Does Kybella work to fix facial asymmetry and what would be the suggested treatment units for me? (Photos)

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.

Kybella is designed to reduce fat from small areas, such as submental fat under the chin or fat along the jawline that forms jowling. It is not an appropriate treatment for addressing minor asymmetries. Keep in mind that everyone has a degree of asymmetry in the face. If we were perfectly symmetrical, we might actually look quite unnatural! If you are bothered by your unevenness, small amounts of filler might help to even things out. I encourage you to schedule a consultation with a very experienced, board-certified dermatologist who can assess you in person and create a personalized treatment plan that will meet your needs and goals best.

I can not appreciate in the pictures your concern.
Kybella is helpful for small central sub mental fat
deposits and I do not see this in your photos.Consult
with a board certified plastic surgeon for your options
and risks prior a decision. Best wishes.

Thank you for your photos. ​There are several options which should be done in combination to get a more defined or symmetric jawline. If you feel the problem is fat, then Kybella or liposuction can work. You should expect around 3 treatments (up to 2 vials each to notice a difference). Kybella is best for the area just under the chin. For more total jawline contouring, liposuction is more effective with less overall downtime and with immediate results. You should also consider filler such as Radiesse to build up the underlying jawline structure once the covering fat is reduced. Finally, botox in select areas can also thin the muscles which cross the jawline to reveal a sharper edges as well. It is best to have an in-office examination to evaluate your natural features and determine the best treatment plan to get the look you would like. Hope this helps!

Johnson C. Lee, MD
Board-Certified Plastic Surgeon​

The degree of facial asymmetry you have is typical and normal. All people have facial asymmetry.
Dissymmetry is primarily based on your facial skeletal structures.

During embryology you formed two sides of your face simultaneously that eventually fused in the center midline.

The two sides of the face always form slightly differently.

If you attempt to change the thickness of your subcutaneous fat layer you will develop bad fat asymmetry that will look much worse than the skeletal symmetry which is normal.

Please do not undergo asymmetry treatments. You will buy yourself a new asymmetry that is far worse than the primary problem which isn’t even a problem in the first place.

The human mind is accustomed to seeing people with facial asymmetry. In fact seeing a symmetrical face looks very strange because you have never seen one. The only way to see a symmetrical face is a computer generated image.

It’s easy to see this by googling facial asymmetry.

The human face should not be symmetric.

Historically great masters of art have known this and even Mona Lisa and David have appropriate asymmetry.

Best,

Mats Hagstrom MD

I can't tell you how much I disagree with the advice you were given. The other responders to this email have outlined the reasons why and I agree with them. You have normal asymmetries and treatment with kybella may create issues that will crop up over time.
Asymmetries are very difficult to correct because they are subtle, and affect all dimensions of the face