what kind of facial asymmetry do I have?

Question

I am 21 year old now.two year ago i notice that my right side of my face is larger than left side,including jaw,cheekbone.some time my whole head looks like asymmetrical when my hair is short.what kind of asymmetry i have?what are cause of it?how can i fix it?is there any non-surgical treatment?

Rebecca Fitzgerald, MD · Answer

We all have asymmetry, some of us have more apparent differences than others, If you examine the faces of celebrities you'll note they too are asymmetrical. Sometimes we create a more exaggerated asymmetry when we always chew food on one side or grind / clench our teeth. The jaw muscle will increase in size with either of those muscle contraction repetitions.If the issue is muscle size and not actual bone structure, it is often possible to use Botox to reduce the size of the enlarged masseter muscle. The Botox reduces the strength of the muscle contraction and allows it to return to its more normal size and shape.Another possible cause of increased asymmetry is tooth loss on one side, though this generally is something only older adults will experience.

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.

Camille Cash, MD · Answer

We are all asymmetrical to some degree and yours is within normal limits.  To improve asymmetries you can consider fillers, Botox, or even Morpheus8 to help improve facial balance and harmony.  See a board certified plastic surgeon near you to learn more.

Michael H. Gold, MD · Answer

We are all
asymmetric in some way when we look at our face and the faces of others. If you
are really bothered by this, I would recommend a consultation with a board-certified
dermatologist or plastic surgeon to learn what some of your options are for
correcting some of the things that bother you. I would start, as has been
mentioned, with some botulinum toxin injection to your masseter muscles,
whether you use Botox, Dysport, or Xeomin here. They will all help some. Then
you can get a sense of what other procedures might be useful. Best of luck on
correcting what bothers you.

Bruce E. Katz, MD · Answer

Thank you for your photo. If you are looking to
restore volume in areas where it has been lost I recommend Voluma. Voluma is a
filler that will last two years instantly volumizing the area giving you a
younger appearance. Consult with your doctor to find out if this is best for
you.

Richard O. Gregory, MD · Answer

There are a number of reasons for facial asymmetry but one of the more common is that most people who sleep on their side develop some asymmetry.  In addition to changing the sleep pattern it is possible to do some filler (Voluma for instance) liposuction and the relatively new Thermitight radiofrequency device.  In an case extreme case a unilateral facelift might be needed

Suzanne Kim Doud Galli, MD, PhD, FACS · Answer

Almost everyone has some sort of facial asymmetry. You do not look syndromic. However, if there is an area where the asymmetry bothers you, there are options for you.

Lavinia K. Chong, MD · Answer

Firstly, you have an attractive face.  You noticed the differences between the right and left side, two years ago, as your male face attained skeletal maturity, typically slower than your female counterparts.  While it is generally accepted that the most attractive faces are very symmetric, there is always some degree of asymmetry.  A classic study took attractive faces and reproduced them, flipping and duplicating two right sides, two left sides and the actual face.  When viewed by aesthetic surgeons, artists, etc. the actual face was preferred to the manufactured images.  When evaluating a face, I always try to identify the side which is flatter, thinner, more vertically descended and have the patient "see" what I do because injectable therapy and or surgery depends on accurate preop planning, neither of which I think you need.  Your entire left side is smaller, but this is probably a normal developmental occurence.  If on the other hand, the volume continues to shrink, this may represent Parry-Romberg syndrome, a highly unlikely and rare condition.  Do consult with a PS to confirm this and devise strategies for "correction", which would probably include dermal fillers.  Good luck.

what kind of facial asymmetry do I have?

Answers (8)

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