Why is my jaw and septum area so asymmetrical? Can Botox help with this? (photo)

Question

I’m trying to understand the reason for my facial asymmetry, specifically the left side of my jaw being bigger than the right side and my philtrum slanting so much to the left. Can i make the asymmetry less obvious through any non surgical means?

Eric M. Joseph, MD · Answer

Based on your photo, your right chin appears to hang a bit lower than your left. Additionally, you are noted to have a tilted filter column, and asymmetrical nostrils. The latter is likely due to a deviated nasal septum. Insofar as your chin asymmetry, depending on your examination, microdroplet Silikon-1000 chin injections may be considered for adding volume to the left side, and for improving upon chin symmetry. Insofar as your nose and upper lip is concerns, please consider visiting separate several reputable rhinoplasty specialists so you could see what might be best for you moving forward

Ella Fedonenko, MD · Answer

Facial asymmetry is quite common and in your case it is probably caused by one of the massseter muscles being slightly overdeveloped. This could be corrected by Botox injections. Injecting a more prominent masseter muscle will result in your jawline being more symmetrical.

Lexie Wang, MD · Answer

You appear to have a normal degree of asymmetry of your face. We all have asymmetric faces just due to development, including in utero but also if you happen to sleep on certain sides of your face, etc. This is not something worth chasing because you will never be happy / never get 100% symmetry.

Anna Chacon, MD, FAAD · Answer

Facial asymmetry is a common concern and can result from various factors, including genetics, muscle development, and bone structure. Here are some insights into your specific concerns and potential non-surgical options:

Causes of Facial Asymmetry:

Genetics: Asymmetry is often hereditary and can be a normal variation.
Muscle Hypertrophy: The masseter muscle, which is used for chewing, can become enlarged on one side due to habitual chewing or teeth grinding (bruxism).
Bone Structure: Natural variations in bone structure can contribute to asymmetry, including differences in jaw size or the nasal septum.
Non-Surgical Options:

Botox: Botox can be used to relax the masseter muscle, which may help reduce the appearance of asymmetry if muscle hypertrophy is contributing to the issue. This can create a more balanced look to the jawline.
Dermal Fillers: Fillers can be strategically used to add volume to certain areas of the face, helping to create a more symmetrical appearance.
Facial Exercises: While not a substitute for medical treatment, some people find that targeted facial exercises can help improve muscle tone and balance.
Consultation: It’s important to consult with a qualified dermatologist or cosmetic surgeon who can assess your specific situation and discuss the best approach. They can determine if Botox or fillers are appropriate for your needs and help set realistic expectations.

Considerations: Keep in mind that while non-surgical treatments can improve symmetry, they may not completely resolve the issue. These treatments are typically temporary and may require ongoing maintenance.

Discussing your concerns with a professional will provide you with a tailored treatment plan that addresses your aesthetic goals safely and effectively.

Camille Cash, MD · Answer

We all have facial asymmetry to some degree and yours is within normal limits.  You may want to visit an ENT to determine if you have a deviated septum or another condition influencing the asymmetry.  Botox can be used to address asymmetry relating to masseter muscle hypertrophy.  Fillers can also help improve jaw asymmetry.

JeanJacques Mbabuike, MD · Answer

It’s completely normal to have some facial asymmetry&mdash;everyone does. But if it’s something that’s been bothering you, know that there are thoughtful, effective ways to address it. A skilled provider can assess your features in person and design a customized treatment plan using options like fillers, PDO threads, or neurotoxins. With the right approach and an artistic eye, subtle enhancements can bring more balance and harmony to your face&mdash;helping you feel more confident and aligned with how you want to look

Leonard Grossman, MD · Answer

Every single individual on this planet is the same asymmetry as you see in your face. In 90% of the individuals the left side is considerably fuller and it’s the opposite in the rest of the 10%. There’s absolutely no need to correct this asymmetry, as you will never find the answer or the solution. The asymmetry is at the level of facial bones, influencing the muscle and fat above. I hope this helps and good luck from Leonard Grossman MD organic Plastic Surgery.

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