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客製化骨水泥下巴

Chin: the crux for the extension of charm Part I

Chin: the crux for the extension of charm Part II

客製化人工下巴

Chin: the crux for the extension of charm Part I

The chin simply refers to the front end of the mandible in terms of facial skeleton. However, this is just too simple to describe its impact on the aesthetics of a facial profile. A wrong doctor, position or material for facial sculpture will result in an unnatural and misplaced chin, not to mention a frustration to the original beauty a patient has had.

I have to admit that "the chin plays a crucial role in sculpturing the beauty of a face!"Being engaged in the industry of cosmetic facial surgery for several decades, I have seen countless patients receiving unsuccessful cosmetic surgeries and some with a facial shape and beauty affected by poor formation of the mandible. Some people also feel there is something wrong with their facial shape but they are unable to find out why. As a matter of fact, the problem lies in the chin. Cases featuring a wide variety of conditions exist. Therefore, a preliminary collection of my surgical experiences for several decades is presented here. The eight "amazing"wonders of the chin most commonly seen today are described as follows:

Case 1 - OMG！ My chin has deformed.
If you identify with that autologous fat or soft tissue like silicone should be used for breast reconstruction instead of hard materials like artificial bone, then contrarily the chin being a part of facial bones should be sculptured by using artificial bone close to real ones in a human body rather than soft tissue.   In other words, displacement of the chin can frequently occur if soft tissue is used and an unexperienced doctor is involved for sculpturing the chin.

Case 2 - I am not having a slight underbite. My chin collapses.
The chin forms the extended line from the mandible. It's a perfect ending of the shape. However, I've seen many unsuccessful cases performed elsewhere because of the wrong materials used and unexperienced doctors involved. Not long after genioplasty, their new chins begin to collapse and form an unnatural pad like a slight underbite.

In fact, the chin should look bony since it's a part of the facial bones.  It shouldn't be like a soft persimmon.  The application of a wrong material fails to naturally extend the stiffer touch of the mandible line.  Undoubtedly, doctors should choose the most appropriate materials for different facial parts so as to sculpture natural, pleasant and delicate lines of the five sense organs and facial profile.

Case 3 - Well-shaped chin is the key to a perfect face!
Among the patients I've met, the rooted problem they had was not the chin.  Being a doctor, I would find out the real cause behind a problem for a patient.  Reviewing the caseswhich came to me later for a reconstruction of their chin, many of them told their doctors: "I want to have a chin like Angelababy."  The doctors of those cosmetic surgery clinics really gave them a camera face.  However, their new chin doesn't last long.  Everyone has different chin conditions and facial shapes.  We cannot apply only one solution for all problems.  Doctors have professional background and should find out the problems for their patients before selecting the most appropriate method to sculpture their chin.  I personally think this should be the permanent solution.

In this case, May was not born with a good lower facial shape.  Having a longer chin with a beautiful arch is not sufficient to form a smooth line of her lower face.  The real problem is not eliminated.  Therefore, genioplasty is applied by combining with osteotomy in order to perfect her facial shape.

Case 4 - Be careful! Shorter chin is usually accompanied by snoring and sleep apnea
Many patients having an excessively short chin are not aware of the problems of snoring and sleep apnea they have.  These conditions happen because they have a seriously receding mandible which leads to a narrower link between the chin and their neck and therefore presses the respiratory duct.  As a result, snoring or sleep apnea occurs.  Their partners thus are affected and have poor sleep quality.  One thing worth noticing is that many patients with a short chin usually ask cosmetic surgeons to create a new chin for them instead of applying orthognathic surgery to solve the problem of the receding mandible.  It's not an ultimate solution at all.

My experiences in treating patients for several decades taught me that the patients having a short or receding chin actually need to receive the orthognathic surgery. On one hand, it is because those who have a seriously receding chin are usually accompanied by sleep apnea; and on the other hand, some patients having a short chin are able to have a good-looking shape of chin after receiving the orthognathic surgery without any further chin sculpture. Moreover, the orthodontic problems of some patients are solved at the same time.

