How to Correct a Muscular Asymmetry of the Right Mid and Lower Face?

I'm 42 and a redhead with sensitive skin. In my 20's I had a badly absessed tooth,since removed,but ever since then the right side of my lower face has had a distinct droopiness compared to the left. I have noticed a twitch on the right when smiling sometimes. I'm curious to know what you would recommend other than temporary fillers. I don't like the idea of needing to go back for further treatments with additional expence.

Tags:

Comment on this

8 Doctor Answers | Asked by kez1

Doctor Answers (8)
Community Comments (0)

Facial droopiness, facial twitching

Assymetric facial drooping and twitching may be treated by several techniques. A one sided face lift ,liposuction of the jowls or augmentation of the cheeks and jawline may correct a assymetric face. The Cellulaze, Sidelaze system can result in significant neck and lower facial tightening with minimal incisions Botox, Dysport or Xeomin injections may correct the twitching at least temporarily. Please consult in person with an experience Board Certified Plastic Surgeon... more

Correcting Muscular Asymmetry of the Face

This is a tough situation to evaluate by anything other than an in-person exam, in order to adequately assess the anatomical basis of your concerns.

Cosmetic Surgery is an Art and a Science

. It is hard to answer your question without an exam.If your asymmetry is due to a tooth extraction, then I suggest a dental implant to fill the area.Otherwise a fat fill can improve your appearance. Consult your dentist or a board certified plastic surgeon for your concerns.

Facial Asymmetry: Treating with Fillers, Fat, or Facelift

Thank you for the interesting question. Without pictures, or an examination of your facial muscle movements, it is difficult to give exact recommendations. However, it seems that you may have two problems: 1) facial volume loss that is worse on one side; and 2) one-sided facial weakness (paresis) from nerve and/or muscle damage. These two issues would be treated in different ways. For volume loss, fat grafting or a facelift that includes a midface component (e.g., a deep plane facelift) will... more

Fat May Help

Most likely fat would help as a permanent filler. Unfortunately it is difficult to be more definitive or to make other recommendations without photos.

A facelift will not correct asymmetry due to muscular or skeletal abnormalities.

Asymmetry of the face due to skeletal asymmetry or muscular function will not be corrected by a facelift. The operation is done shallow to the structures. Almost all faces demonstrate some identifiable asymmetry.

Facial Asymmetry??

The droopiness as you have already stated is most likely due to a loss of volume in your face in that area. A more definitive option for you could be Fat Grafting to face to produce better symmetry. Loss of volume in the face is very common with aging. Restoration of this volume with Fat Grafting/ Liposuction of the face at the time of a facelift has become very common. We have several examples on our web site for your review in Photo Library 2. Consider a member of the ASAPS... more

Treatment for facial nerve weakness

If you are having difficulty with smiling and you have droopiness, you may want to consider either dynamic or static slings to help support that side of your face. A plastic surgeon can help discuss these options with you. Sometimes Botox can be employed to help with symmetry by relaxing the stronger side, but this is a far from perfect solution. If you just want additional volume to the area, this area could be fat grafted for a... more