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Is your jaw okay?📌 A complete guide to TMJ pain, treatment, stretching, and correction[7]
Every time I yawn clicking sound When it hurts or when chewing food pain Do you feel it? if I've never even injured my jaw. If you were wondering why this is the case, please be sure to read this article. From the causes of temporomandibular joint disorders to treatment and stretching I organized it easily. 1. What is Temporomandibular Joint Disorder? Check the 3 Major Symptoms First Temporomandibular Disorder (TMD) is classified into three core symptoms that occur when using the jaw. Pain that occurs when at rest may not be a temporomandibular joint disorder, so it is important to distinguish between the two. ① Clicking sound ② Jaw joint pain ③ Difficulty opening mouth symptoms explanation Key point of occurrence Joint sounds (clicking sounds) Occurs when the disk slides forward and then flips back over. When chewing food, yawning, or opening the mouth wide jaw joint pain Pain around chewing muscles and joints When talking for a long time during a meal opening disability More than 3 fingers don't fit in my mouth Immediately after waking up in the morning, at mealtime ℹ️ Standard for normal mouth opening: Your own fingers If three go in vertically This is within the normal range. If it is below that, suspect a difficulty opening the mouth. 2. Cause – Daily habits, not trauma, are the problem. Many people I've never injured my jaw, so why did this happen? He asks. The main cause of temporomandibular joint disorder is Bad habits in daily life, not trauma It is a repeated accumulation of. Bruxism – Unconsciously grinding or clenching teeth during sleep The habit of chewing on only one side – Overload occurs on one side of the joint Enjoying hard foods – chewing squid, nuts, ice, etc. Resting your chin on your hand / Sleeping on your stomach – Continuous pressure on the joints Stress-induced teeth clenching – unconsciously clenching teeth while concentrating ⚠️ Note: Reversible change vs. Irreversible change : If not addressed early, the joints will wear out and become deformed Irreversible change (a state that cannot be restored to its original state) It may proceed as follows. Early response is key. 3. Comprehensive Summary of Jaw Joint Treatment Methods The treatment goal is Symptom relief and correction of bad habits It is. Step-by-step treatment is required depending on the condition. Treatment stages method characteristic Stage 1 (Conservative) Lifestyle improvement, physical therapy Low cost burden , significant effect at the reversible stage Step 2 (Device) Splint (mouthpiece) installation Custom fabrication required at the dental clinic, teeth grinding prevention Step 3 (Medication/Injection) Botox, anti-inflammatory drugs Fast effect, lasting effect 3~6 months Stage 4 (Correction/Surgery) Orthodontic treatment, jaw correction surgery Inevitable in the case of irreversible change, Specialist diagnosis required 💡 tip : If you do not have any difficulty eating, there is no need to be forced into treatment. When you feel uncomfortable and have the will to resolve it It is best to decide on a treatment. 4. Splint vs. Commercial Mouthpiece – Which One Should You Use? Many people are looking for mouthguards because of teeth grinding. However, Over-the-counter products are not only ineffective but actually worsen symptoms. You can make it happen. division Dental custom splint Mouthpieces available on the market texture Solid Acrylic (Custom Made) soft silicone effect Bruxism inhibition, joint load distribution Activate chewing muscles more strongly compatibility Precisely tailored to the individual's oral cavity Standard size, may not fit Recommendation Highly recommended Not recommended ⚠️ Why are soft mouthpieces bad? When you bite on a soft material, the brain issues a command to "chew harder." Eventually, teeth grinding worsening adverse effects It comes out. certainly Custom dental production Please receive it. 5. Botox Treatment – Effects and Limitations Botox temporarily weakens the chewing muscles (masseter muscles) Rapid relief of jaw joint pain do. Manifestation of effect : After the procedure 1~2 weeks I feel the strength draining from my jaw Duration : average 3~6 months Additional effect: You can also expect a slimming effect on your face (reducing square jawline). margin : It is not permanent, so re-treatment is necessary; it does not resolve the root cause. ℹ️ Understanding as a chronic disease Temporomandibular joint disorder is It is not a disease that can be completely cured with a single treatment. . It should be understood as a chronic disease requiring continuous management, like blood pressure, and lifestyle improvements must be implemented in parallel. 6. Jaw Joint Stretches to Do at Home If the symptoms are mild in the early stages Jaw joint stretching You can restore joint mobility. Open your mouth wide exercise The two movements of rotation and sliding must be performed simultaneously. 