Eyebrow/facial asymmetry: what non-surgical treatments are recommended for my case? (photos)

Question

I have a serious case of eyebrow asymmetry and also cheek/facial asymmetry. I am wondering what treatments are recommended for my case. Keep in mind I have never had surgery before and would prefer NOT to have surgery because being put under anesthesia scares me (at least at the moment). Also would like to not have to spend a TON of money as I just started my first job after graduate school.

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.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. You would likely benefit from a neuromodulator treatment such as Dysport or Botox Cosmetic. These injectable formulas can provide more balance to the eyebrows, assuming that the underlying issue is an overactive muscle.  
Neuromodulator injections are a non-surgical treatment option that can provide natural-looking results that last for approximately 3-4 months. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can suggest the best option for you.

Camille Cash, MD · Answer

A combination of fillers and Botox can improve asymmetry.  Botox can be used to help even the brows.  Fillers can address volume discrepancies.  See an expert injector near you to discuss your concerns and learn more about treatments.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! For eyebrow asymmetry, a relatively easy and safe option is Botox or Dysport. By injecting around the sides of the eyes / crow's feet area, elevation of the brow can occur. It tends to be subtle rather than significant like a surgical result. That's typically where I start with my patients and many say it's enough of an improvement. You'd repeat the injection scheme every 3-4 months if it works. For the cheek, filler would be a starting point as the results are fairly quick. The idea would be to build the upper check to create better symmetry. Most fillers last 8-12 months and the total amount needed for results will vary. Hope this helps you!

Eyebrow/facial asymmetry: what non-surgical treatments are recommended for my case? (photos)

Answers (4)

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