Uneven face - what can be done to get some symmetry back? (Photo)

Question

In 2019 I went on prednisone for an autoimmune condition which I've since been off for the last 2 years. Shortly after starting prednisone, it felt like the fat in the right side of my face started to fall to my jawline, pulling the right side of my mouth down. I'm looking for suggestions on what can be done to get some symmetry back to my face.

Jason Emer, MD · Answer

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.

Vibha Gambhir, MD · Answer

Thank you for your question. Everyone has some asymmetry at rest so chasing symmetry would take forever which I don't recommend. But a few things can be done to help you feel more even, especially at rest. First, I would recommend Voluma for the cheek on the right side. It would help lift, contour and help your jowls feel less heavy while adding volume to the cheek. You could also add Vollure/Juvederm to your right side marinette line so you don't feel that it is pulling you down.

Uneven face - what can be done to get some symmetry back? (Photo)

Answers (2)

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.

Uneven face - what can be done to get some symmetry back? (Photo)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.