Asymmetrical, drooping cheek. Can non-surgical options, like facial exercises, correct this? (photo)

Question

My right cheek seems to be drooping while my left cheeck is firm and fine. I don't know how to fix it and don't want to get any surgery. Is there anything that I can do like facial exercise to fix this problem?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

George Bitar, MD · Answer

You have evidence of facial asymmetry due to bony and soft tissue structures.  You can camouflage it with fillers or fat transfer but facial exercises will not help.  Best wishes.

J. Jason Wendel, MD, FACS · Answer

Thank you for your question about non surgical face lift.Use of Juvederm Voluma XC can be used to volumize and correct cheek asymmetry.To be sure, see two or more licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have these treatments.I hope this helps.

Larry S. Nichter, MD, MS, FACS · Answer

Some asymmetry applies to everyone. You  will need to be evaluated by a plastic surgeon to see if it is a volume issue (filers can help in that case), asymmetric muscle tone or skin laxity (surgical approach usually needed).

Kouros Azar, MD · Answer

We are all born with a certain amount of facial asymmetry. Sadly, facial exercises can do nothing to improve it. Appropriately placed filler, on the other hand, can. Schedule a consultation with a board certified plastic surgeon to be examined in person and discuss your best options.

Michael H. Gold, MD · Answer

Thanks for your
question and photo – you are slightly asymmetrical and I would recommend, based
on this picture that you do nothing now to correct anything – you may end up
chasing things over and over again. To be sure, I would recommend that you
consult with a board-certified dermatologist or plastic surgeon and see what
might be recommended, and if there are recommendations, make sure it is simple
and will yield natural results.

Richard O. Gregory, MD · Answer

Everyone without exception has some mild asymmetry.  Yours is minimal and I recommend that you do nothing about it, as you might make it worse.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Your non-surgical options are dictated by your specific
needs, which may include any of the below measures:

1) improving your wrinkles: Botox

2) improving your loss of volume: Radiesse

3) improving your texture: Cool Helium Plasma resurfacing.

4) improving skin looseness: VIORA REACTION radiofrequency
treatment

5) improving skin discoloration: IPL

A consultation would be necessary to customize your
treatment plan.  You may visit the
following link to see examples of these procedures.

Richard W. Fleming, MD (retired) · Answer

Remember, some degree of asymmetry is normal. Exercise will have no influence on the size or position of your cheeks. Fillers or injections of your own fat can be used to contour your cheeks.