💡 Basic Stretching Methods Slowly open your mouth as wide as possible, then slowly close it (repeat 10 times) Slowly move your jaw from side to side (10 times in each direction) Stick your chin out and return it to its original position (10 times) Perform only within a pain-free range and do not overexert yourself. ⚠️ Precautions : Please refrain from stretching when the pain is severe or during the acute phase of inflammation. Be sure to perform this only within a pain-free range, and visit a dentist first if any abnormalities occur. 7. Cases where jaw joint correction is necessary The joints are worn out and deformed Irreversible change If this occurs, simple treatment alone is insufficient. symptoms explanation Need for correction open bite A state where the upper and lower front teeth are spaced apart and do not meet (for those who cannot eat cold noodles) Correction required Facial asymmetry Asymmetry in the face occurs due to wear and tear on one joint. Consider surgery malocclusion Misaligned teeth Review of orthodontic treatment Cases involving irreversible changes Jaw correction surgery + orthodontic treatment Parallel work may be necessary. certainly Precise diagnosis by a dental specialist Please receive it first. 8. Checklist for Timing Temporomandibular Joint Clinic Visits Among the items below If two or more apply Please find a temporomandibular joint clinic as soon as possible. check symptoms ☐ There is a clicking or clicking sound when opening the mouth. ☐ Three fingers don't fit vertically in my mouth. ☐ My jaw feels stiff when I wake up in the morning. ☐ My jaw hurts when eating or yawning ☐ Woke up with signs of teeth grinding (teeth grinding) ☐ It seems like the asymmetry between the left and right sides of my face has worsened. 💡 Great tips for choosing a hospital Temporomandibular joint disorder is absolutely Dentistry (Oral Medicine, Oral and Maxillofacial Surgery) You must get a medical checkup at [location]. General orthopedic or Korean medicine treatments can be supplementary, but please obtain a diagnosis and treatment plan from a dental specialist. jaw joint problems If you keep overlooking it, it can lead to irreversible changes. Even if you are not feeling uncomfortable right now, please check your condition first using the checklist above. If you found this post helpful, please share it with others 😊 Is your jaw okay as it is right now? jaw joint pain Early detection is the best treatment. Visit to a temporomandibular joint clinic Do not put it off. Start today with jaw joint stretching and improving bad habits! View dental visit reviews for jaw problems in the Cashdoc Community > Kim's Dental Clinic in Ansan, Review of Son's Jaw Pain Treatment Uijeongbu Bonplant Dental Clinic, Satisfactory Treatment After Your Jaw Joint Concerns Cheongju Christmas Dental Clinic, warm treatment that heals the heart as well Experience in professional temporomandibular joint treatment at Yonsei On Oral Medicine & Dentistry in Bucheon
캐시닥 운영진26.03.31Views 249Likes 4 The Differences Between Eyelid Surgery and Double Eyelid Surgery, and the Limitations of Non-Incisional Methods[4]
Non-incision double eyelid surgery is often misunderstood as “surgery to make the eyes bigger,” which causes a lot of confusion during the consultation stage. It is very important to distinguish between the concepts, as it can lead to unnecessary correction, especially if recommended even when the eye opening ability is normal. Double eyelid surgery and eye correction are completely different surgeries. Double eyelid surgery is a method of making the eyelid skin fold to make the eyes appear larger. On the other hand, eye correction is a surgery that strengthens the eye opening power in cases where the eye opening power is weak. in other words, Making small eyes look bigger What actually strengthens the power of opening one's eyes These two concepts have structurally different purposes. Why Non-Incisional Eyelid Surgery is Easy to Perform Non-incision double eyelid surgery involves folding the Miller muscle from the inside and tying it with thread without making an incision. However, because the eye is an organ that moves repeatedly, the structure that binds it can be affected by the movement. Additionally, there is a limitation that long-term maintenance is difficult due to the presence of inter-organizational volume resistance. This can cause disorientation during repetitive eye movements. When unnecessary non-incisional double eyelid surgery is a problem 1) Risk of overcorrection when eye opening power is normal If you have normal eye opening ability and undergo eye correction, side effects such as headaches and dizziness may occur due to overcorrection. In particular, patients with pseudoptosis often have skin and fat covering their eyes, making them appear smaller than they actually are, which can lead to unnecessary correction. 2) Confusion between pseudoptosis and true ptosis Self-diagnosis using the forehead can be difficult to distinguish between pseudoptosis and true ptosis. An accurate assessment should be made by lifting the eyelid skin and checking how much of the pupil is covered. The exposure of the beginning of the eyelashes and the degree to which the pupils are covered are important criteria for judgment. 