Botox or surgical for noticeable asymmetrical face? (Photos)

Question

Hello I am 28 and have been noticing as I age my right side of my face is lowering, muscle weakness around my eyes and cheeks. I get a lot of eye muscle discomfort when blinking mainly. When I am fatigued it takes extra effort from my eye muscle to open my right eye and there is a lot of discomfort in the muscle that connects from side of my eyes (close to the nose nose) and cheek to my ear. I also notice my smile is very asymmetrical. I’m not sure what is causing all of this.

Jason Emer, MD · Answer

Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Zoran Potparic, MD · Answer

Based on these photos, there are two problems that need to be addressed; first, it is right upper eyelid ptosis, second, mild facial asymmetry. Placement of cheek implant or fat augmentation of right cheek (or both) would be my suggestion for facial asymmetry as well as ptosis correction of right upper eyelid. In person consultation with board certified plastic surgeon expert in both procedures is recommended. Good luck.

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