Is there a way to improve asymmetry in my lower face? (Photo)

Question

I don't know why my lower part of face looks so bad when i smile and asymmetrical when i am not smiling and its even worse in camera i just wanna fix it because of this my other features also look bad.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. While perfect symmetry is difficult to obtain, you may benefit from a liquid facelift to fill and lift specific areas of the face and provide a more balanced appearance. 
Liquid facelifts combine dermal fillers with neuromodulator injections, such as Botox or Dysport, to relax facial muscles and smooth and elevate the skin where necessary. The results of a liquid facelift can last for up to a year or more, depending on the formulas used. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concerns and determine the best treatment option for you.

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.

Amir Mortazavi, MD · Answer

Great question. a combination of treatment modality can be used to make the face more symmetrical but other than lips a complete symmetry between two sides is not really desired. Think of your R and L side of face as cousins and not twins. Dermal Fillers a re a great option to make the symmetry more harmonies.

Camille Cash, MD · Answer

We are all asymmetrical to some degree and you certainly fall within normal limits.  Botox and fillers are great tools to help improve asymmetry.  I encourage you to visit with a board certified plastic surgeon near you to discuss your concerns and learn about these treatment options.

Is there a way to improve asymmetry in my lower face? (Photo)

Answers (4)

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