What Procedure Will Fix Facial Asymmetry Due to Trauma?

My face looks similar to cassidy (the rapper). One side of my face is perfectly fine but the other is missing some tissue due to a right eyebrow laceration. What should I get to fix facial asymmetry due to trauma?

Doctor Answers 4

It all depends on the degree of asymmetry

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It is very hard to give you specific advice based on your picture - it is very dark, making it hard to see you clearly. However, if there is a soft tissue deficiency, then you may benefit from fat grafting or dermal filler. If there is a bony deficit, then you may also benefit from filler or may need a customized implant. Regardless, I am sure there are procedures that can help you. Just talk to your surgeons and they should be able to help.

Building up volume with implants, fillers, and fat injections

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It depends on what type of trauma it is. Many times, the trauma can cause a cut or laceration and sometimes when it is closed the multiple layers that the cut goes through may not be closed individually. This can lead to some layers not being properly opposed and hence a lack of tissue.

The correction of this can entail reclosing the area in multiple layers to bring back the tissue. If it is due to volume loss from just the pure impact, you can graft fat into the area from your abdomen. If you don't want to use fat, you can use other dermal fillers to do the same but not with the more permanent nature that fat can sometimes possess when done right. Another option is to transfer tissue from an adjacent area.

The best way to fully learn more about this is to come and see us for an evaluation.

Philip Young, MD
Bellevue Facial Plastic Surgeon

Depends on nature of trauma

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Hello Faydoi,

Reconstruction of facial trauma can be a complicated & difficult process due to the complex structure of cranio-facial anatomy.

A good way to think about it is that our face is like an onion with many layers - 3 main layers would be the bone / skull, muscles / fascia and skin / hair. Depending on which layers are damaged, various techniques are used to repair and reconfigure the damage.

If bone is fractured (as was the case in Cassidy's auto accident) then metal / titanium plates are used to piece together the broken fragments (it can be literally like putting a puzzle together). If bone is too severely damaged then larger plates, artificial bone substance or bone grafts can be used.

If the muscle / fascia layer is damaged then there is also concern for nerve / blood vessel injury. This may require muscle flaps, nerve grafts, blood vessel grafts or fat transfers to correct..

Trauma to to the outer layer - skin/hair - may involve scar revisions, skin grafting, hair transplants, or a multitude of other procedures to correct. Injectable fillers have been a nice addition to help correct injuries of the face and nose that have contour defects.

The first goal is to stabilize facial anatomy so that normal function is preserved (breathing, eating, speaking, etc). The second goal is cosmesis (injuries causing facial disfigurement can have tremendous psychological & social trauma).

Face Transplants (partial, full, composite) are a wonderful and fascinating new procedure which in the near future will provide tremendous help for those unfortunate enough to have suffered major facial trauma.

Hope this helps.

Kamran Jafri, MD
New York Facial Plastic Surgeon

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Facial asymmetry can be addressed

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Facial asymmetry that is present can be addressed in multiple different reconstructive procedures including fat grafting, dermal grafting to augment an area that is depressed. Scar revisions can be performed for hypertrophic and keloid scarring. Cortisone injections and scar revision can be performed for actual poorly designed and oriented scars. Facial bones can be reset back to their normal anatomic position with titanium metal plates if needed. It is impossible to tell without full, complete physical examination.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 155 reviews

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.