Is my crooked face as noticeable to others as it is to me?

Question

I find that my nose is uneven and my eyes are completely lopsided. To me, it is extremely noticeable in photos. Is it as noticeable to others? I had eyelid lift surgery as a child for a sagging eyelid. Now, anxiety over my lopsided face is bothering me. Im even considering seeking surgery, but people in my life insist its not noticeable.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Everyone has a degree of asymmetry to their face. If both sides were exactly alike, you might be surprised at just how unnatural that looks! That said, if your asymmetry bothers you, there are options to improve your facial balance. In your case, I would likely focus on altering the nose shape slightly to bring the rest of the face into proportion. Keep in mind that rhinoplasty (nose reshaping surgery) is a complicated procedure that requires a great deal of expertise and artistry. Make sure the surgeon you choose is both board certified and experienced in a variety of rhinoplasty techniques to ensure an optimal outcome.

Stefan Mark Szczerba, MD · Answer

You can relax!  Everyone is slightly different from side to side.  Just google for split face studies that morph someone's face to make both side the left side or right side of the face- the result is not attractive.  I do not think you need to worry.  Best Wishes!!

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,
Thank you for your question. Since a nose is the most prominent part of the face, its improvement may have a significant impact on a whole face. But the total symmetry isn't achievable. Based on your limited view you could benefit from the refinement of the tip. Breathing issues can be addressed at the same time. 
In order to reduce the tip
bulbosity I have developed a Novel Technique in Rhinoplasty called as
Superior-Based Transposition Flap (ST) which protects the anatomy,
supports the weak parts and reshapes the tip.  
An attractive and natural looking nose, that suits your face can be achieved by the help of the Closed and Atraumatic Rhinoplasty, which minimizes swelling and bruises, maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more please visit our RealSelf before and after pictures. 
Best Regards

Gurkan Kayabasoglu, MD · Answer

Hello, Thank you for your shared question and photos, based on them ı can say thay you seem to have nasal asymmetries, and deviation and bulkiness on your nose, for your nose Pieze technology protect your nose anatomy anad never harm soft tissues, thus your healing will be maximal. You need to remember that. noone has 100% symmetry on the face. I can recommend you as triple board certified facial surgeon, combined with your rhinoplasty, you can have eyelid aesthetic and some fat transfer to catch the harmany overall your face, you can achieve a very beautiful and natural result.You need to seek an expert to achieve the best result with fast recovery

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for your question.  Asymmetry is quite normal, and I would recommend a consultation with a board-certified ophthalmologist for any concerns about the appearance of your eyes, especially if it interferes with your vision.  In terms of your nose, although an exam in person is ideal, from your photographs alone it appears that there is some slight unevenness at the nasal tip, specifically some bulbosity and alar asymmetry.  If this is a significant concern for you, you may benefit from a tip rhinoplasty where the nasal tip cartilage is modified for a more refined look.  The modification of your nasal cartilage can be done with suture techniques, resection or cartilage grafting.  If your septum is deviated and you have breathing difficulty, a septoplasty may benefit you as well.  The next step for you is to find the right aesthetic plastic surgeon.  In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.
  
After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.
  
For more information on rhinoplasty, please refer to the link below.
  
Good luck.
  
Mark K Markarian, MD, MSPH, FACS
  
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Ram Kalus, MD, FACS · Answer

It appears from your photos that you may have strabismus (in lay terms, slightly "cross-eyed"). Your childhoodd surgery was wither to correct this, or ptosis (eyelid drooping). Your best bet is to be evaluated by an ophthalmologist who is familiar with the condition. Like many specialties, there are subspecialties and not all ophthalmologists are well versed with correction of strabismus, which relates to the proper and blanked function of the many eye muscles that control the movement of our eyes. 
With regard to your nose and other facial features., please consult with an experienced board certified plastic surgeon or facial plastic surgeon who can address your concerns and make possible recommendations. Best of luck to you.

Wendell Perry, MD · Answer

If you look closely enough at everybody, including movie stars everybody's  asymmetric.  So start off with the thought that asymmetry is normal.  So with that thought you'll never be completely symmetric.I think the cheekbones on the left side of face are little bit smaller than the right side.  In the cheekbones are, the base of the nose so it affects the nose to the small amount.  One option you may want to consider is fat transfer to the left cheek.  You will never be completely symmetric and no one ever is but maybe you can make a 20 or 30% improvement in symmetry.

Michael Elam, MD (retired) · Answer

Dear Ctemerso, It is quite common for people to have facial asymmetry and it generally seems to be more noticeable to the patient themselves and especially now with the world of selfies and social media people are more aware. With that said,  you have some asymmetry of the nasal tip and the fullness in the tip that could be refined if this bothers you with rhinoplasty surgery. I would consider seeing a ophthalmologist to discuss your strabismus. You are a lovely young lady and you may want to consider leaving your facial aesthetics alone and learning to love the uniqueness of them. Best regards, Michael V. Elam, M.D.

Is my crooked face as noticeable to others as it is to me?

Answers (8)

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