3) Structural limitations of surgery for the purpose of enlarging the double eyelid Some surgical methods How to remove only the skin without creating adhesions Method of folding and tying only the Miller muscle The back is also used. In this case, problems such as scar exposure, minimal effect, and loosening may occur, and there are cases where it leads to reoperation. When is Non-Incisional Eyelid Surgery Necessary? The key criterion is “whether or not there is true ptosis.” If the ability to open the eyes is normal, eye correction itself may not be necessary, and may only result in the possibility of overcorrection side effects. Additionally, for patients with true ptosis, incisional blepharoplasty may be a more effective option than the non-incisional method, which is more prone to loosening. The reason why opinions on the necessity of eye correction differ greatly from hospital to hospital is often due to differences in diagnostic criteria. Therefore, rather than simply approaching it with the goal of “making the eyes look bigger,” it is important to determine the need for surgery based on an accurate diagnosis. By looking at actual consultation cases and comparing them to your own eye condition, your selection criteria often become clearer. 👇 See reviews from actual users I was very satisfied with my eye correction consultation at Namdong-gu Eco Clinic. 👇 See more posts about eye correction Is eyelid surgery really a "never-to-be-done" procedure? Distinguishing between the necessary and unnecessary. The Difference Between Eyelid Surgery and Double Eyelid Surgery: What to Look for When Your Eyes Look Sleepy Double eyelid surgery review: What if your eyes still feel stuffy after double eyelid surgery?
캐시닥 운영진26.02.19Views 165Likes 3 What's the difference between orthodontic treatment and regular braces? Why dramatic changes are difficult.[4]
This is the question most frequently asked by people considering braces. “What is the difference from regular orthodontics?” If the problem is only about correcting the alignment of teeth, it is relatively easy to predict. but Bite correction is different from simple orthodontic treatment. Because there may be differences in treatment duration, outcome prediction, and satisfaction. Definition: What is orthodontics? No-brain correction Treatment that induces changes in appearance through tooth movement no see. The basic principle is the same as general correction. braces Protrusion correction Teeth alignment All of these methods involve moving teeth to create changes in appearance. However, the blind correction Focus on making the chin look more alive There is this. Principle: How can improvement be achieved? ✔ Basic operation method Blind improvement The principle of moving the upper teeth to induce the rotation of the lower jaw Use . This principle is the same regardless of whether or not the tooth is extracted. ✔ Differences from general correction division General correction chinless correction Treatment period relatively predictable It often takes longer Improvement prediction The change in teeth is clear Chin improvement varies greatly from person to person. Difficulty relatively standardized High difficulty level when proceeding only with the chin purpose The change in alignment of the teeth is usually noticeable. but The degree of improvement varies greatly from person to person and is difficult to predict. Therefore, satisfaction with the results can also vary greatly from person to person. The relationship between chinlessness and temporomandibular joint disorder Sometimes, a chinless face isn't just a cosmetic issue. There are reports that the prevalence of temporomandibular joint disease is relatively high in patients with no jaw. As temporomandibular joint disease progresses, the jaw may become shorter. The lower jaw may rotate backwards and the front teeth may appear. In severe cases, people may say, “It wasn’t originally chinless, but it seems like it has become chinless.” Therefore, it becomes important to distinguish whether changes in jaw shape are simply a cosmetic issue or are related to changes in the temporomandibular joint. Why does the chin appear to protrude? Just because it's not chinless doesn't mean it's protruding. But if your chin is behind you An effect that makes the lips appear relatively forward It happens. Conversely, in the case of a prognathism, the lips may appear more sunken. Ultimately, this is the nose-lips-chin Relative position relationship problem no see. The impact of extraction ✔ If not extracted Blind improvement is possible However, dramatic changes may be limited. ✔ In case of extraction Mouths come together The effect of making the chin look relatively more alive You can expect simultaneous improvement of jawline and mouth protrusion. However, the key criterion for deciding on extraction is The actual position of the mouth no see. If the mouth is not protruding due to the nose-lip relationship, an unnatural result may occur if the mouth is excessively retracted after extraction. So, there is no formula for “unconditional tooth extraction” in orthodontic treatment. Is re-correction possible? Re-correction is possible. But the most important condition is Health of teeth and gums no see. If your gums are weak If the tooth root is shortened If extraction has already been performed The extent of improvement may vary depending on these factors. Additionally, since the treatment period for orthodontic treatment is long, the opportunity cost of time and money must also be considered when re-correcting. 