery. However, many patients delay the procedure, and in some cases, several years may pass. Dr. Soonbeom Kwon, Chief Director of ARC Plastic Surgery Clinic, advises, “If more than 10 years have passed since surgery, the pins are likely to have adhered to the bone or surrounding tissues. Therefore, a detailed evaluation using 3D CT scans is essential to precisely determine the pin’s location and the bone condition before proceeding carefully.” It’s important to note that pin removal is not always necessary. However, it may be considered in the following cases: if the patient wishes to hide evidence of prior surgery, if metallic materials show up during health screenings and cause discomfort, if there is ongoing pain or a foreign body sensation around the pin, or if trauma or impact poses a potential risk. Dr. Kwon explained, “Even if a long time has passed since the initial surgery, pin removal can be performed safely with accurate analysis and skilled surgical technique. However, if the pin is heavily adhered to surrounding tissues, the procedure may become more complex—making the judgment of an experienced surgeon especially important.” After pin removal surgery, patients may experience temporary pain or swelling. It is recommended to avoid hard or chewy foods and to get sufficient rest. Dr. Kwon added, “During recovery, it’s best to refrain from strenuous activities and to keep the surgical site clean, which helps promote proper healing.” – Medical Today, Reporter Seongwoo Cho (ostin0284@mdtoday.co.kr)
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