[Health Column] Chin Surgery: Which Method is Right for You? Chin Surgery's Limitations and Practical Selection Criteria

 

hello. Dr. Hyunwoo Cho, Director of 3D Plastic Surgery no see.

 

Because of the chin, the side profile looks stuffy Have you ever worried about your jawline looking blurry in photos?

 

These days, “small and slim chin” is the trend,
If the chin is much smaller than average, simple cosmetic procedures are not enough. There may be.

 

Representative methods used for chin correction class Actual limitations and selection criteria for each surgery/procedure Let's organize it.

 

What is the standard side profile line for chinless correction? ?

📌 Whether or not there is a blunt is determined based on the 'Ricketts Line'. .

 

A commonly used standard for assessing the balance of a profile is the Ricketts line.

When connected from the tip of the nose to the chin,

• The upper lip is about 4mm

• The lower lip is the line located about 2 mm behind.

However, this standard It is somewhat different from the ideal side view currently preferred in Korea. There is
In actual treatment, we consider the individual's facial shape and harmony.

 

 

“What’s more important than numbers is Balance of the entire face no see."

 

 

What are my options for chin-free correction?

📌 There are three main methods for mandibular advancement: .

 

There are three ways to approach orthodontics:

 

🔸 Bone-assisted advancement
🔸 Advancement using prosthetics
🔸 Advancement using fat grafting and fillers

 

Because each method has clearly different advantages and limitations. Choosing the right one for your jaw condition This is important.

 

 

In what cases is bone-based chin advancement surgery suitable?

📌 This method uses your own bone to reduce foreign body sensation. .

 

Chin advancement surgery using bone commonly known A different method from T-osteotomy can be accessed by

 

T-osteotomy can further reduce the volume of the chin. The impression of a small chin may not be significantly improved.

 

Because of this, A method of advancing the anterior jaw without removing the bone You can also choose .

 

✨ Advantages

• Use of own bone → Less foreign body sensation

• Relatively few side effects

⚠️ Limits

• The maximum range that can be advanced is About 5~6mm

• There are limits to how far you can go.

 

Before and after CT images of genioplasty

 

Why is advancement surgery with prosthetics chosen? ?

📌 If the advance amount is large, you can expect good results.

Advancement using prosthetics If an advance of about 1 cm is required This makes it a particularly useful option.

About prosthetics There is a perception that it “erodes bones”, This is It depends on the location.

 

 

✔️ Location where the bone is thick → Less likely to erode
⚠️ If positioned upwards → Erosion may occur

 

Bone erosion due to the implant being positioned slightly above CT

 

Entering the thick part of the bone prosthesis CT ( No erosion occurs )

 

Is it possible to correct a chin without using fat grafting or fillers? ?

📌 This is a method you can consider if surgery is burdensome.

If the burden of surgery is too great, the volume of the front chin can be supplemented with fat grafting or filler.

 

✨ Advantages

• A relatively simple procedure

• Less psychological burden from surgery

⚠️ Limits

• Not a solid structure Limited in maintaining shape

• There are limits to expressing naturalness and a clear jawline.

“A pointed chin is possible, but it may not always look natural.”

 

 

FAQ ❓

Q1. Can severe wrinkles and walnut wrinkles also be improved?
A1. For severe prognathism, chin surgery alone may not be effective, and implants or stepped osteotomy may be considered. Walnut wrinkles can be improved with Botox.

 

Q2. Is there a risk of damage to the dental nerve after chin surgery?
A2. There may be a risk if the osteotomy is excessively upward or the fixation pin is close to the tooth root, so the location of the nerve must be carefully considered during surgery.

 

Q3. Can I change from chin filler to fat grafting?
A3. Fillers can be dissolved using hyaluronic acid, and the residual material can be absorbed. Remove 3 to 7 days before surgery It is recommended to do so.

 

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Conclusion 🧾

✔️ There is not just one right answer when it comes to braces.
Depending on the amount of advancement, jawbone thickness, and overall facial balance The best method for you may vary.

 

What's important is Not “fashionable” The right choice for you no see.

Through sufficient consultation I hope you find a correction method that suits your condition.

 

 

 

 

3D plastic surgery

CEO Cho Hyun-woo

Graduated from Yonsei University College of Medicine

Yonsei University Graduate School, Master of Medicine

Severance Hospital plastic surgery specialist

Severance Hospital Plastic Surgery Visiting Professor

 

Regular member of the Korean Society of Plastic and Reconstructive Surgeons

Korean Society of Aesthetic Plastic Surgery regular member

Korean Society of Craniofacial Plastic Surgeons regular member

International Society of Plastic and Reconstructive Surgery (ISAPS) member

Regular member of the Korean Society for Surgery of the Hand

Korean Association of Plastic Surgeons regular member

Executive Director of the Minimally Invasive Plastic Surgery Research Association

Director of Hyun 3D Plastic Surgery Clinic

Experience in facial contouring treatment 21 year