Are there permanent options that can slim the lower face while addressing asymmetry? (photos)

Thank you for your question and photos. While perfect symmetry is impossible to obtain, buccal fat removal can create a more symmetrical appearance. During this procedure, the necessary amount of buccal fat can be removed to bring both sides of your face into balance while reducing overall cheek fullness. Facial liposuction is also an option for providing a sharper jawline definition.

I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to discuss your concern with you and determine the best treatment option to help you achieve your aesthetic goals.

I would say from looking at your pictures, one procedure that comes to mind is the Buccal Fat Removal combined with some Liposuction on the side to add more fullness to the other. This is a permanent alteration that will not produce a 100% symmetrical results but decrease the volume.