📌Improving the chin is not simply a matter of tooth arrangement, but depends on the positional relationship between the chin, lips, and nose and the treatment method chosen. 📌The actual change will vary from case to case depending on whether you choose extraction or consider re-correction. 👇 Check out the expert column 👇 [Health Column] Is it possible to create a missing chin with chin correction?
캐시닥 운영진26.02.13Views 102Likes 4 Summary of timing and criteria for children's dental care[4]
There are many different opinions among parents about children's dental care. When should I start using fluoride toothpaste? Is it too early to start flossing? Is it a problem if teeth come in late? Even though they are children of similar age Some families worry about cavities, In some households, people still only brush their teeth. It is often confusing where this difference comes from. When should you start caring for your child's teeth? Since newborns do not have teeth, thorough brushing is not necessary. After feeding, you may wipe or massage the gums with a gauze handkerchief or mouth tissue. It is not necessarily the stage where care is required before teeth come in. The benchmark for actual management is After teeth start to come in It is often caught by . Is high-fluoride toothpaste really that good? In the past, it was common to use fluoride-free or low-fluoride toothpaste for children who were unable to spit out their teeth. But recently, in the U.S., Europe, and Korea, pediatric dental institutions Use high-fluoride toothpaste containing 1000 ppm or more There is a trend of guidelines changing. The amount to use varies depending on age. Ages 12 and under: Toothpaste containing 1000 ppm or more The period when you can't spit out: the size of a grain of rice 2 years and older: pea-sized It is also explained that it is difficult to expect a positive effect on teeth when the fluoride concentration is less than 1000 ppm. Is it okay to swallow high-fluoride toothpaste? Fluoride-induced abnormal spots or stomach upset are known to occur only when more than half a bottle of toothpaste is consumed per day. Considering the amount that children actually use, it is explained that it is rare for daily use to lead to major problems. For this reason, rather than swallowing itself Usage Management is mentioned more importantly. Should I brush my teeth as soon as they come in? If even one tooth comes out, a plaque may form on the tooth surface. Although you may start gently to avoid straining your gums, brushing itself often begins once your teeth begin to show. Toothbrushes are more than just rules Cleaning power standard The description chosen is common. Although silicone toothbrushes that fit on the finger are sometimes used for safety reasons, it is known that stick toothbrushes with bristles actually have better cleaning power. When do you need to floss? One of the most emphasized aspects of children's dental care is When to use dental floss no see. When the baby molars come in and start to touch each other, the chewing surface Cavities between teeth tend to occur more often. Because children's teeth are in contact with each other through 'surfaces', brushing alone often does not clean the gaps well. Flossing is often recommended, especially if your front teeth or molars are closely spaced. Is it a problem if teeth come in late? Usually, the first baby teeth come out around 6 months after birth, starting with the lower front teeth, but it is generally not considered abnormal if they come out after the first year. Sometimes the teeth on the sides come in before the central teeth, which may simply be a difference in order. However, if the central tooth is still not visible even after the adjacent teeth have grown in, an X-ray may be considered to check for a missing tooth. It is also mentioned that children whose baby teeth come out late tend to also have a delayed start to the permanent teeth. How long will thumb sucking and pacing habits last? The habit of sucking teeth or thumbs puts constant pressure on the mouth. There are also explanations that thumb sucking may have greater dental consequences than gnawing. but Before the age of 4 It is known that in many cases, the deformation caused by such habits does not remain permanent. It is explained that the longer and more frequently it is repeated, the higher the possibility of deformation. Is the yellow stain on my child's teeth a cavity? Yellow discoloration between the gums and teeth seen during infant and toddler checkups