How to Even out Uneven Cheek? (photo)

Question

is this uneven? what are effective and what is the cause of this? is the uneveness severe? my family told me they couldn't tell unless i told them and when they look closely? What causes cheek asymmetry?

Jonathan Kulbersh, MD · Answer

Hello and thank you for your question. Keep in mind that everyone has a degree of asymmetry to their faces. However, if yours bothers you, there are nonsurgical treatment options to create more balance. Dermal fillers would likely be a good choice for you. This injectable treatment is quick and relatively comfortable. Results are seen right away and can continue to improve in the days following your procedure. Depending on the filler used and how quickly your body metabolizes the hyaluronic acid, you can expect your improvement to continue for 6-12 months or even longer in some cases. Regularly scheduled treatments will maintain your results indefinitely. Make sure you work with an experienced injector who has the expertise to produce the best possible result for you.

Brent Moelleken, MD · Answer

Patients often want their cheeks to be exactly even.  Many chase perfection to the point of looking altered.  I have seen young patients whose face has literally slid down with the many times their periosteum has been elevated during revisional surgeries.

	Why does this occur?

	If you look closely at your eyes, they are quite different, the height, cant of the eye, position within the eye bone.  There are also differences in brow height, cheekbone projection.  There are even differences on the lower jawline or mandibular contour.  The eye position is especially important relative to the cheek contour.

	So by making the cheeks exactly the same, if this were even possible, new asymmetries and disharmonies can crop up.

	It takes a patient doctor with an artistic orientation to point these asymmetries out, and thereby to prevent the search for perfection that results in a bad outcome.

Larry S. Nichter, MD, MS, FACS · Answer

Minor Face Asymmetry is Normal and is present in everyone. Further although you can improve minor asymmetry, it will still not be perfectly symmetric. Even if you could do this each side of the face tends to age differently.

	Over concern when there is minor or negligible problems often is a sign of body dysmorphic syndrome and/or may indicated that you may have unrealistic goals and concerns.

Steven J. Pearlman, MD, FACS · Answer

The most common cause for facial asymmetry is from the underlying bone structures. This is often more visible to people when looking at photos since it is different then the mirror images they are more used to. Complex fixes include major jaw and facial bone surgery. Less invasive fixes may include custom computer generated facial implants or even some filler with more on one side than the other.

David C. Mabrie, MD · Answer

Hi Clydebon,
Thank you for sending your question and photo! Many of my patients are concerned with facial asymmetry, which is pretty common since our faces are rarely symmetrical.
A skilled injector should be able to Non-Surgically reduce asymmetry and create improved balance between the two halves of the face. I would recommend Non-Surgical Cheek Augmentation to lift and contour the left side of your face. The process involves injecting dermal fillers such as Juvederm Voluma to add volume and improve the facial profile. 
It's beneficial to be examined in person by a dermal filler specialist. Be sure to do your homework and find an Injector with demonstrated patient results and experience.  
I've created a video about Non-Surgical cheek augmentation to address some frequently asked questions about the treatment.
I hope this information helps in your research!

William Portuese, MD · Answer

A small silastic cheek implant custom carved and placed into the flatter cheek should easily address this problem. The implant is placed thru an intra-oral incision directly over the bone. It can be done under local or general anesthesia. Everyone has facial asymmetry to some degree.

Barry L. Eppley, MD, DMD · Answer

You have facial asymmetry with one side of your face developed differently than the other. Your chin point deviates to the left and your one cheek is a little flatter. While these are not major deviations, together they give the asymmetry that you see. Cheek implant augmentation and centering the chin point would be aesthetically beneficial.

Richard W. Fleming, MD (retired) · Answer

Uneven cheeks are usually secondary to asymmetry of the underlying cheek bones. I recommend an implant but you can also have injections of filler or your  own fat to improve the symmetry.

How to Even out Uneven Cheek? (photo)

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