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