Rather than cavities Dental plaque (bacterial layer) This is often the case. Due to the structure of baby teeth, there is a recess between the gums and teeth, making it easy for food to accumulate. If it cannot be removed by brushing or must be scraped off with an instrument, you may be advised to seek medical attention. If necessary, the child will also undergo scaling. The baby teeth are not loose, but the permanent teeth are coming out. When permanent teeth come out behind the baby teeth, it can occur when there is insufficient jaw space. In this case, there are many explanations that say that pulling out the baby teeth quickly does not necessarily improve the arrangement. It is common to decide whether to extract a tooth when the permanent tooth has grown to the height of the baby tooth but is not loose. Therefore, even if children are of the same age, the management standards for their teeth often differ depending on the state of tooth eruption, bite, and habits.
캐시닥 운영진26.02.09Views 152Likes 2 Is eyelid surgery really a "never-to-be-done" procedure? Distinguishing between the necessary and unnecessary.
Eyelid surgery is one of the surgeries that is always controversial in communities and videos. It is also common to see claims that “you should never get eye correction surgery.” But the crux of the matter is not the surgery itself, but the question of who needs it. 1️⃣ Why is eye correction so controversial? We need to start by defining eye correction. Eye correction is discussed in two main contexts. Ptosis surgery (disease) When the eyelids cover the pupil due to insufficient strength in the muscles that open the eyes, causing visual impairment → Diagnose the disease and perform surgery for treatment purposes Eye correction for cosmetic purposes When you want bigger eyes and a clearer impression, but it is not a disease An approach that uses the eye-opening structure to make the eyes look bigger → Rather than “treatment” Aesthetic choice Close to 👉 The eye correction covered in this article is For cosmetic purposes, not for the treatment of diseases no see. 2️⃣ When do you think eye correction is necessary? The most intuitive criteria presented by doctors When deciding whether to recommend eye surgery, some of the most common criteria doctors consider are: Black pupil exposure The pupils If it appears to be less than 80% If you only get double eyelid surgery, You may look more sleepy The ideal exposure range is About 80~90% If you don't meet this standard, your eyes may not look clear even if you only make double eyelids. 3️⃣ There are definitely cases where eye correction is not necessary. In the case of pseudoptosis The ability to open your eyes is normal. If the skin is sagging and covering the eyes This is called pseudoptosis. In this case Just fix the sagging skin In many cases, the pupils are fully exposed Eye correction may not be necessary In other words, “I avoid hospitals that recommend eye correction.” Distrust that arises when you recommend something to an eye that doesn't need it This is a claim that comes from . 4️⃣ Ultimately, the criteria for selection is 'expectations regarding eye size' What is important in the counseling process is The patient's desired final eye size no see. Doctors usually offer the following options: Choice A Just corrects sagging skin → Eyes look slightly clearer than they are now If you are satisfied with A → No need for eye correction Choice B A choice to make the eyes appear larger by increasing the exposure of the pupils. If you want B → you can consider eye correction There is no single correct answer; it depends on the desired outcome. 5️⃣ Non-incision double eyelid surgery isn't for everyone. Principle of non-incision method A method of double eyelid surgery in which threads are placed on the muscles that open the eyes, causing them to exert slightly more strength. The power to open your eyes If it's just a little bit lacking Considered only for When application is limited If you have a severe lack of strength to open your eyes If there is left-right asymmetry If your eyes have a lot of volume In this situation, non-incision double eyelid surgery is It may not be effective or suitable. Therefore, the choice of surgical method is the doctor's judgment, not the patient's. 6️⃣ How should we view the claim that “don’t get eye correction”? The statement that you should never get eye correction surgery is not a one-size-fits-all answer that can be applied in all cases. If you recommend it to eyes that don't need it, it becomes a problem. If you don't do it when necessary Double eyelids alone may not produce the desired impression. Eyelid surgery can be problematic when done excessively, but it can also be a valuable option when necessary. 7️⃣ To summarize Eye correction Not a cure for the disease Beauty Selection and Pupil exposure and desired eye size According to It depends on whether you need it or not. What's important is It's not "You absolutely must do it / You absolutely must not do it" Accurately distinguish between your own eye condition and your expectations no see.
