[Health Column] Is Double Jaw Surgery Really Necessary for Long Faces and Chin Reshaping? Solutions Based on Cause

 

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

 

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

 

In fact, when I consult with people, many of them ask, “Is double jaw surgery the answer for a long face?”

 

but When it comes to long face plastic surgery, it is most important to first determine the cause of the long face.

 

Because the surgical method needed can be completely different depending on which part of the face appears longer.

 

today In what cases is long face/long chin surgery necessary, and when is bimaxillary surgery necessary? Let me explain with a real-life example. ✨

 

 

How do you judge a long face? ?

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

 

The human face can be broadly divided into three parts.

 

✔️ Upper face: Forehead ~ eyebrows

 

✔️ Midface: Eyebrows ~ tip of nose

 

✔️ Lower face: Tip of nose ~ tip of chin

 

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

 

But if one part of this gets too long, An impression that makes the entire face look longer This can happen.

 

for example

• If the distance from the eyebrows to the tip of the nose is long → A face with a long midface
• If the distance from the tip of the nose to the tip of the chin is long → A face with a long lower face

like Depending on where you are looking, the solution will vary.

 

📌 So, in long face plastic surgery, An accurate diagnosis of where the length appears to be long is most important.

 

 

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

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

 

From eyebrow to tip of nose If the midface is long In the figure below, marked in red maxilla Reduce the length of Double jaw surgery There are times when this is necessary.

 

 

Especially when you laugh

• If you see a lot of teeth
• When the gums are excessively exposed

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

 

But there is an important point.

 

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

 

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

 

so Not all long faces are candidates for bimaxillary surgery.

 

⚠️ Accurate judgment requires professional diagnosis.

 

 

What kind of surgery is done to make the chin look longer? ?

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

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

 

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

 

If the jawbone is greatly developed

• Reduce chin length
• Balance the lower jaw

It can help alleviate the feeling of your face looking longer.

 

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

 

 

 

How would actual long chin patient cases differ? ?

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

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

 

One patient was admitted to the hospital Considering double jaw surgery You were doing it.

 

 

But the CT scan results

• The front chin is long
• The lower jaw was widely developed.

In this case

✔ Long curve resection

✔ Lower jaw bone reduction (LBO)

Through Direction to reduce the overall length of the lower jaw The surgery was performed.

 

If you check the CT after surgery,

• The length of the front chin is reduced
• As the lower jaw becomes more balanced,

I could see that the impression that the face was long had been greatly alleviated.

 

 

📌 It's not just about reducing the length It is important to consider both facial proportions and balance.

 

 

What is the most important thing in long face surgery? ?

📌 What's more important than face length is 'proportion' .

Many people Make your chin shorter, smaller I think it will be pretty if you make it.

 

But the face eye, nose, chin, Each element It's important to strike a balance.

 

for example

• Make the chin shorter unconditionally
• If you cut the bone like in a typical square jaw surgery,

Rather, it may break the facial proportions.

 

In this case

⚠️ If your face looks awkward

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

 

so In long face surgery, design that takes proportions into account is key.

 

 

 

 

 

When we look at patients who come to check their progress after surgery, Than the face changed

I feel like my expression has brightened There are many times when I receive it.

 

Changes in appearance are important, but

✔ Confidence

✔ Change in facial expression

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

 

Seeing this kind of sight makes me feel rewarded as a medical professional. 😊

 

 

FAQ ❓

Q1. Can a secondary angle develop after square jaw surgery? ?
A1. If you perform square jaw surgery without chin surgery, an angle may develop at the starting point of the resection. If the secondary angle is not severe, it can be corrected with simple shaving. In severe cases, additional surgery may be required along with chin surgery.

 

Q2. Can a long mid-face be corrected with contouring surgery? ?
A2. In cases where the midface is long, bimaxillary surgery is often more effective. However, if there is no dental malocclusion and bimaxillary surgery is too risky, procedures such as philtrum reduction surgery may be considered. A more accurate assessment is best made through consultation following a CT scan.

 

Q3. Can contouring surgery shave as much bone as desired? ?
A3. Contouring surgery is not a procedure that allows you to freely shape the area as desired. The extent of resection is limited by the thickness of the cheekbones and the location of the mandibular nerve.

 

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Conclusion 🧾

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

 

Because my face looks long

✔ It is not always necessary to have double jaw surgery

✔ It is not necessary to necessarily reduce the chin.

 

📌 Which part of the face makes it look longer?

📌 How to balance the overall proportions of the face

 

These two things must be considered together.

 

So if you are considering surgery

✨ First, you need to find the method that is right for you through a CT scan and accurate consultation.

 

Also, rather than just listening to one opinion, It is recommended that you seek consultation from several hospitals and make a careful decision.

 

 

 

 

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