Is there anything that can be done to fix the asymmetry & tight feeling after car accident in 2013? (Photos)

Question

Was a passenger in a car accident in 2013 and didnt get reimbursement due to being young and naieve. I have extreme scarring on left eye and am bothered physically by how tight it feels. I am self-conscious on how it looks. I am so sick of people asking me "what happened" 10 years later. My nose was also broken during that I got a rhinoplasty in 2016 that butchered my nose. Among breaking my back and leg. I feel so defeated. My whole twenties ive been in pain and felt ugly, disfigured.

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Nima Shemirani, MD · Answer

Hi @cravingconfidence! I'm so sorry to hear about your accident.  You are not alone. I recommend a consultation with a facial plastic surgeon to discuss possible options for eyebrow and eyelid reconstruction and a possible revision rhinoplasty. Best of luck to you!

Kenneth D. Steinsapir, MD · Answer

The complex scar would benefit from very careful revision. The upper eyelid crease needs to be lowered. The most challenging issue is the chunk of skin missing in the eyelid fold. A detailed in person assessment is needed to assess what is left and it is likely revision will required staged surgery. Skin and fat grafting have no role here. Don't let anyone try to raise the upper eyelid fold to remove the defect. That will not be a satisfactory repair.

Kenneth R. Francis, MD, FACS · Answer

Dear craving,

I am sorry that you had to endure such injuries and heartache from the results of them.  Consultation with an American Board of Plastic Surgery certified plastic surgeon can help you to explore possible options for reconstruction of your eyelid and eyebrow, and perhaps a rhinoplasty revision.  Good luck!

Is there anything that can be done to fix the asymmetry & tight feeling after car accident in 2013? (Photos)

Answers (4)

Answer: Eyelid reconstruction

Answer: Eyelid reconstruction

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.

Is there anything that can be done to fix the asymmetry & tight feeling after car accident in 2013? (Photos)

Answers (4)

Answer: Eyelid reconstruction

Answer: Eyelid reconstruction

Browse related questions

Recommended reading

Everything you need to know about Eyelid Surgery

Our mission is to create a world where every investment in modern beauty is Worth It.