Dermal filler for asymmetry? (Photo)

Question

I have always had a divet in my chin on the left due to a misaligned jaw but as I get older, it’s more noticeable. Can dermal fillers be used to create symmetry in the jaw/chin area? I constantly look like I’m holding food in my mouth on the left side. I’m desperate to fix this as it’s very noticeable. I know there are long term solutions to fixing this, but I run a client facing business and I want a quick fix for the time being. Would love some recommendations.

Sergio Martinez Lecompte, MD · Answer

Yes, Dermal fillers with High Density Reticulated Hyaluronic Acids are a great and safe option to help with Chin facial asymmetries. The only contra is that it won't be a permanent solution, but it worths to do it.

Oakley Smith, MD, FRCSC · Answer

Hi,It is better for you to consult with a facial plastic surgeon who can examine you and discuss the management options, including fillers.

Falguni Patel, MD, FACOG · Answer

The short answer is Yes - fillers can be used to improve the appearance of your asymmetry. Dermal fillers can significantly improve the asymmetry by adding volume to the affected side, to try and mimic the side that you visually favor. An in-person consultation is necessary to determine the product and amount of which one you would need for your best results.

Soheila Rostami, MD, FAAO, FAACS · Answer

The person should be experienced and know what they are doing. But yes, we can fix the asymmetry with injection of fillers in the jawline arong the indentation. But there is a nerve and vascular bundle there that it should be done by someone expert.

Brian Bassiri-Tehrani, MD · Answer

This is a great question. Dermal fillers (like hyaluronic acid/HA fillers) can be used to even out asymmetries. This is a temporary solution but can last month or up to over a year. A longer term solution can include surgery, like a fat transfer that can balance asymmetries similar to a dermal filler. Although you will experience swelling and maybe some bruising, down time is minimal, and can be as little as less than a week. Hope this helps!

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your questions and posting your photos. You could easily correct your problems areas with fillers. See an experienced oculofacial surgeon for guidance and treatment. Good luck.

Daniel Barrett, MD · Answer

Dear Jubilant731462,
it is hard to tell for sure without an examination. Based on your photos, it looks like you might be a good candidate for dermal fillers. If you are considering treatment, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Erin Smith, MD · Answer

Thank you for your question. Facial asymmetry is a common concern for patients who present for dermal fillers. Everyone has a degree of asymmetry between each sides of their face, and the use of filler can help bring symmetry and balance. It is recommended you find a treating provider with experience who can perform an in office assessment and discuss the risks, benefits or alternative of this treatment modality with you.

Giuseppe Fiore, MD · Answer

Hi, Thanks for your question and photos. 
Dermal fillers can potentially be used to improve the symmetry and appearance of the jaw/chin area by adding volume to the divet in your chin.
It is important to perform a detailed “static" and "dynamic" facial assessment before to make a bespoke treatment using dermal fillers. This approach can address your concerns, reduce possible asymmetry, balance your face and achieve a natural and fresh-looking result. My approach involves a very detailed assessment of the face as a whole unit, analyzing the upper, middle, and lower face, including the jawline and neck area, from both sides and different views, and using bespoke treatment with dermal fillers. The above approach with dermal fillers in the right place/layer can address your concerns and achieve balance and proportion among the different areas (i.e., cheeks, mid-face, jawlines, lips, and chin) in your face with a natural-looking result.
I would advice to make an appointment with a doctor expert in facial anatomy and aesthetic medicine treatments who assess your face as whole unit and recommend the appropriate treatment plan to help you achieve your desired results. Hope this helps, Dr Giuseppe Fiore

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.

Dermal filler for asymmetry? (Photo)

Answers (20)

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