One side of face is higher than the left, how can I make it symmetrical? (Photo)

Question

I noticed everything from the brows to the lips is higher than the other, i also had my braces but the two upper front teeth is not in-line at the center

Semih Yildiz, MD, FEPOBRAS · Answer

The photo shows mild facial asymmetry, with differences in the brow/eye level and the lip or dental midline area, but a single frontal photo cannot determine the cause. If the upper front teeth and bite are not centered, an orthodontist or oral and maxillofacial surgeon should evaluate the dental midline, bite, and jaw position first, because braces alone may not correct a skeletal imbalance.

If the bite and jaw position are acceptable, smaller soft-tissue differences can sometimes be improved with nonsurgical treatments such as carefully placed filler or neuromodulator, or with selected surgical procedures depending on the exact anatomy. The best next step is an in-person facial analysis with standardized photos, dental exam, and bite assessment before choosing treatment. The goal is usually better balance rather than perfect symmetry, since every face has some natural asymmetry.

Ajaya Kashyap, MD · Answer

Thank you for your query. Perfect symmetry is almost never present but your asymmetry is more than the average. My suggestion for you would be to get one sided brow lift with some soft tissue filling (using fillers or fat). The line between your two front teeth ,not falling in the midline, probably needs no treatment. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

Mats Hagstrom, MD (license on probation) · Answer

The human face is not symmetrical on anyone.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
Facial asymmetry is primarily based on bone structure.
Soft tissue tends to be very consistent from person to person and consistent from the left to the right.
 On most individuals, the left orbital socket or eyeball sits higher on the left then on the right.
The brow likewise tends to sit higher on the left side on most individuals.
The human brain is accustomed to seeing people with facial asymmetry as being normal because it is.
In fact seeing computer generated Images of people with perfect facial symmetry has an odd unfamiliar appearance. Facial symmetry is not aesthetically desirable or better.
Facial beauty is not based on symmetry, but rather based on balance.
Facial asymmetry should be accepted as normal and not treated.
Because asymmetry is primarily based in skeletal structure, any attempt at soft tissue manipulation to treat facial asymmetry typically simply creates two separate asymmetries which typically don’t match each other very well at all.
 Taking the facial skeletal structure apart to create symmetry is not appropriate unless someone has a genuine facial deformity.
All people have facial asymmetry.
The fact that you don’t notice it is a testament to the fact that the brain is accustomed to seeing this as being normal.
Best,Mats Hagstrom, MD

One side of face is higher than the left, how can I make it symmetrical? (Photo)

Answers (3)

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