I’m very self-conscious about my facial asymmetry, what can be done to fix it? (Photos)

Question

As I get older I notice it more and more. To me, my right side is my “good side.” My eyebrow is higher and my eye is wider. My jaw however, is wide and awkward. My left cheekbone is higher... I think it’s skeletal but what can be done to achieve better symmetry?

Jason Emer, MD · Answer

There are many options for asymmetry -- fillers, implants, fat injections, Sculptra, Bellafill.  facial bony surgery can also be performed by a maxillofacial surgeon.   I suggest a formal consult.
There are many options for jawline contouring:
1) implants
2) fat or filler injections along the bone
3) botox for masseter hypertrophy or platysma muscle/neck bands
4) ThermiRF/J Plasma/Renuvion/InMode FaceTite for internal heating
5) Thermage or Ultherapy skin tightening
5) PDO Novathreads or instalift threads for lifting
6) Neck or facelifting surgery
7) VASERlipo with or without platysmaplastyBest, Dr. Emer.

Johnson C. Lee, MD · Answer

Facial asymmetry is normal in all patients. For areas that are particularly bothersome or noticeable, improvement can be achieved with fillers or botox to raise, lower, or fill areas to match the other side. For instance, a higher eyebrow can be lowered with botox. A flatter cheekbone can be augmented with VOLUMA. A wide jaw can be slimmed with botox into the masseter muscle or to enhance the jawline. It is best to have an in-office evaluation to determine which treatment or treatments would help in your situation. Hope this helps!
Johnson C. Lee, MD
Board-Certified Plastic Surgeon

Michael Bowman, MD · Answer

Hello and thanks for your question.  First, please remember that we all have asymmetries in our faces and bodies and that a perfectly symmetric face does not exist.  Most people are very critical of their own faces and fail to notice the same type of asymmetries in everyone else!  You do have some asymmetry but you also have a beautiful face, and you notice the asymmetries much more than everyone else around you (they are too busy worrying about their own asymmetries)  Next, as far as treatment goes, I would start with injectable treatments to balance out some of the volume asymmetries with fillers like Lyft, Voluma, Sculptra, etc.  If these results are gratifying, and you'd like something more long term, you could consider a procedural intervention like fat grafting and implants.Seek out a qualified (facial) plastic surgeon in your area to discuss all your options in detail.  Best wishes!MKB

Center for Aesthetics and Plastic Surgery - Grand Rapids · Answer

Hello there! I think some correction of your concerns can be achieved with filler and neurotoxin. Filler can help to build up the deficiencies you see, while neurotoxin can help to decrease muscle mass in the jaw. This may help to decrease the jawline bulk you see on one side. If you prefer this bulk, jawline filler on the other side should help to even this out. You will need to maintain these treatments to maintain your results. Good luck to you! Sarah RN BSN

Ray Bayati, MD · Answer

HelloRecommend to have a formal consultation with an expert cosmetic physician. Cheek Filler injection sounds a good approach for asymmetry. For the eyebrows, little botox may help to even out the eyebrows.All the BEst

I’m very self-conscious about my facial asymmetry, what can be done to fix it? (Photos)

Answers (8)