What Can I Do About my Very Uneven Face?

Thank you for your question. All of us have normal asymmetry. When in the embryo, we develop from the periphery, and fuse in the midline. Cosmetic procedures are done to make the big picture look better. Symmetry, is a tail you will never catch.
Best wishes. 

Nobody's face is symmetric. Symmetry is not possible. The goal of any facial rejuvenation is balance.  This can be achieved by using fillers/fat transfer, surgery (facelift, rhinoplasty, eyelid lift, brow lift, etc), and neuromodulators in a way that is respectful to normal aging patterns. Even in most cases of significant asymmetry, such as facial paralysis/bell's palsy, improvement can be achieved by restoring balance to the face. The best way to develop a realistic appreciation for what can be achieved is to have an in person consultation with a board certified facial surgeon who specializes in facial rejuvenation/plastic surgery and performs these procedures on a daily/weekly basis. They should be able to explain to you clearly what can be achieved and show you plenty of before and after photos. 

Facial asymmetry is extremely common, and almost every patient has some element of facial asymmetry. In some patients, this is more pronounced than others. Fillers are commonly used to improve volume in a certain area and improve asymmetries, but even with a combination of surgical and non-surgical treatments, many asymmetries cannot be completely corrected. In most cases, some gentle reassurance is helpful to know that almost everyone has some facial asymmetry. A consultation with a well-trained facial plastic surgeon or plastic surgeon can help patients understand what can and cannot be improved with respect to correcting asymmetries.All the best,

Facial asymmetry occurs to some degree in almost
everyone.This asymmetry is difficult to
notice in most people, but in a small minority it’s so pronounced that it’s
hard not to notice.Facial
asymmetry can occur for a variety of reasons. In some cases asymmetry may be
related to abnormalities of the underlying facial skeleton.In other cases, asymmetry may be related to
the facial soft tissue.A
variety of surgical options exist for treating facial asymmetry, the specific
procedure chosen is entirely dependent upon the patients specific anatomic
deformity and aesthetic goals. Without
pictures or a physical examination it’s virtually impossible to determine which
option is best for you.Under these
circumstances, consultation with a board certified plastic surgeon is
appropriate.This surgeon should be able
to perform an evaluation and formulate a treatment plan based on your specific
anatomic deformities.

  Fat grafting or filler can be used to improve facial asymmetry to some degree.  Kenneth Hughes, MD Los Angeles, CA

On some people, one side of the face is significantly smaller or more sunken then the other - usually a result of asymmetries of the facial skeleton. Options include augmentation of the smaller side in a stepwise approach:

1. Injectable fillers

2. Facial fat grafting

3. Facial implants

You should consult with a facial cosmetic surgeon knowledgeable in these 3 approaches and discuss your options with their pros and cons.

What options are available to improve facial asymmetry? First off, ALL of our faces are asymmetric, to some degree. Obviously some faces are more asymmetric and others require closer inspection to detect more subtle asymmetries. What you describe is totally normal.
Fillers (hyaluronic acid, Radiesse, Sculptra) can be used to change soft tissue volume and camouflage underlying bony asymmetry. Surgery such as a facelift, browlift of blepharoplasty can also be used to change soft tissue asymmetry.
However, an important point that I always discuss with rhinoplasty patients is that a rhinoplasty can straighten the nose but it will not change the underlying asymmetry of the remainder of the facial skeleton. You would benefit from an in person consultation with an experienced rhinoplasty surgeon to determine how much rhinoplasty will improve the areas of your face that concern you. A consultation will allow you to discuss whether you would be better served for minimally invasive treatments to balance your facial symmetry, surgery or both.
Thank you for your question.Stephen Weber MD, FACS

Great question.  Some degree of asymmetry is present in us all. When asymmetry is more extreme, then the key is customizing a treatment plan that matches the cause of the asymmetry.  A Board Certified Plastic Surgeon will evaluate 1) the bony foundation, 2) the soft tissues (e.g., fat pads and muscles), and 3) skin quality.  All three can cause asymmetry and often combine to cause asymmetry.  Moving (and augmenting) the facial skeleton is generally the role of a Craniofacial Surgeon, so you may want to find a surgeon who is both.  That way, you can hear all of the options available to you. Best of luck on your journey. 

Hi,
Everyone has some degree of asymmetry - the bony skeleton might be larger on one side compared to the other or the amount of fatty tissue can vary. And the majority of people have slightly asymmetric nostril sizes. That said, which procedures are best for you depends on the degree and location of the asymmetry. For very marked mid face asymmetry, an implant could be an alternative to repeated filler injections. For lower eyelid positioning, a lower lid blepharoplasty can help lift the droopier side. For lips, the usual go-to is filler, but fat transfer could be a more permanent solution in the hands of an experienced surgeon. There are usually several ways to improve the appearance, and that's all part of the discussion with your surgeon. And of course you'll want to consider other factors like downtime, expense, and longevity when making your decision. 
Good luck!

We are made uneven, we are ALL uneven.  The right side is ALWAYS different to the left side.  We can try to even it up, but it will never be totally symmetrical.  We must always have this in mind.