what kind of facial asymmetry do I have?

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?

Doctor Answers 6

We Are All Asymmetric in Our Faces

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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.

Nashville Dermatologic Surgeon
3.9 out of 5 stars 17 reviews

Voluma candidate

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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.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Facial Asymmetry

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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

Richard O. Gregory, MD
Orlando Plastic Surgeon
4.6 out of 5 stars 13 reviews

What kind of facial asymmetry do I have?

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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.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon

No face is perfectly symmetrical

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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.

Rebecca Fitzgerald, MD
Los Angeles Dermatologic Surgeon
4.1 out of 5 stars 22 reviews

Asymmetry is the rule in nature, rather than exception

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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. 

Lavinia K. Chong, MD
Orange County Plastic Surgeon
4.8 out of 5 stars 59 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.