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[ARTICLE] Square Jaw Surgery: Facial Bone Structure and Lower-Face Balance Matter More Than the Amount of Bone Reduction

A square jaw may be a concern when the lower part of the face appears wide from the front or when the angle of the jawbone below the ear is prominent from the side. This facial shape can be influenced by various factors, including not only the size and shape of the mandible, but also the development of the masseter muscles used for chewing and the amount of fat beneath the chin. Square jaw surgery is a type of facial contouring surgery that aims to improve the contour of the lower face by adjusting the shape and width of the mandible. However, the surgical outcome is not determined simply by removing a large amount of bone. It is important to determine the appropriate extent and location of bone reduction based on each individual’s skeletal structure and overall facial proportions. In particular, excessive reduction of the mandibular angle located below the ear may result in an unnatural side profile. On the other hand, reducing only the prominent area visible from the side may not ...

[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 treatments may provide improvement. Recently, more advanced techniques such as chin lifting combined with mentalis muscle repositioning have been considered to achieve more stable and natural results. This method helps reorganize the sagging soft tissues of the chin, contributing to a more refined and balanced chin line. However, rather than relying solely on external appearance, a comprehensive evaluation of both skeletal structure and soft tissue condition is essential. Detailed examinations, including CT scans, allow for accurate assessment of the chin bone length, projection, asymmetry, and the condition of surrounding tissues, enabling the development of a personalized treatment plan. Dr. Kwon Soon Beom of ARC Plastic Surgery stated, “As chin contouring significantly influences the central facial structure, a customized approach based on precise diagnosis is crucial. Since each individual has different facial proportions and chin structures, applying a standardized method may lead to unsatisfactory results or increase the risk of complications.” Therefore, for those considering correction of chin ptosis, it is important to undergo thorough consultation and detailed diagnosis to accurately understand the underlying causes. Based on this, working with an experienced and skilled specialist with strong anatomical knowledge is key to determining the most appropriate treatment approach. Source: GongGam News (https://www.gokorea.kr)

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