is this uneven? what are effective and what is the cause of this? is the uneveness severe? my family told me they couldn't tell unless i told them and when they look closely? What causes cheek asymmetry?
How to Even out Uneven Cheek? (photo)
Doctor Answers (6)
Uneven cheeks- the search for perfection, the road to ruin
Patients often want their cheeks to be exactly even. Many chase perfection to the point of looking altered. I have seen young patients whose face has literally slid down with the many times their periosteum has been elevated during revisional surgeries.
Why does this occur?
If you look closely at your eyes, they are quite different, the height, cant of the eye, position within the eye bone. There are also differences in brow height, cheekbone projection. There are even differences on the lower jawline or mandibular contour. The eye position is especially important relative to the cheek contour.
So by making the cheeks exactly the same, if this were even possible, new asymmetries and disharmonies can crop up.
It takes a patient doctor with an artistic orientation to point these asymmetries out, and thereby to prevent the search for perfection that results in a bad outcome.
Treatment of Uneven Cheeks
Uneven cheeks are usually secondary to asymmetry of the underlying cheek bones. I recommend an implant but you can also have injections of filler or your own fat to improve the symmetry.
A small silastic cheek implant custom carved and placed into the flatter cheek should easily address this problem. The implant is placed thru an intra-oral incision directly over the bone. It can be done under local or general anesthesia. Everyone has facial asymmetry to some degree.
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Minor Face Asymmetry is Normal
Minor Face Asymmetry is Normal and is present in everyone. Further although you can improve minor asymmetry, it will still not be perfectly symmetric. Even if you could do this each side of the face tends to age differently.
Over concern when there is minor or negligible problems often is a sign of body dysmorphic syndrome and/or may indicated that you may have unrealistic goals and concerns.
Correction Of Facial Asymmetry
You have facial asymmetry with one side of your face developed differently than the other. Your chin point deviates to the left and your one cheek is a little flatter. While these are not major deviations, together they give the asymmetry that you see. Cheek implant augmentation and centering the chin point would be aesthetically beneficial.
Facial asymmetry is very common
The most common cause for facial asymmetry is from the underlying bone structures. This is often more visible to people when looking at photos since it is different then the mirror images they are more used to. Complex fixes include major jaw and facial bone surgery. Less invasive fixes may include custom computer generated facial implants or even some filler with more on one side than the other.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.