The right side of my face tilts; how can it be fixed? (Photo)

Thank you for the picture.  The asymmetry you see in your face is secondary to midface hypoplasia.  This is very common - in fact, EVERYONE has some degree of midface hypoplasia.  This is when the part of the facial skeleton is slightly different one side from the other, often times not as developed as the other side.  The reason this occurs is because as our face develops in utero, both sides develop independently and subsequently fuse - so each side is not so much like an identical twin, but rather like very closely related siblings.  As far as how to fix it, the best way to do so would be to start with something that is not permanent like a hyaluronic acid filler.  Whenever I look to address asymmetry, I try and see where the light is hitting the face - both at rest, in motion, and from all angles.  Using something like voluma or restylane lyft you can help address this.  There are other, more permanent options available to you but I would recommend you start with something temporary to see how things react with the tissue and what looks good on you.  Best of luck. 

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.

Thank you for sharing your question and posting your photo. You should be able to achieve symmetry rather easily and quickly with the injection of dermal fillers. Several products are available on the market which could help. You should be evaluated by a specialist who uses different types of materials so treatment can be tailored to your specific needs. Good luck,