How can I bring symmetry to my face? (Photo)

Question

I have been diagnosed with hemifacial hypotrophy and I am wondering how I can create symmetry with my face. The right side of my face is noticably atrophied compared to the left side, which is causing issues such as a facial cant, and a sunken cheek and midface I was told that there is no skeletal issue by my surgeon, but my orthodontist disagrees. Is there anything that I can do to correct my facial discrepancies and have an attractive profile?

Anna Chacon, MD, FAAD · Answer

Hello,

Thank you for your question about addressing facial asymmetry due to hemifacial hypotrophy. This condition can understandably impact your confidence, and I'm glad to offer some guidance on potential treatments.

Assessment: Since there seems to be a discrepancy between your surgeon and orthodontist’s assessments, it may be beneficial to seek a third opinion, potentially from a maxillofacial specialist or a plastic surgeon with experience in facial asymmetry.

Non-Surgical Options:

Dermal Fillers: Injectable fillers can be used to add volume to the sunken areas, such as the cheek and midface, to create a more balanced appearance. This is a non-invasive option with temporary results.
Botox: In some cases, Botox can help by relaxing muscles on the more dominant side of the face, contributing to a more symmetrical appearance.
Surgical Options:

Fat Grafting: This procedure involves transferring fat from another part of your body to the areas needing volume on your face. It can offer a more permanent solution compared to fillers.
Facial Implants: Custom implants can be used to enhance facial symmetry, especially if specific areas need more structural support.
Orthodontic and Surgical Collaboration: Given the differing opinions between your surgeon and orthodontist, a coordinated approach involving both specialties might be necessary. They can work together to ensure both soft tissue and any potential skeletal concerns are addressed comprehensively.

Consultation: I recommend consulting with a specialist in craniofacial surgery or a plastic surgeon who has experience with facial asymmetry to explore your options in detail. They can provide you with a tailored treatment plan based on a thorough evaluation.

Warm Regards,

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