What's the best way to fix my asymmetrical jaw and features (chin and jaw)? (Photos)

Question

I've always been aware of my unbalanced face. I'm very insecure about it and get anxiety about taking photos. I am very comfortable with my right profile, but hate my left profile as everything is slightly different. Even when I'm facing straight on, my face looks so be at an angle. My biggest concern is mainly my chin and jaw. I had a rhinoplasty at 14 (18 now) to fix my bulbous nose but never had my nasal bones broken. I see a revision rhinoplasty in my future (added before & after).

Ricardo L. Rodriguez, MD · Answer

Rest assured most people don't see it, or if they notice something they can't put their finger on it.
Secondly, in my practice, when I show patients pictures of other people with facial asymmetry they find it hard to see it unless I point out specific features.
Regardless, there are several approaches to your situation:
Fillers. Great solution, but is temporary and can get expensive. But it can help you pinpoint the areas that will have most impact.Implants to the cheek and mandible. I used to use a lot of implants, but their shapes are preset, and sometimes they can shift, or rarely get infectedFat grafting- this is my favorite technique now. The volumes can be fine tuned prep with test saline injections to see where you like the volume emphasis (saline goes away in a few hours). Finally, the technique of fat grafting is crucial as fat graft survival is crucial.

Barry L. Eppley, MD, DMD · Answer

You have a very common type of facial asymmetry that affects the lower jaw mainly with a deficiency to one side. The left jaw angle and jawline is slightly less full with the chin shifted to that side. Using a 3D CT scan the exact differences between the two sides can be determined and a custom chin-jawline implant made and inserted for improved symmetry This surgery combined with a rhinoplasty would help improve your face the most.

What's the best way to fix my asymmetrical jaw and features (chin and jaw)? (Photos)

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