Can Facial Asymmetry Be Corrected?

The right side of my face is both more elevated and more prominent than the left side; the right cheekbone is more prominent, the cheek itself is fuller, and the jaw is more prominent. It looks as though the left side of my face is sliding off of my face.

Is there anything I can do to make my face more symmetrical? Would a cheekbone/jaw implant on one side work to balance my face? Strategically placed fillers? I don't look deformed in person, but I notice it a lot.

Doctor Answers 23

Correcting Facial Asymmetry

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In assessing your photo, it appears that the facial symmetry is attributed to the facial skeleton: the cheekbones, the upper jaw, and the lower jaw. However, what draws the eye to the asymmetry the most is the lower jaw, specifically the mandibular angles.  There is also some mild soft tissue deficiency of the left cheek.  The caveats of treating a skeletal problem with fillers is that to achieve symmetry, a "doughy" look may result.  This is primarily a skeletal problem, and the most natural result will be achieved with an implant or jaw surgery.  The method I would recommend to correct your asymmetry would either to reduce the right mandible, augment the left mandible with an implant, or do a combination of both.  Fat grafting is also useful to add over the implant as there is usually a soft tissue deficiency in addition to the underdeveloped jawbone.  This is a fairly straightforward case as facial asymmetry is concerned.

Washington DC Plastic Surgeon

Treating Facial Asymmetry with Fillers or Implants

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Thank you for the question and for posting your picture. In short, yes, facial asymmetries can be corrected.  In most cases, obvious asymmetry between the sides of the face is due to differences in the facial skeleton. Everyone is at least a little bit asymmetric -- just look at composite photos using two right or two left-halves of anyone's face! In your case, however, the asymmetry may be a bit more pronounced.  Facial fillers or implants can be used to treat this.  In my practice, I recommend that patients start with a combination of filllers (different fillers for different areas of the face). This allows them to "try out" the change before committing to surgery. Then, if they like the improved shaped and symmetry, we proceed with placement of implants.  Best of luck!!!

I would only recommend fillers

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Everyone is asymmetric if you look hard enough. That being said, your asymmetry (although not much and you are a pretty woman) bothers you enough to ask the question, then I think some non permanent filler would help you. I prefer Radiesse for the Cheek and Jaw line area and feel like this gives a good natural result. It lasts about one year but cannot be revered like the hylauronic acid fillers can (like Restylane or Juvederm). Some may recommend fat injections but I would not start with that and I actually think Radiesse would give a better result.

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Correcting Facial Asymmetry

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Facial symmetry is not a criteria of beauty. Some degree of asymmetry is normal and universal. The asymmetry can be improved with implants or fillers, but not corrected.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Treatments for facial asymmetry

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Everyone has some degree of facial asymmetry; however, if you are bothered by yours, there are certainly ways to help improve it. Fillers such as Voluma, Radiesse or Sculptra could be used to help add volume to the left cheek and jaw, while Botox can sometimes help to reduce a prominent jawline or to raise a brow if it’s too low. An in-person consultation with a board-certified dermatologist or plastic surgeon is necessary in order to evaluate your condition and come up with a custom treatment plan.

Kimberly Butterwick, MD
San Diego Dermatologic Surgeon
4.9 out of 5 stars 20 reviews

Modest asymmetry is best treated with dermal fillers

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Since everyone has some asymmetry of the face, there are great dermal fillers to create a more balanced look. Since your asymmetry is modest,  Radiesse or Voluma are wonderful products to correct asymmetry in the mid-face region. Both are very safe and effective in the hands of an experienced injector.

Facial Balance / Harmony with Fillers

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Facial fillers are an excellent way to balance the face when done in a subtle fashion and artistically. I would not recommend permanent implants as your facial soft tissues will continue to change as you age.   I advocate the use of a microcannula for more precise filling and for less bruising and swelling.  

Kian Karimi, MD, FACS
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 72 reviews

Can Facial Asymmetry Be Corrected?

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 You certainly can and should try a temporary filler like Perlane to augment both cheeks thereby creating more aesthetically, naturally beautiful cheeks.  The left cheek does appear to need more augmentation than the right although the right cheek is a bit flat anteriorly as well.  Once you see that a more attractive cheek shape can be created, cheek implants would be able to make that augmentation permanent.  Be sure the plastic and cosmetic surgeon, you select, understands and follows the proper aesthetics of facial beauty for the creation of a naturally, more attractive face.

Correcting facial asymmetry

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Facial asymmetry is a very common problem that patients are concerned about. There is no way to make one orbit or eyeball higher or lower than the other. Cheek augmentation is an excellent procedure whereby small cheek implants can be customized to the right shape to match the opposite cheek. These are placed through an intraoral incision and placed underneath the periosteum covering the bone. These can also be removed if necessary. For many examples of cheek implants, please see the link below to our cheek implant photo gallery

Facial asymmetry can be corrected

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The truth is that we are all a little asymmetric. True symmetry is a very rare trait. Most asymmetries are barely noticeable. However, some asymmetries are more prominent and can effect a person's appearance. Their our several modalities that can be pursued to include surgery and injectables like fillers and Botox. I routinely make small adjustments in my Botox and filler treatments to correct for these asymmetries. I would recommend you see a plastic surgeon or dermatologist to discuss your options. I hope you find my answer helpful. Good Luck!

Steven E. Rasmussen, MD, FAAD
Austin Dermatologist

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.