Why is my face on the right side not so aligned with my left side? (photo)

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.

Up to 80% of people are born with some degree of facial asymmetry, and it is actually more common in "beautiful people" i.e. models and actresses. However, lifting the check/face and filling it to be more symmetric can be accomplished with Juvederm Voluma®. As this is an advanced procedure, please consult a board certified aesthetic dermatologist for a consultation. 

You would have to provide a more closeup picture of good quality to show your facial asymmetry better. The one picture you have provided is too far away to see your concerns.

Thanks you for your question. It's difficult to see in the distance of your photo just what you're talking about. It's been my experience that almost everyone has some degree of bony facial asymmetry. In our office we take a three-dimensional photograph that can be split into two left's and to rights and comparing that look to the center photo which is the actual one. Inevitably there is one thin face and one wider face. These small asymmetries can be dealt with with a variety of soft tissue fillers. As young as you are you might want to consider fat grafting because it will be there forever. There are certainly a myriad of other choices like hyaluronic acid's, Radiesse, or Sculptra. I would recommend you find a board-certified plastic surgeon in your region with expertise in cosmetic  facial surgery. Best of luck.