One side of my face is larger the the other, I believe it's because of my right zygomatic bone. Options?

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.

Dear Luminous550,
Indeed your cheek bones are somewhat asymmetric, something that is very common. Only if it bothers you, you may achieve a more symmetric appearance by visiting with a very experienced Plastic or Facial Plastic Surgeon who is well versed with injecting Voluma, high up on the the zygomatic arches. This is a bit of a tricky territory so they must be experienced. The Voluma will not only achieve symmetry for you but it will also help lift the tissues of the lower face a little bit as well if they are not too heavy, creating more youthful contours. Certainly beats surgery !

Best wishes in your quest,
Dr. Anna Petropoulos
Board Certified Facial Plastic Surgeon
Boston's North Shore

The zygomatic bone is not fully visualized in these photos, as it's what we call the malar bone, which is to the side and below your eyes mostly. It is therefore impossible for me to assess the asymmetry that you have. Everyone has facial asymmetry at least to some extent, and if you see a plastic surgeon, most likely he or she will find that the asymmetry is within normal limits. If there is a noticeable difference, the surgeon could inject filler down on the bone in that region to make up for the difference. Hope this information helps.

We are all asymmetrical to some degree, which is considered natural. Fillers can be used to help soften the differences in asymmetry. See an expert injector near you for a consultation to learn more.

The amount of facial asymmetry in your face is exactly the same as it is in just about every individual. Approximately 90% of all individuals have a fuller and rounder left side of the face. There's absolutely nothing that should be done to your face. I hope this helps and good luck from New York City plastic surgery

Hello and thank you for your question. Seeing you for a face to face examination would be best however based on these photos the best approach would be to revolumise the left side of the face with filler. Best wishes