Would filler or Botox help to make my face more symmetrical? (Photos)

Thank you for sharing your photo. I understand your concern about facial asymmetry—many people have subtle differences between the two sides of their face, and it’s completely normal.

Filler and Botox can help, but the approach depends on the underlying cause of the asymmetry:

Dermal Fillers:

Fillers can restore volume or create more balance between uneven areas, such as cheeks, jawline, or under the eyes.

They are ideal for asymmetry caused by volume loss or natural differences in facial bone structure.

Results are immediate but temporary (typically 6–18 months depending on the product).

Botox (Neuromodulator):

Botox can relax muscles that are pulling more on one side of the face, such as the jaw, brow, or around the mouth.

This is useful if asymmetry is due to muscle activity, like a higher brow, uneven smile, or jaw clenching.

Effects typically last 3–4 months.

Key considerations:

Most asymmetry is natural and subtle; treatment can improve balance, but perfect symmetry is rarely possible.

A combination of Botox and filler often works best in cases where both muscle activity and volume differences contribute to asymmetry.

Conservative adjustments are usually recommended at first to ensure a natural look.

In short, yes—filler and/or Botox can help improve facial symmetry, but the exact plan depends on which areas contribute most to the uneven appearance.

If you want, I can give a detailed example of how each side could be balanced with specific filler and Botox placement. This can help you visualize potential results.

First, let me emphasize is that if we look at many faces critically, facial asymmetry in one way or another is more the norm than an exception.
That being said, at least from the photos provided, the use of a robust HA volumizing filler for the cheeks, properly injected by an expert injector, can be used to create a more youthful Heart-Shaped Oval appearance for the cheeks at the same time diminishing the hollowing and tear troughs noted under the eyes. At least from the photo, a bit more volume added to your right cheek would likely contour the greater symmetry that you desire. In experienced hands, the treatment should take no more than ten to fifteen minutes to perform, with immediate results, and engender little to no signficant post-treatment downtime. You would be wise to consult with a board certified cosmetic dermatologist filler injection expert and best of luck.

Hi there! this is one of the more common questions I get in my practice!Facial asymmetry is extremely common. Almost no one has a perfectly symmetrical face, and many people only notice it after seeing photos or videos of themselves.
Yes, both Botox and filler can help, but they do different things. Botox works best when asymmetry is caused by muscle imbalance, like one eyebrow lifting higher, one side of the jaw being stronger, or uneven facial movement. Filler is helpful when asymmetry is related to volume differences, such as one cheek being flatter, one jawline less defined, or uneven lips.
The key is subtle, conservative treatment. The goal is improvement, not perfection, since true symmetry is neither realistic nor natural-looking. An experienced injector will assess your face at rest and in motion to decide what, if anything, should be treated and how.
A personalized, in-person evaluation is essential to determine the best approach for you.

Facial asymmetry is the norm - you are not the exception. Furthermore, do not be harsh on yourself - that is, your face is 'not' "very" asymmetrical. The use of soft-tissue fillers to volumize and the use of botulinum toxin to adjust position (both static (at rest) and dynamic (at movement)) may improve your facial harmony. However, three key things: (1) be realistic (modest) with your expectations; (2) appreciate the law of diminishing returns; (3) absolutely choose a senior physician/ surgeon with whom you feel comfortable and confident.

We all have facial asymmetry to some degree. Botox and fillers are both great tools to improve this and work well together. Botox can be used to help with brow and jawline asymmetry. It also improves the appearance of dynamic wrinkles. Filler can be used to enhance contours and improve volume discrepancies. Basically, one option isn't better than the other since they both can help achieve the goal of improved symmetry. Visit with an expert injector near you to learn more.