Asymmetrical face and crooked nose - age 18. (photos)

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.

Everyone has some degree of facial asymmetry which is normal. Best to leave that alone. A  rhinoplasty procedure is performed to straighten the crooked nose. To accomplish straightening the crooked nose requires osteotomies placed in the nasal bones to reset them straight, and usually a cartilaginous spreader graft placed on the concave side in the midportion of the nose. For more information, many examples of crooked nose repair in our practice, and our current price list, please see the link and the video below

Hi! your nose is crooked in the front part rather than the bridge so this is more of a cartilage problem and can be easily fixed with surgery. Your face as you mentioned is more of a skeletal and volume issue and rather than slimming one side surgically and taking on some risks, I would recommend long term fillers on the left side. Your cheek is sunken on that side and, you have a line coming down from your lower eyelid to your cheek which can be easily fixed with advanced technique fillers. Your best options and prices will come from a consultation with a board certified facial plastic surgeon. 

Hi,
Thanks for this great question. When you look at most people's faces there is facial asymmetry. You have more shadowing under your left eye and less volume involving the left cheek. In terms of how to make this more symmetrical,  I would not recommend slimming the right side of your face. The best approach would be to use dermal fillers to add volume to the left side of your face. By adding volume to the upper cheek this will also improve the shadowing under the eyes as well. The scaffolding of the face is made up of bones and an interconnected network of fat pads. When we use fillers on the upper face they lift and contour both the upper and lower face. Price really depends on the type of filler that is used and the amount that is needed. I recommend that you see a board certified dermatologist to further discuss which filler is best for you. I hope this is helpful. 
Kevin Cavanaugh, MD

 Hi, I have performed many facial shaping procedures using dermal fillers, facial implants (cheek, chin), liposuction and/or facelifts for over 30 years. Following my beauty principles, men look chiseled and handsome with angularity in the cheeks, chin and mandibular angles.  From the photos, your cheeks are flat in the front (smaller and more weak on one side), the chin is weak as are the mandibular angles and the nose is asymmetric.  This combines to create an elongated rectangularly shaped face.  The following procedures would create a more ruggedly handsome face.
Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.  This would be combined with liposuction to reduce the excess facial fat to further define the cheek shape.
Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face.  I have performed many Chin Augmentations using chin implants for over 30 years.  From the photos, your chin is weak.  A weak chin creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin.  Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face.   I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick, highly effective and far less invasive than a sliding genioplasty.  I perform chin implant surgery in 30 minutes or less, often using a local anesthetic alone.  In my opinion, you are a good candidate for chin implant surgery.
Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.Rhinoplasty to refine the nose.
It has been my experience that chasing symmetry in the face does not make the face more naturally attractive.  In fact a quick online search will reveal studies making super symmetric faces that while very symmetric are not attractive.  Your face has an average degree of asymmetry and can be made to look more handsome by creating angularity in the facial features discussed above.  In contrast, reducing the larger cheek would decrease the existing amount of angularity in that cheek further weakening that facial feature...while this may make the cheeks more symmetric but will not make your more naturally attractive.
Hope this helps.