Asymmetrical Smile from Filler Injections on Nasolabial Folds

There are two explanations for assymetry immediately after facial filler injections:  These can occur from the numbing medication used or from localized swelling post injection.  Both should resolve with time as there are very few, and rare, causes of permanent deformity.

Hairbandrose, You say you just had the injections yesterday. Give it several days (sometimes up to 2 weeks) to completely settle. This gives time for the swelling to resolve and the tissues to settle. Most times, you will be surprised how nicely it resolves. If there is still some asymmetry after that, it is usually just a matter of injecting a small amount on the smaller side to even it out. Good luck.

The Aysmmetry can be caused by several different factors: The injection technique The filler's properties Depending on how much bruising/bleeding/swelling you experienced from the injection itself, this can affect or distort your smile. However, this should generally resolve withing one week. If the injection was directly into a muscle or nerve this can take longer but most fillers tend to resorb and you would see an improvement over time Depending on the properties of the filler, you may... more

You may still be experiencing some inflammation, edema or fluid retention in one cheek more than the other, which can take several days to resolve. This kind of initial asymmetry is more likely to occur if your provider first injected local anesthetic into the nasolabial areas. You may also now be more aware of some pre-existing asymmetry, as most of us are not perfectly symmetrical when we smile. Nonetheless, after 2 weeks, your provider should be able to make any necessary adjustments... more

After facial filler injections there can be a small amount of swelling which can produce some assymetries. Fortunately this will resolve but it can take up to a week or slightly longer. If things still don't look quite right after about a week, I would return to the physician who performed your injections and discuss it with them. At worst, if you had hyaluronic acid injections, you can inject hyaluronidase and dissolve the injection.

One day following injection is still early. It usually takes several days for Hyaluronic acid based products to settle and get a final volume and appearance. The good news is that mild asymmetry is treated by injection of more filler on one side. If more injections are not desired, the use of hyaluronidase enzyme helps to dissolve some of the filler volume.

I would advise letting a week or two go by before making any judgements. You could have swelling that is asymmetrical, swelling related to a nerve block you may have had or some bruising. There is no need to panic as most asymmetry problems resolve once the swelling has gone down. If it persists, your surgeon can advise you of ways to correct the problem. Your surgeon is personally invested in you having a good result so return to the office in about a week for reevaluation. Good luck... more

It is not uncommon to have differential swelling.  It is also common for cheeks to be a bit different...that is normal.   If you still find it a problem then contact your doctor for follow-up.