My face looks distorted and uneven, what can be done to improve this without looking like I've had too much work done? (photo)

Thank you for sharing your concerns and your photo. Facial asymmetry is quite common and can be caused by various factors including muscle activity, bone structure, and even habitual expressions. Here are a few potential solutions to consider that can achieve a subtle and natural improvement:

Dermal Fillers: Strategic placement of fillers can help to balance out asymmetry by adding volume to areas that are lacking. This can be done in a way that enhances your natural features without looking overdone.

Botox: While you are already receiving Botox for TMJ, it can also be utilized to address asymmetry in other facial muscles. For example, adjusting the dosage and placement can help balance facial expressions.

Non-Surgical Skin Tightening: Treatments such as Ultherapy or RF (radiofrequency) therapy can help to tighten and lift areas of the face, providing a more balanced appearance.

Consultation with a Specialist: It may be beneficial to consult with a dermatologist or a facial plastic surgeon who can assess your facial structure in person and recommend a tailored treatment plan.

It’s also important to consider that some degree of asymmetry is natural and normal. If your concern is primarily noticeable when you smile or make certain expressions, discussing these specific concerns with your provider can help them to target treatments more effectively.