Botox for facial symmetry? Facial spasms (Photo)

Dear hannahn95 I'm sorry to hear that you are dealing with facial spasms. I can only imagine how uncomfortable and distressing this must be for you. It's understandable that you're looking for solutions to help manage these spasms, and I'm here to offer some guidance.
It's possible that botox injections in specific areas could help alleviate your symptoms. However, I understand that this is not a cure for the underlying condition causing the spasms. That's why it's crucial that you receive a proper evaluation from a surgeon who specializes in facial nerve problems such as a plastic surgeon or neurosurgeon specialized in peripheral nerve disorders.
Please don't hesitate to reach out if you have any further questions or concerns.

Any time a unilateral procedure is necessary you will want to see a provider that performs a good number of injections, as these types of problems can be very complex. It does seem as if you would benefit from a trial of unilateral neurotoxin injection. I would inject around the left eye and into the left masseter muscle. Keep in mind you will need to repeat these injections every 3-4 months for up to a year prior to noticing any real difference as it will take some time for the muscle to atrophy. While masseter injections will not necessary effect cheek fullness, it will help to slim the face slightly and cheek filler could be utilized to even out your profile if necessary.

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.