Facial harmonization - how can I make my face more symmetrical? (Photos)

Question

What can I do to make my face more symmetrical? I am 45, I have currently some botox in my forehead and crow feed.

Nelson Lee Novick, MD · Answer

While true facial symmetry is probably more the exception than the rule, the photographs provided suggest that the proper injection of an appropriately robust HA Contouring filler within the region of the lower cheeks can achieve an overally more oval, heart-shaped face and a smoother transition between the upper and lower cheeks.. In the hands of an expert board certified cosmetic dermatologist filler injector, the treatment should take about ten minutes to perform, give rise to immediate results and engender little to no signficant downtime. Hope this helps and best of luck.

Ebru Soylemez, MD · Answer

In reality, everyone has some facial asymmetry. It's certainly possible to make your face as symmetrical as possible while maintaining your overall appearance. This can be achieved using fillers, biostimulants, and liquid facelift products. If necessary, thread lifts can be added to these procedures.

Anna Chacon, MD, FAAD · Answer

Thank you for sharing your photo and question. First, it’s important to remember that perfect facial symmetry doesn’t naturally exist—almost everyone has subtle differences between the two sides of the face. These small asymmetries are part of what gives a face character and individuality. That said, there are several ways to create better balance and harmony if certain areas feel more noticeable to you.

From what I can see in your photo, your facial structure overall is very balanced. The asymmetries appear subtle and quite common at age 45, particularly related to normal aging changes such as volume loss and differences in muscle activity on each side of the face.

Here are a few areas that may be contributing to the perception of asymmetry:

1. Mild Midface Volume Differences
Over time, the cheeks lose fat and structural support, and this often happens slightly differently on each side. This can create subtle differences in how the nasolabial fold (smile line) or under-eye area appears.

• Hyaluronic acid fillers in the midface can restore lost support
• This often improves symmetry by lifting the cheek and softening folds

2. Under-Eye Hollowing
There appears to be mild hollowing and shadowing beneath the eyes. Even small differences here can make the face look uneven because the eyes are a central focal point.

• Conservative tear trough filler can reduce shadowing
• Skin treatments (such as collagen-stimulating procedures) may also improve texture and light reflection

3. Lower Face Balance
Very slight asymmetry in the jawline or chin is extremely common. Small adjustments can sometimes help the face look more centered.

• Chin or jawline filler can subtly improve alignment and balance
• This is usually done very conservatively for natural results

4. Muscle Activity Differences
Even when Botox is used, one side of the face may remain slightly stronger than the other, which can influence eyebrow position, crow’s feet, or smile dynamics.

• Minor Botox dose adjustments can help equalize muscle pull
• This can refine brow height and soften uneven crow’s feet

5. Skin Quality and Texture
At this stage of life, collagen loss and mild skin laxity can also accentuate asymmetry.

Treatments that can improve overall harmony include:
• Microneedling or RF microneedling
• Laser resurfacing
• Collagen-stimulating injectables (such as Sculptra or Radiesse)

These approaches improve skin thickness, elasticity, and light reflection, which naturally makes the face look more even.

A key principle of facial harmonization is that the goal is not to chase perfect symmetry, but rather to restore proportions, support, and softness so the face looks refreshed and balanced. Often, very small adjustments—sometimes just 1–2 mL of filler placed strategically—can make a meaningful difference while still looking completely natural.

Overall, your facial structure already has good proportions, and any improvements would likely involve subtle refinement rather than major changes.

Facial harmonization - how can I make my face more symmetrical? (Photos)

Answers (3)

More Dermal Fillers Questions

Could this be nasolabial filler migration? (Photos)

Post Blepheroplasty A Frame Deformity Filler Recommendation? (Photos)

Best non-surgical treatment for jowls?

38, female - How can I get rid of these frown lines? (Photos)

Perioral mounds - could this be from filler migration? (Photos)

Filler or Botox for undereyes - can I expect good results? (Photo)

WE SEND PRETTY
EMAILS