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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...

[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 method accordingly. In some cases, an external incision may deliver more stable results. This personalized approach makes it possible to minimize scarring while creating a natural chin line. Dr. Yoon Tae-Geun of ARC Plastic Surgery explained, “Witch’s chin is a complex problem involving both muscular and soft tissue imbalance. The safest and most satisfying outcomes come from individualized incision planning based on accurate condition analysis.” Customized witch’s chin surgery goes beyond simply reshaping the chin tip—it completes a natural chin line that harmonizes with the patient’s expressions and the overall balance of the face. — Reporter Park Eun-Hee http://sjbnews.com/news/news.php?number=859603

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