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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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[ARTICLES] Even Decades-Old Contouring Pins Can Be Safely Removed

Pins inserted during facial contouring surgery to fix the bones in place do not always need to be removed. However, many patients consider removal due to discomfort, concerns about inflammation, or personal reasons. In particular, those who had surgery more than 10–20 years ago often worry, “Has it been too long to remove them safely?” Specialists advise that the more important factor is not how much time has passed, but whether the procedure is performed by an experienced surgeon. Even if the pins have fused with the bone, safe removal is possible when supported by precise analysis through 3D CT scans and a surgeon with extensive experience. The original surgeon is not required—any skilled professional can perform the procedure without issue. The pins used in contouring surgery serve to stabilize the repositioned facial bones so that they heal securely. They can typically be removed after six months, and removal within two years is often recommended. Still, this does not mean removal is impossible later on. If the pins cause discomfort, pain, potential inflammation, or if the patient prefers not to have them visible in detailed examinations, removal can be considered through consultation with a specialist. Pin removal is performed through a small incision, and recovery time is relatively short. Temporary pain or swelling may occur immediately after the procedure, but can be managed with pain medication or cold compresses. Above all, safety is ensured when the surgery is performed at a medical facility equipped with advanced diagnostic tools and by a highly experienced specialist. Dr. Jang Yong-jun of ARC Plastic Surgery emphasized: “Pin removal is not impossible simply because a long time has passed. What matters most is thorough preoperative diagnosis and the expertise of the surgeon. During recovery, avoiding excessive activity and keeping the surgical area clean are key to faster healing.” Source: Medi Consumer News (http://www.medisobizanews.com )
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