My face/ jaw / cheeks are uneven, one side is larger than the other. How can I make my face more symmetrical? (Photo)

Question

Hello, my face is not symmetrical, one side is a lot bigger and rounder than the other. I’m not sure if it is my jaw /muscle/ glands or if this can be corrected by surgery or injection? It is more noticeable when I’m smiling. If possible I’d like to slim the rounded side. I did not have this issue 6 months ago, I’m not sure how my face has changed so much. (Photos of before and after attached)

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Barry L. Eppley, MD, DMD · Answer

You have outlined your lower facial asymmetry well and the first question, as you have appropriately asked, is what is the anatomy of my facial asymmetry. This requires a CT scan to look at the bone and soft tissues to see what the composition of it is. While it is always a mixture of both bone and soft tissue, the question is what is the ratio of it which will then provide guidance as to how to improve it. How to improve it will be guided by what you know right now...which side of your face do you prefer...the fuller or the slimmer side?

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