캐시닥 운영진26.01.27Views 131Likes 0 Chin Recession Correction Surgery: Which Method Is Right? Limitations of Chin Recession Surgery and Actual Selection Criteria[6]
hello. Dr. Hyun-woo Cho, Chief Director of 3D Plastic Surgery no see. If your profile looks stifled due to a receding chin, or Have you ever been worried that your jawline looks blurry in photos? These days, a “small and slender jaw” is the trend, but, When the jaw is significantly smaller than average, simple cosmetic procedures alone have limitations. There may be. Representative methods used for receding chin correction class Actual Limitations and Selection Criteria for Each Surgery/Procedure Let me summarize it. What is the standard profile line for receding chin correction? ? 📌 Whether or not one has a receding chin is determined based on the 'ricketts line'. . The Ricketts line is a commonly used standard when evaluating the balance of a side profile. When connecting from the tip of the nose to the chin, The upper lip is about 4mm The lower lip is a line located about 2mm behind. However, this standard It differs somewhat from the ideal profile currently preferred in Korea. There is In actual clinical practice, harmony with the individual's face shape is also taken into consideration. What is more important than numbers is Overall facial balance no see." What options are available for correcting a receding chin? 📌 Chin advancement is broadly divided into three methods. . Chin correction can be approached in the following three ways. 🔸 Bone advancement 🔸 Advancement using implants 🔸 Advancement using fat grafting and fillers Because each method has clearly different advantages and limitations A choice that fits your jaw condition This is important. In what cases is bone-assisted chin advancement suitable? 📌 This method utilizes the patient's own bone, minimizing the sensation of foreign objects. . Chin advancement surgery using bone is Generally known A different method from T-osteotomy You can access it as. T-osteotomy can further reduce chin volume. The impression of a small jaw may not improve significantly. Because of this, A method of advancing the chin without removing bone. They also choose . ✨ Advantages Using one's own bone → Less foreign body sensation Relatively low risk of side effects ⚠️ Limits The maximum range of forward movement is About 5~6mm There are limits when greater progress is needed. CT Before and After Photos of Chin Advancement Why is implant advancement chosen? ? 📌 You can expect good results if the forward momentum is large. Advancement surgery using implants When a forward movement of about 1cm is needed It becomes a particularly useful option. Regarding implants Although there is a perception that it “erodes bones,” This It varies depending on the location. ✔️ Locations with thick bone → Low risk of erosion ⚠️ If located upwards → Erosion may occur Bone erosion caused by an implant located slightly above CT Entered into the thick position of the bone implants CT ( Erosion does not occur ) Is it possible to correct a receding chin with fat grafting or fillers? ? 📌 This is an option to consider if surgery is a burden. If you are hesitant about surgery, you can supplement the volume of your chin with fat grafting or fillers. ✨ Advantages A relatively simple procedure Low psychological burden regarding surgery ⚠️ Limits It is not a rigid structure Limitations on maintaining shape There are limitations to expressing a natural look and a sharp jawline. A pointed chin is possible, but it may not always look natural. FAQ ❓ Q1. Can severe receding chin and walnut wrinkles also be improved? A1. For severe receding chins, chin surgery alone may have limitations, and implants or step osteotomy may be considered. Walnut wrinkles can be improved with Botox treatment. Q2. Is there no risk of dental nerve damage after chin surgery? A2. There may be risks if the osteotomy is performed excessively upward or if the fixation pin is positioned too close to the tooth root, so the location of the nerve must be fully considered during surgery. Q3. Can I switch from chin filler to fat grafting? A3. Fillers can be dissolved using hyaluronidase, and considering the absorption of residue Remove 3 to 7 days before surgery It is recommended to do so. Conclusion 🧾 There is not just one correct answer to receding chin correction. Depending on the amount of advancement, jawbone thickness, and overall facial balance The most suitable method may vary. The important thing is Not a “trend” A choice that suits you no see. Through sufficient consultation I hope you find a correction method that suits your condition. 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
조현우 원장26.01.23Views 240Likes 5 Why can't bow legs (O-legs) be corrected? The real reason many people miss.
