Asymmetry after fillers (Photos)

Thank you for your question. It's not uncommon to experience some changes in symmetry after dermal fillers as they gradually break down over time. Here are a few recommendations:

Consultation with a Qualified Practitioner: Consider seeking a second opinion from another experienced dermatologist or plastic surgeon who specializes in facial aesthetics. They can provide an objective assessment of your facial symmetry and recommend appropriate treatments.

Evaluation of Current Filler Status: An assessment of the current state of the filler and natural tissue in the area can help determine the best course of action. This might involve using imaging techniques to better understand the volume and placement.

Consideration of Additional Treatments: If the asymmetry is noticeable and bothersome, options such as additional filler to balance the volume, or even dissolving some of the existing filler with hyaluronidase, might be considered, depending on the material used.

Non-Filler Alternatives: Sometimes, non-filler treatments such as radiofrequency or ultrasound-based skin tightening, or even Botox for muscle balance, might be effective in addressing mild asymmetry.

Monitoring and Patience: Since fillers dissolve over time, sometimes waiting a little longer can naturally resolve minor asymmetries. Meanwhile, maintaining good skincare and overall facial health can support a balanced appearance.

Always ensure that any treatments are performed by a board-certified professional with experience in cosmetic procedures to minimize risks and achieve the best results.

There is asymmetry between Left and Right at the NLF and Marionette lines. Without knowing the entire treatment history its hard to comment on what I would do specifically. There is a logic to the argument that you will always chase the side that is being depleted if you start to add asymmetrically, but depending on the treatment history there may be ways to subtly adjust.

Thank you for sharing your concerns. I understand how frustrating facial asymmetry can be, especially when it becomes more noticeable over time.
Facial asymmetry is natural and tends to become more pronounced with age due to several factors, including the loss of deep fat pads, changes in bone structure, and the downward movement of superficial fat pads. These changes might have prompted your initial decision to get fillers, especially if you were concerned about areas like the nasolabial folds.
If you were satisfied with the results for the first six months but later noticed changes, factors like sleeping predominantly on one side or stronger muscle contractions on one side of your face could contribute to the asymmetry. These are common concerns.
In cases like yours, correcting asymmetry with fillers is a common and effective approach. Using different quantities of filler on each side is a standard practice for addressing imbalances. When it comes to temple fillers, it’s often beneficial to schedule multiple sessions to gradually achieve the desired result. This minimizes the amount of filler placed in one session and reduces discomfort, especially in areas like the temples, which can affect chewing muscles.
For nasolabial folds, my personal preference is to focus on treating areas like the temples and cheekbones to lift and rejuvenate the face overall, rather than directly filling the folds unless absolutely necessary. This approach often provides a more natural and harmonious outcome.
However, the photo you provided has uneven lighting, which makes it challenging to fully assess your features. I recommend scheduling an in-person consultation, including a detailed facial scan, to create a customized treatment plan tailored to your needs.
Best wishes,

Fillers are a great way to improve asymmetry. Another benefit of fillers is that you can go slowly and build up to the look you are wanting, so you can absolutely have treatment more frequently than 12 months apart. I encourage you to discuss your concerns with your injector if you feel you have a good relationship, otherwise you may want to seek the opinion of other expert injectors near you.

The amount of fillers that you’ve had placed into your face is way too small to create any kind of noticeable asymmetry. Asymmetry exists in every single individual, and it becomes much more noticeable to that individual after having had any kind of facial treatment. I think you should feel comfortable with your current doctor And continue treatments as necessary. Just to prove my point, did you know that the left side of your face is wider by at least 1 cm as compared to the right. Did you know that your left ear is approximately 6 mm higher than the right. I’m sure you’re not aware of those things. When trying to tell the doctor that something changed in the negative way, I would always go over your pre-procedure photographs. I hope this is helpful and good luck from Leonard Grossman MD organic Plastic Surgery.