Chin ptosis case / ptotic chin / witch’s chin
1. preoperative diagnosis
CC
Lower lip and chin was pulling down, tight and stiff sensation => hard to speak and eat
Double contour and Witch’s chin
Multiple dimples on chin when strain chin and lip
Exposure of lower teeth
Lower lip eversion
P/E
01
Three years ago, Mandibular body augmentation with prosthesis(Hydroxyapatite of chemical bone) &
zygoma reduction
=> infection, Lt. side mandibular body
=> Irrigation and Antibiotics
02
Two years ago, chin augmentation with silicone implant
=> infection
=> removed 1 month later
03
1 year ago, scar excision and chin lift operation at other country
Five times of operation for the chin during 3 years,
2. postoperative result
Before :
Relaxed position of lip. => Exposed lower teeth.
Lip eversion.
After
Lower teeth are not exposed.
Lip is elevated in natural position and shape.
Lower lip eversion was corrected.
No more dimple and contraction of chin after operation.
Elevated lower lip and no strain of chin after operation.
Everted lower lip was elevated.
Ptotic chin was elelvated.
No strain and No dimple on the chin after operation.
Double contoured submental area become straight and smooth.
Everted lower lip was elevated.
No strain and smooth chin after operation.
mechanism of mentalis muscle drooping / Jaw surgery / mouthcomfortably / periodicconsultation /augmentationgenioplasty/ frontchin / frontjaw / witch’s chin /chin strain