What is bow legs? Bow legs are when both legs are when viewed from the front A state where it appears bent into the shape of the letter 'O' It refers to. Professionally A shape where the upper and lower bones of the knee joint are spread outward. That is the cause. in other words, When the bone structure itself is bent outward, rather than the external appearance It is a type of bridge that occurs. core: The biggest determining factor for bow legs is bone shape no see. Why do bow legs occur? Most bow legs Naturally formed during the growth process without a specific cause It works. However, the following factors may be involved. ■ Genetic influence There is no conclusion yet regarding the existence of a specific gene. but Cases where similar leg shapes appear within a family unit is reported. ■ Lifestyle patterns during the growth period When I was young If you play a lot of soccer (almost at a professional level) There are studies showing that bow legs are increasing. ■ Specific diseases Some diseases are The problem of the inner knee growth plate not growing well It can cause bow legs. example: Blount bottle The growth plate on the inside of the knee does not grow normally and gradually changes into an O-shape. Rickets and other diseases It can also affect the shape of the legs but Most bowlegs commonly seen occur naturally without specific diseases. do. Is it possible to self-diagnose bowlegs? ■ Old method: Stand with legs together and measure the distance between the knees It is a method used in orthopedic textbooks, but Inaccurate by current standards do. If you have a lot of fat on your thighs Depending on body type This is because the distance between the knees can vary significantly. ■ Accurate Diagnosis: X-ray Standards Currently Where at the knee does the line connecting the center of the hip joint and the center of the ankle pass through using an X-ray? We determine it as. 💡 reference: It is rare for it to pass exactly down the center of the knee, and on average, it tends to pass slightly inward (medial) than the center. Is it possible to correct this through stretching and exercise? ❌ Conclusion: Cannot be corrected Bowlegs caused by bone shape cannot be corrected with stretching or exercise. Why is it impossible? The cause is bone shape Bones do not change shape due to external forces Excessive stretching is actually Stretching of soft tissues around the joints damage ⚠️ caution: Excessive stretching may look good temporarily, but this is not the bone. As a result of stretching of joints and soft tissues It could be not good. Can it be corrected with insoles or corrective devices? ❌ Impossible As for insoles Cannot change bone shape . As a real-life example, When taking 'before and after' photos Induce to tighten the glutes It is said that there were cases where it looked like the legs were attached. in other words, It is not that the actual bone structure has changed. . Factors determining leg shape Bone shape (greatest impact) Distribution of soft tissues such as fat and muscle While the appearance can be improved, The fundamental structure does not change . At what degree of curvature should surgery be considered? ■ No clear standards The criteria for corrective surgery are applied differently from an orthopedic perspective and an aesthetic perspective. It works. ✔ Aesthetic perspective Example: The knee centerline 0 degrees = Ideal center If it is shifted inward, it is expressed as 1 degree, 2 degrees, 3 degrees... and so on. Some people feel discomfort even if it bends by just 1 to 2 degrees, and There are also people who don't care even if it is 3 degrees or higher. → The patient's expectations are the most important You must first determine whether you will be satisfied even after surgery. ✔ Orthopedic Perspective (Regarding Arthritis) The degree of curvature In large cases like 7~8 degrees Even if for cosmetic purposes Can be shaped into a leg form that is advantageous for preventing arthritis in other words, The perspective that even cosmetic surgery can help improve the knee environment in the long term no see. Will the results of bowleg surgery remain over time? If the bone heals well after bone correction surgery Maintained with one's own bones Because it becomes Even as time passes The shape is maintained being Unlike general cosmetic procedures A characteristic where the basic structure does not change over time There is. Full summary ■ What are bow legs? A state where the bone structure is bent outwards. ■ Why does it happen? Mostly no particular reason. May be affected by certain diseases and exercise habits during the growth period. ■ Is self-diagnosis possible? Estimation by eye is inaccurate. For an accurate diagnosis, confirm the joint axis on an X-ray. ■ Can it be corrected with stretching and insoles? Cannot be corrected. Risk of soft tissue damage if forced. ■ How is surgery determined? There are no fixed standards for the degree of correction; the decision is made based on a comprehensive assessment of aesthetic expectations, the degree of curvature, and the future joint environment.