Orthopedics was my major. My long-term background knowledge and practical experiences fully support me for making accurate judgments. When patients having a short chin come to the clinic and ask me to reconstruct a new chin, I would suggest them to take an X-ray and observe their sleep conditions. By doing so, they would know how their short chin has formed. A professional doctor shouldn't follow a patient's request to create a chin but to make a professional consultation. This is the difference between a professional doctor and a patient. Such professionalism also distinguishes an orthopedist from a cosmetic surgeon.

Case 5 -Underbites, have you received the right surgery?
The patients having an underbite are often called "Moon Face".  Most of them usually receive orthodontic treatment or the surgery moving their chin backward, which actually doesn't help them much with solving their problems.  This is because what they really need is to receive the "orthognathic surgery + surgery moving the chin forward".

I once met a patient having an underbite.  He had received a surgery.  The previous doctor removed the protruding part of his chin to correct his underbite.  However, the underbite was actually caused by the protruding mandible.  The reasonable solution should be to move his mandible backward via orthognathic surgery and then move his chin forward.  This is the proper method to substantially solve his underbite.

Removing the protruding part seems to be the most straightforward way, but it lacks further observations to explore the real cause of a protruding chin.  Today, there are still many doctors who do not know that the mandible and chin are different parts of the face.  Doctors have to probe into the overallstructure of our facial bones before improving an underbite.  A patient's mandible should be moved backward and then the chin forward in order to sculpture a highlighted facial profile with golden ratio.   Thus, underbite can be corrected followed by fulfilling a patient's requirements for contouring a perfect facial shape.

Case 6 - find out the real root for chin misalignment
Why does a doctor implant a pad to a patient's chin instead of realigning the inclined chin of a patient?  Chin implantation seems to be the method to straighten a patient's chin.  However, when we look a bit up at the middle face and then look down at the lower face, the inclined corners of a mouth still exist.  This is condition commonly seen from the patients who have received a chin surgery before coming to our clinic.  The truth of avoiding the selection of repositioning the chin is that "many doctors of aesthetic medicine are able to create a new chin for patients while repositioning and realigning the maxilla and mandible of a patient requires professional techniques at a higher level performed by a professional doctor in orthopedics".

In fact, repositioning the maxilla should serve as a start for the correction of an inclined chin.  The maxilla and mandible have inseparable linking relationships.  The old saying tells us: "if the upper beam is not straight, the lower ones will go aslant."  Sometimes, the chin actually doesn't go aslant.  As long as the maxilla and mandible are repositioned and realigned, the chin turns back to its normal position without performing any further adjustments.  However, if the chin moves backwards after receiving the orthognathic surgery, all we have to do is to pull the chin out forward.  As smart as you are, this step has nothing to do with treatment.
 

Case 7 -the chin is the finishing touch creating the delicacy
Some people are in pursuit of beauty but they don't put much attention to the chin.  This is one of the eight amazing wonders concerning the chin.  However, my experiences conclude that the chin is the indispensable final touch for shaping a face with delicacy.  Therefore, I usuallydon't determinethe shape of the chin in its width, length or arch until the whole face is reconstructed and sculptured.

In other words, the chin shouldn't be shaped independently.  It's the extension of the shape of the lower jaw.  It's also the key note establishing a patient's style of appearance.  Mandibular osteotomy going with face V-line surgery for sculpturing the chin is able to strengthen charm and boost attractiveness and aesthetics.

Case 8 - the chin determines a man to be manly?
Men shouldn't underestimate the importance of the chin.  A patient once having a seriously receding and short chin was nicknamed "Rat" by his friends in addition to his rumbling noise from snoring.  He felt uncomfortable with this nickname but he couldn't do anything about it.  He even made fun of himself while looking at the mirror.  It's not hard to tell that the chin strongly affects a man's distinguished manners and first impression on others.

Contrarily, if the males who were born after the 1980s are pursuing the trend of being a metrosexual like that in Korea, the style of the chin may turn to be neutral or more graceful.  Consequently, their appearances may also change.  Similarly, when the dainty and exquisite chin of a female can perfectly go with the overall facial shape, her face naturally shines with a coquettish and charming touch.

Having presented so many cases, don't you think that the chin being the "front end of the mandible" cannot be underestimated and ignored?  Take a look at yourself in the mirror and carefully review your chin to determine what type of the amazing wonders it is categorized into.