Any suggestions for my facial asymmetry?

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.

Facial asymmetry is normal for the most part. Without a photo it is hard to tell if what you are experiencing is normal or not. Fillers and/or Wrinkle blockers such as Botox or Xeomin can be used to give the face a more symmetrical look. Fillers usually last a year while wrinkle blockers last typically 3 to 4 months. So if you are looking for something longer lasting implants and/or fat transfer surgery may be an option for you as well. I advice you to do your research and seek out a board certified plastic surgeon with plenty of experience for a face to face consultation. Good luck to you.

Facial asymmetry is very common and some people have more of
it than others. I always tell patients that the two sides of your face are not
twins but sisters so difference are common. There are many reasons for facial
asymmetry and there are many options to correct it. The best treatment for skin
rejuvenation and prevention depends upon an individual’s skin type, age,
ethnicity, sun exposure, and overall health. In order to give you an accurate
treatment plan, a consultation is required to properly assess your skin.

When it comes to fixing assymentry, a combination of
treatments are available including neurotoxins (Botox®, Xeomin®), dermal fillers
(Restylane®, Juvederm®, Esthelis®, Belotero®, Emervel®, Radiesse®), skin
resurfacing procedures (laser resurfacing with CO2 laser, Er:YAG
laser, Fraxel DUAL®, PicoSure® FOCUS Lens Array or OBAGI® controlled depth
chemical peel) and other devices such as Ultherapy® can be used. Surgical
options can also be explored.

These are advanced techniques so be sure to get an
experienced cosmetic dermatologist or plastic surgeon consultation for
recommendations and treatment options.

You have not posted a photo, so answering your question is difficultWithin limits, the best and easiest way to answer your needs is with a combination of facial fillers.  And the best way to discuss this is with an in-person consultation.Call my office to discuss:  (212) 570 6080.Elliot W. Jacobs, MD, FACSNew York City

 Hi, without non-smiling front and profile photos it's difficult to evaluate the face.  I can tell you that I have performed many facial shaping procedures including Cheek Augmentation using  dermal fillers (I prefer Perlane) or with cheek implants for a permenent enhancement.  Localized asymmetry between the cheek bones is reduced by gentky rasping down high points in the bone prior to and during the cheek implant placement.  Hope this helps.