Which procedures would help enhance my appearance? Concerned about unbalanced face (photos)

Question

I feel like my face is off balanced and I’d like recommendations to fix it. I do have an overbite which I’m getting Invisalign to treat it the best I can. I have had some facial filler, wondering if it makes me look puffy.

Anna Chacon, MD, FAAD · Answer

Hi! Thank you for sharing your concerns and photos—it really helps to get a sense of what you’re noticing. Facial balance is something a lot of people focus on, and small adjustments can make a big difference in harmony and proportion.

1. Addressing Facial Volume:

Sometimes filler can make areas look puffier if too much volume is placed in certain spots or if it hasn’t settled completely.

A careful assessment of the midface, cheeks, and jawline can help redistribute or soften filler to restore natural balance.

Subtle adjustments can reduce puffiness and make your features appear more harmonious without overcorrecting.

2. Jaw and Bite Alignment:

Since you’re working on an overbite with Invisalign, this will naturally improve the balance of your lower face over time.

The alignment of your teeth can subtly change how your lips, chin, and jaw look, which may reduce the need for additional procedures in some areas.

3. Non-Surgical Contouring Options:

Chin or jawline filler can enhance symmetry and provide better proportion, especially if one side of the face looks less defined.

Cheek or temple filler can help lift and balance features, which often improves overall facial harmony.

4. Skincare and Muscle Relaxation:

Minimal botox in specific areas can soften asymmetrical lines or tension that contributes to an unbalanced look.

Maintaining healthy skin through moisturizers, SPF, and collagen-boosting treatments supports any contouring procedures.

Bottom line: subtle adjustments—especially after your bite alignment—are often all that’s needed to bring balance without overfilling. Sometimes a combination of filler refinement, minor contouring, and time for Invisalign changes provides the most natural improvement.

If you like, I can outline a stepwise approach to enhance symmetry and reduce puffiness while keeping results natural.

Mats Hagstrom, MD (license on probation) · Answer

Facial aesthetics, especially on young people is primarily based on bone structure.It is facial skeletal structure that gives each person their unique facial features and this is also what Allows computer software to recognize people from facial pictures.Changing facial, skeletal structure is highly involved and is not reasonable for most people.Because the primary issues are related to bone structure soft tissue solutions aren’t going to take care of the main problem and give partial results at best.I think your facial proportions are actually quite good and you should probably leave that alone.Issues related to the middle 1/3 of the face are typically related to the maxilla.Issues related to the lower 1/3 of the face are usually related to the mandible.Individuals who have a small mandible will often have an overbite dental occlusion.To assess this, we generally need to see profile pictures.If you consult with providers working in facial aesthetics, they will most likely come up with lots of treatment options for you.Whether these are worth having is another question. Before having procedures done, it’s important to recognize and understand why someone has a certain look and understanding the basic fundamentals which again are all based on bone structure.If you want a quality assessment in regards to balance and proportion of facial, skeletal structure than that is most likely best done by consulting with oral surgeons. Who do that kind of work. Surgeons tend to be soft tissue oriented, though some are trained in facial skeletal surgery as well.Personally, I don’t see any need for surgical intervention.(that should be viewed as a compliment).I would be particularly reluctant to do permanent (“ irreversible “) soft tissue changes on your face while young.Best,Matt Hagstrom MD

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