Parry-Romberg Syndrome or just uneven facial fat loss? (Photo)

Question

Hi, Im a 40 year old female, and have noticed the left side of my face almost looks like its melting with fat loss which makes one eye look bigger as well. Does it look like Parry-Romberg Syndrome? I dont know when this first happened as I dont take pics often. Also, would a fat transfer work on this? Can I see a general physician to get a CT scan, or so I have to see plastic surgeon to get diagnosed? Thanks

Zoran Potparic, MD · Answer

It would be difficult to make a dx of P-Romberg Syndrome based on this photo. In person consultation with a board certified plastic surgeon is recommended. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

I don’t think you have Perry Romberg syndrome.
All people have significant facial a symmetry. There are no people who have symmetrical faces. During embryological development, the two sides of the face develop independently from each other, and eventually fuse in the midline. The entire body is highly asymmetrical as well. All your internal organs are placed asymmetrically. People are either right handed or left-handed.
Facial a symmetry is primarily based on skeletal structure and soft tissue coverage tends to be consistent. 
Trying to correct facial a symmetry which is based on bone structure with soft tissue manipulation generally only creates two asymmetries.
Best,
 Mats Hagstrom MD

Richard P. Rand, MD, FACS (retired) · Answer

Romberg's is an exceedingly rare condition an simple facial asymmetry is an exceedingly common condition. And it is almost 99% where the left side of the face is narrower than the right and therefore the tissues look looser and hang more because the bony platform is narrower. Nothing in your photos suggest Rombergs. Judicious fillers and an understanding of normal facial asymmetry is all you need.

Parry-Romberg Syndrome or just uneven facial fat loss? (Photo)

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Parry-Romberg Syndrome or just uneven facial fat loss? (Photo)

Answers (3)

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Everything you need to know about Facial Fat Transfer

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