How can my facial symmetry be improved? (Photo)

Question

I had 3 rhinoplasty surgeries in my early 20’s (30 yrs ago), and cheek filler maybe 3-4 times over the past 10 yrs. I recently had a couple of molars implants placed after having gone without for 20 yrs. My face seems so much more asymmetrical than it ever has before. Oh, I have also received Botox in my manidibula for grinding on and off for the last few years. What can be done?

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. You may benefit from a liquid facelift that uses a combination of hyaluronic acid dermal filler and neuromodulator injections such as Botox to create balance and improve symmetry. 
This non-surgical approach can lift and fill specific areas of the face to elevate sagging skin and add volume where necessary to achieve the desired aesthetic. The results of a liquid facelift can last for a year or more, depending on the formulas used. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concerns and cosmetic goals and suggest the best approach.

Zoran Potparic, MD · Answer

It would be very difficult to give you appropriate advise based on this photo. In person consultation with a board certified plastic surgeon, expert in face/neck rejuvenation, is recommended. Good luck

How can my facial symmetry be improved? (Photo)

Answers (3)

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