What's throwing off the facial harmony of the right side of my face? (Photos)

Question

I am 26, female, white. Always disliked the right side of my face. Something has always looked off and my guesses are: sunken undereyes (visible top of photo), sunken pyriform fossa/midface (my mouth and lip protrude out more than the surrounding area), chin recession, or weak jawline. Can I get your opinion on what would improve my facial appearance?

Mustafa Aydinol, MD · Answer

Facial asymmetry and disharmony can often stem from subtle differences in volume, bone structure, or soft tissue positioning. Based on your description, the most likely contributing factors are midface volume loss (sunken pyriform fossa), under-eye hollowing, and possibly a degree of chin recession or jawline weakness.
Fat grafting is one of the easiest and most effective solutions to address these concerns. It can restore volume to the under-eye area, midface, and pyriform fossa, creating a smoother transition between the cheeks and mouth. This approach is minimally invasive, provides long-lasting results, and improves overall facial balance without requiring implants or more extensive procedures.
Other treatment options: • Midface Lift: It can reposition sagging tissues and restore volume higher in the face, improving the under-eye area, cheek prominence, and smoothing the nasolabial folds. This procedure enhances overall facial harmony and is particularly effective when combined with fat grafting. • Chin Augmentation (Implant or Filler): If chin recession is contributing to the imbalance, a subtle chin implant or dermal fillers can enhance projection and balance the lower face. • Tear Trough Filler or Fat Transfer: To correct under-eye hollows, filler or fat grafting can add volume, reducing the tired appearance and creating a smoother contour. • Jawline Contouring: If the jawline appears weak, jawline contouring through fillers, fat grafting, or implants can create a stronger, more defined lower face.
For the most natural and harmonious outcome, combining fat grafting with a midface lift often provides the most comprehensive improvement. Your surgeon should evaluate your facial structure and create a personalized plan that aligns with your goals.

Anna Chacon, MD, FAAD · Answer

When evaluating facial harmony, it's important to look at the balance and proportion of various facial features. Based on your description, here are a few considerations that might help in assessing and potentially enhancing facial symmetry:

Sunken Undereyes: If the area under your eyes appears sunken, dermal fillers such as hyaluronic acid can help restore volume and reduce the appearance of shadows or hollows. This can contribute to a more refreshed and balanced look.

Midface Volume Loss: A sunken midface or pyriform fossa can create an imbalance with the lips and mouth. Again, fillers can be used to add volume to the cheeks and midface area, which may help in achieving a more harmonious facial contour.

Chin Recession: A recessed chin can affect the overall profile and balance of the face. Options such as chin augmentation with fillers or a more permanent solution like a chin implant could be considered to enhance the chin's projection.

Jawline Definition: A weak jawline can be addressed with non-surgical options like filler or Botox to improve definition. In some cases, surgical options might be explored for more dramatic changes.

Consultation with a Specialist: For a comprehensive evaluation and personalized recommendations, consulting with a board-certified dermatologist or plastic surgeon is crucial. They can assess your facial features in detail and discuss the best options to achieve your aesthetic goals.

Remember that facial harmony is subjective, and the goal should be to enhance features in a way that makes you feel confident and comfortable.

DoctoraVital Med Spa - Cooper City · Answer

Hello,
Thank you for sharing your concerns about facial asymmetry. While it's challenging to fully evaluate this from pictures alone, I recommend scheduling a consultation with a qualified specialist, such as an aesthetic medicine provider or plastic surgeon, for a thorough assessment.
In some cases, facial asymmetry may be linked to muscle imbalances or other underlying factors. Often, subtle and well-placed fillers, such as hyaluronic acid-based products or Radiesse, can enhance facial harmony and achieve natural, beautiful results.
It's crucial to approach this with a careful plan to avoid overfilling and preserve your delicate and unique features. With the right expertise, it can work to enhance your beauty while maintaining balance and subtlety.
Best of luck on your journey!

Camille Cash, MD · Answer

From your description you likely have some facial asymmetry which we all have.  Fillers and Botox are commonly used to address this.  For a proper assessment we need to see your face from a forward facing angle, side, and quarter view.  Visit with an expert injector to learn more.

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