캐시닥 운영진26.01.15Views 280Likes 0 Summary of cases in which correction of the chin is necessary and criteria for judgment[9]
Although a bulbous nose is often considered a good thing in physiognomy, in reality, many people are concerned about the round and spread nose tip, which makes them look stuffy or makes their facial contours unclear. especially A bulbous nose with a thick and rounded tip It is more concerning because it can affect not only the appearance but also the overall proportions and harmony of the face. The reason this part is important is because not all bokkos are created equal. If the skin is thick, the fat layer is developed, or the cartilage is widely separated Because the causes are different, the appropriate method for correcting the double eyelid can vary. Not just “making it pretty” Facial balance, natural harmony, and individual nose structure The important point is that we must consider it together. The basic concept when understanding the correction of the double eyelid is 'What makes it thick and spreadable?' no see. Skin thickness, subcutaneous fat, and the structure of the cartilage of the nasal alar are often factors that work together, and it may be difficult to see sufficient changes by addressing just one cause. so Correction of flat nose Silver is big ✔ In case of large cartilage development ✔ If the cartilage is spread to the left and right ✔ If you have thick subcutaneous fat The approach is different depending on the cause. The main causes of flatulence can be divided as follows: 1) When the nasal cartilage is thick and developed The type with a thick and firm nose tip A method of cleaning up some of the unnecessary cartilage and gathering it in the center to organize the shape can be considered. 2) When the nasal cartilage is spread out to the left and right A type that gives off a strong impression of being wide and spread out from the front An approach may be needed to gather the displaced cartilage, center it, and restore balance. 3) If the subcutaneous fat is thick Soft and round-looking bulbous nose type Fat reduction alone can make the tip of your nose look less puffy, but in some cases, it's best to consider it in conjunction with other factors. Each option has its advantages, but there are also some things to consider. ✔ Cartilage correction can help to define the shape, but → If it is excessive, it may feel hard or overly gathered. ✔ Fat loss can reduce the feeling of bloating, but → There are cases where fat alone cannot solve the problem. So rather than “which method is better” What is the structure of my nose and how does it harmonize with my face? is a more important criterion for judgment. So, when should you consider ‘bulk nose correction’? If any of the following apply to you, you may want to consider it! 🟦 The tip of the nose looks round and wide from the front 🟦 I feel like the tip of my nose is thick and stuffy. 🟦 I feel like my nose doesn't play a central role compared to my face. 🟦 I want a natural change, but I'm not satisfied with the current appearance. on the other way, 🔸 There is no functional inconvenience 🔸 If it matches your face well enough You don't necessarily need to consider correction. What matters is “the standard that suits me.” The purpose of correcting the chin is not to follow a specific shape, ✔ Overall face ratio ✔ Nose structure ✔ Naturalness The key is to have these three things aligned together. Rather than “which surgery is good” ➡ “What is the condition of my nose?” ➡ “How well it matches your face” Judging based on this is a much more realistic approach! One last thing to remember Even if it's the same stomach, the cause and structure are different for each person. Rather than just changing the shape Harmony with the face It's important to look at them together Rather than excessive change, the process of accurately understanding the current state comes first. "Medical information may vary depending on an individual's condition, and it is safe to consult a specialist for accurate judgment."
캐시닥 운영진25.12.31Views 587Likes 8
