Facial asymmetry unilateral jowl - Candidate for mini lift? (photos)

Question

44 yo old with lip and jaw asymmetry. Right sagging jowl, tried 3 sessions of Morpheus 8 which did nothing for the right jowl, tried 5 sessions of microneedling, Botox in the DOA always migratedand gives me a crooked smile. I’m sick of having providers suggest things that never work and I’m sick of wasting thousands of dollars. Would I be a candidate for a mini lift on my right jowl? Don’t want to spend any more $ on treatment that doesn’t work.

Gary M. Horndeski, MD · Answer

Facial asymmetry is very common. I recommend you get a CT scan of the face to look at the bone structure. It appears the right side has a larger bone structure and more hollow on the left side. The skin envelope will do nothing for your bone structure, if that is the cause of your asymmetry.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Thomas A. Mustoe, MD, FACS · Answer

Facial asymmetry is present in 100% of humans and small differences such as you have are not fully correctible. A deep plane minilift with improvement on both sides of the face would correct the early jowling you have in one side but it is not possible to permanently tighten one side more than the other because the two sides of the face are in continuity and tension or tightening will even out over time even if unilateral tension is applied at the time of surgery. However, I think you are an excellent candidate and would get a long term correction

Jeffrey S. Rosenthal, MD · Answer

A combination of various facial fillers along with either PDO Threads or the Endolift Laser will rejuvenate your face.  Non-Surgical Facelift with PDO threads which reposition fallen cheeks and jawline tissues along with the remarkable Endolift Laser which uses a micro-fiber which stimulates your collagen, contours local deposits of face and neck fat and tightens loose skin.

John L. Burns Jr., MD · Answer

You'd be a good candidate for a mini facelift.  I always recommend doing the same thing to both sides so you might just elevate the right side a little more.

Jeffrey M. Darrow, MD · Answer

You have a very minor jowl on your right side, which should be smoothed and your jaw line straightened with a mini facelift.  This can easily be performed under local anesthesia, with or without sedation,  and has a quick recovery.  The mini lift may not address your lip asymmetry, depending on what your major concern is.  A detailed discussion with your plastic surgeon can help you understand how much symmetry you can possibly achieve. Best wishes.

Connie Hiers, MD, FACS · Answer

You could do a mini-lift, but still need to address the symmetry. I recommend Sculptra injections to help give better definition on the smaller side.

Kamol Pansritum, MD · Answer

A mini facelift is an effective procedure to address sagging jowls, providing a more youthful and contoured appearance. However, if there is any underlying bone asymmetry, I would recommend addressing it through corrective procedures such as bone shaving or resection for optimal results.

Darryl J. Blinski, MD · Answer

Yes, based on your photos your candidate for a mini face neck lift. Best to do a virtual consultation to understand the procedure more detail. Fees range from $8000-$15,000. Again, best of virtual console with.

Mats Hagstrom, MD (license on probation) · Answer

If you were a man, I would tell you to stop looking in the mirror.
I can’t say that so instead I’ll tell you that you’re attractive and you should stop trying to treat your facial asymmetry.
The human face and body are asymmetric. Everything about us is asymmetric.
People are right handed or their left-handed. The heart is on the left side and the liver is on the right side.
Your left breast sits half an inch higher on your chest wall than the right side.
The human body is not symmetrical and is not supposed to be. This very much includes the face.
People have a left brain and the right brain.
The two sides of the brain are different.
During embryological development, each side of the face develops independently from the other side. Eventually, the two sides fuse together in the midline.
Facial aesthetics, symmetry, or asymmetry is primarily based on facial skeletal structure.
It is facial skeletal structure that gives each person their unique look whether desirable or not so much.
In your case, you have striking facial features with a chisel jawline and great cheekbones.
For this reason, you look awesome at 44. If you weren’t blessed with your strong facial, skeletal features, you would have jowls and many other signs of aging most women have at your age but you do not. 
Symmetry is not an aesthetic, ideal and symmetry does not lead to improved appearance.
Aesthetics is based on balance, not symmetry.
If you do a Google search for facial symmetry, you can find lots of websites showing Computer generated symmetrical faces.
When a face is made from two left sides or to right sides, they have a very different appearance.
Not only this to face look very different if made from just the left or just the right, but it’s also odd and unfamiliar looking.
A symmetrical face is unfamiliar because no one has ever seen a person who has a symmetrical face.
 The human brain is an accustomed to seeing asymmetry as normal because it is.
You probably don’t think of your significant other, friends and family as having facial asymmetry, even though all of them do and many of them have more asymmetry than you do.
 It’s not until we look at the face from a critical perspective that facial asymmetry becomes noticeable.
On first glance, we don’t see it at all.
I recognize that sometimes things may bother someone even though they know no one else can see it.
Regardless, you should know that no one sees you as having facial asymmetry.
If you get a second glance it’s because you’re attractive.
Because asymmetry is based on skeletal structure, any attempt at soft tissue manipulation to treat asymmetry will simply create two separate asymmetries which don’t balance. 
My best advice to you is to accept your face as normal, attractive, appropriate, and the way it should be.
The sooner you stop thinking about this the better off you’ll be.
Please stop seeking treatment and having interventions that don’t work and will leave you disappointed or worse.
You should absolutely under no circumstance attempt to get a unilateral facelift to treat normal facial asymmetry.
If you’re still reading, you’ve probably heard enough.
I wish you the best and even though sometimes people don’t hear it you are very attractive and need no work at all. 
When a plastic surgeon says you don’t need an operation it’s probably worthwhile to take note.
Best,
Mats Hagstrom MD
P.S. obviously, I have a fairly strong opinion about facial asymmetry. Earl in my career, I thought symmetry was the ideal.
My thoughts on the topic have evolved over many decades. I really wish this topic was properly taught during plastic surgery training. P.P.S. I think the surgeons who think you have jowls and need a facelift are financially motivated. You have an amazing mandible and this is giving you a striking jaw line. It’s a free world