Long Face & Long Chin Correction: Is Double Jaw Surgery Absolutely Necessary? Solutions by Cause

 

hello. Dr. Hyun-woo Cho, Chief Director of 3D Plastic Surgery no see.

 

Because it makes the face look long Have you ever considered double jaw surgery?

 

In fact, during consultations, many people ask, "If I have a long face, is jaw surgery the answer?"

 

but For long face surgery, the most important thing is to first identify the cause of 'why it looks long.'

 

This is because the necessary surgical method can vary completely depending on which part of the face appears elongated.

 

today When is long face/long chin correction necessary, and when is double jaw surgery required? I will explain with a real-life example. ✨

 

 

By what criteria are long faces judged?

📌 Face length is determined by the 'thirds ratio'. .

 

A human face can be broadly divided into three parts.

 

✔️ Upper facial area: Forehead ~ Eyebrows

 

✔️ Mid-face area: Eyebrows ~ Tip of the nose

 

✔️ Lower face: From the tip of the nose to the tip of the chin

 

Usually, these three sections A natural and harmonious face when proportions are balanced It appears to be.

 

However, if one part of this becomes long The impression that the entire face looks long This may occur.

 

for example

• If the distance from the eyebrows to the tip of the nose is long → long mid-face
• If the distance from the tip of the nose to the tip of the chin is long → long lower face

like The solution varies depending on the position where it appears long.

 

📌 So, in long face surgery Accurate diagnosis of which part appears longer is the most important thing.

 

 

If I have a long face, do I absolutely have to get double jaw surgery?

📌 If the midface is long, double jaw surgery may be necessary. .

 

From the eyebrows to the tip of the nose In cases where the midface is long In the figure below, marked in red upper jawbone Reduces the length of Orthognathic surgery There are cases where this is necessary.

 

 

Especially when smiling

• If a lot of teeth are visible
• Cases where the gums are excessively exposed

The position and length of the upper jaw can have an impact.

 

However, there is an important point.

 

Through double jaw surgery Bone length can be reduced, but There are limitations to changing the position of the nose or the soft tissue itself.

 

in other words ✔ Bone length may decrease, but ✔ The visible mid-face length may not change significantly.

 

so Not all long faces are candidates for orthognathic surgery.

 

⚠️ An accurate assessment requires a professional diagnosis.

 

 

What kind of surgery is performed when the chin appears long?

📌 If the lower face is long, it can be improved through facial contouring surgery. .

From the tip of the nose to the tip of the chin long lower face If it is It can be improved with a relatively simple facial contouring surgery.

 

A typical method is Long curve resection, Chin surgery no see.

 

In cases where the jawbone is significantly developed

• Reduce the length of the chin
• Balance the lower jaw

It can alleviate the feeling that your face looks long.

 

As needed square jaw surgery performed together underneath It can help create more natural facial proportions.

 

 

 

How have actual cases of patients with long chins changed?

📌 This is a case where facial proportions were improved by adjusting the length of the jaw and the balance of the lower jaw. .

From the tip of the nose to the tip of the chin Haan-myeon long face If it is It can be improved with a relatively simple facial contouring surgery.

 

One patient at the time of visit I'm even considering double jaw surgery He was doing it.

 

 

However, the CT results confirmed

• The chin is long and
• The lower jawbone was widely developed.

In this case

✔ Long curve resection

✔ Lower Mandibular Bound Resection (LBO)

through Direction to reduce the overall length of the lower jaw We proceeded with the surgery.

 

If you check the CT scan after surgery

• The length of the chin decreases and
• As the lower jaw balances out

I could see that the impression of the face looking long had been significantly softened.

 

 

📌 Not just simply shortening the length It is important to consider facial proportions and balance together.

 

 

What is the most important thing in long face surgery?

📌 What is more important than face length is 'proportions'. .

Many people Make the chin shorter, Smaller I think it will become pretty if you make it.

 

But the face eye, nose, chin, Each element It is important to achieve balance.

 

for example

• Make the jaw shorter or
• If you cut the bone like in a standard square jaw surgery

On the contrary, your facial proportions might be distorted.

 

In this case

⚠️ If your face looks awkward or

⚠️ In some cases, it may appear longer than before the surgery.

 

so In long face surgery, a design that considers proportions is key.

 

 

 

 

 

When looking at patients visiting for follow-up checkups after surgery Rather than a changed face

The feeling that the expression has brightened There are many times when I receive it.

 

Changes in appearance are important, but

✔ Confidence

✔ Changes in facial expressions

There are cases where you can feel positive changes even in the same area.

 

Seeing this makes us feel a sense of reward as medical staff as well. 😊

 

 

FAQ ❓

Q1. Can a secondary angle develop after square jaw surgery?
A1. If square jaw surgery is performed without chin surgery, an angle may form at the starting point of the resection. If the secondary angle is not severe, it can be corrected with simple shaving, but if it is severe, surgery may be required again along with chin surgery.

 

Q2. Can a face with a long midface be corrected with facial contouring surgery?
A2. In cases where the midface is long, orthognathic surgery is often more effective. However, if there is no malocclusion and the burden of orthognathic surgery is a concern, methods such as philtrum reduction may be considered. It is recommended to make an accurate decision through consultation following a CT scan.

 

Q3. Can I shave off as much bone as I want during facial contouring surgery?
A3. Contouring surgery is not a procedure where you can freely shave down the area as you wish. There are limits to the range of resection depending on the thickness of the cheekbones or the location of the mandibular nerve.

 

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Conclusion 🧾

In long face and long chin surgery The most important thing is an accurate diagnosis.

 

Because it makes my face look long

It is not always necessary to have double jaw surgery, either.

✔ You don't necessarily have to reduce your jaw size.

 

📌 Which part of the face looks long

📌 How the overall facial proportions are balanced

 

You must consider these two things together.

 

So, if you are considering surgery

✨ The first step is to find the method that suits you through CT scans and accurate consultation.

 

Also, rather than listening to only one opinion It is recommended to consult with several hospitals and make a careful decision.

 

 

 

 

3D Plastic Surgery

Chief Director Cho Hyun-woo

Graduated from Yonsei University College of Medicine

Master of Medicine, Yonsei University Graduate School

Severance Hospital Plastic Surgeon

Visiting Professor, Department of Plastic Surgery, Severance Hospital

 

Regular member of the Korean Society of Plastic and Reconstructive Surgeons

Korean Society of Aesthetic Plastic Surgery Regular member

Korean Society of Craniofacial Plastic Surgery Regular member

International Society of Plastic Surgeons (ISAPS) member

Regular member of the Korean Society of Surgery on the Hand

Korean Association of Plastic Surgeons Regular member

Secretary General of the Minimally Invasive Plastic Surgery Research Society

Current Chief Director of Ipche Plastic Surgery Clinic

Experience specializing in facial contouring 21 year