title: Witch's chin: a progressive, three-step technique.
abstract: Witch's chin is an unpleasant aesthetic defect characterized by ptosis of premental tissue and a deep submental fold, which may be exaggerated by hyperprojection of the mandible. These three elements determine the different degrees of deformity; therefore, the ideal treatment should be directed to one, two, or all three of them. Despite unanimity on the surgical approach of the defect, a large variety of techniques have been proposed by various authors. The need to use a technique suitable for different clinical pictures, characterized by a progressive surgical aggression, as usually performed in this practice, has led to standardize a technique to correct witch's chin, by means of three progressive steps, depending on the degree of deformity. The advantage of this procedure is that once a good result has been achieved, the subsequent steps may be omitted. The technique has been successfully performed in five patients, and the mean follow-up is 12 months. Figures from two representative cases are presented.
authors.affiliation: Villa Massimo Medical Center, Rome, Italy. claber@csgen.it
authors.forename: C
authors.initials: C
authors.lastname: Bernardi
authors.forename: P L
authors.initials: PL
authors.lastname: Amata
authors.forename: S
authors.initials: S
authors.lastname: Dura
mesh_terms: D000368:Aged; D000375:Aging; D002680:Chin / Q000601:surgery*; D003238:Connective Tissue / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D015361:Rhytidoplasty