what kind of facial asymmetry do I have?
Doctor Answers (4)
What kind of facial asymmetry do I have?
No face is perfectly symmetrical
Sometimes we create a more exaggerated asymmetry when we always chew food on one side or grind / clench our teeth. The jaw muscle will increase in size with either of those muscle contraction repetitions.
If the issue is muscle size and not actual bone structure, it is often possible to use Botox to reduce the size of the enlarged masseter muscle. The Botox reduces the strength of the muscle contraction and allows it to return to its more normal size and shape.
Another possible cause of increased asymmetry is tooth loss on one side, though this generally is something only older adults will experience.
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Asymmetry is the rule in nature, rather than exception
When evaluating a face, I always try to identify the side which is flatter, thinner, more vertically descended and have the patient "see" what I do because injectable therapy and or surgery depends on accurate preop planning, neither of which I think you need. Your entire left side is smaller, but this is probably a normal developmental occurence. If on the other hand, the volume continues to shrink, this may represent Parry-Romberg syndrome, a highly unlikely and rare condition. Do consult with a PS to confirm this and devise strategies for "correction", which would probably include dermal fillers. Good luck.
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