Uneven cheeks and marionette lines when I smile and when face is at rest. Options? (photos)

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Injectable fillers are typically the best choice for correcting minor facial asymmetries. When administered by an experienced, qualified injector, the procedure can create the balance you want without adding fullness. I encourage you to schedule a consultation with an experienced injector for further assessment and treatment recommendations.

Hello Ann. Adding filler to the face does not need to make it look round. Without the option of filler, it will be difficult to accomplish your goals. A little bit on the left nasolabial fold and a little in the R cheek should give you a nice result.

​Facial asymmetry is normal in all patients. For areas that are particularly bothersome or noticeable, improvement can be achieved with fillers or botox to raise, lower, or fill areas to match the other side. It is best to have an in-office evaluation to determine which treatment or treatments would help in your situation. Hope this helps!

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