What would you recommend me for facial balancing? (Photo)

Hello Sunny,

You are young and beautiful with an attractive face. The most important aspect of your future treatment is to carefully select an expert physician injector who is experienced, skilled, conservative, board certified, and who has natural artistic vision. I would treat you very conservatively with Sculptra to even your facial asymmetry, while creating a heart shaped face of natural beauty. Feel free to contact me with any further questions or concerns. First and foremost, enjoy your youth!!! Good luck and be well!

Michael A. Persky, MD
Encino, CA

To achieve facial balancing and address your specific concerns while maintaining a natural appearance, consider the following strategies:

Non-Surgical Options

1. **Dermal Fillers Adjustments:**
- **Under Eyes:** Consider tear trough fillers for the right under-eye area to reduce hollowness and dark circles.
- **Smile Lines:** A small amount of filler in the right nasolabial fold can help balance asymmetry.
- **Cheek and Jawline:** Reassess the amount and placement of fillers in the lateral cheeks and jawline to ensure symmetry and a more natural contour.

2. **Botox/Dysport:**
- Small doses can be used to relax muscles that may be contributing to asymmetry or a boxy appearance, especially in the lower face and jawline.

3. **Skin Care:**
- Implement a robust skincare regimen that includes sunscreen, retinoids, antioxidants, and moisturizers to prevent signs of aging and maintain skin health.

4. **Microneedling or Laser Treatments:**
- These treatments can improve skin texture and stimulate collagen production, which helps maintain a youthful appearance.

Lifestyle Adjustments

1. **Sleeping Position:**
- Try to sleep on your back to avoid further asymmetry caused by sleeping on one side. Use a silk pillowcase to reduce friction on the skin.

2. **Diet and Hydration:**
- Maintain a balanced diet rich in antioxidants, vitamins, and minerals. Stay hydrated to keep your skin plump and healthy.

3. **Facial Exercises:**
- Specific exercises can help strengthen and tone facial muscles, potentially improving symmetry.

Surgical Options

1. **Fat Grafting:**
- This procedure involves transferring fat from another part of your body to areas that need volume, providing a natural look and feel.

2. **Buccal Fat Removal:**
- If you feel your face is boxy, this procedure can slim the cheeks, providing a more contoured appearance.

Professional Guidance

1. **Consult with a Board-Certified Dermatologist or Plastic Surgeon:**
- A professional can provide a comprehensive facial assessment and tailor a treatment plan specific to your needs and goals.
- Ensure that the practitioner has experience in achieving natural-looking results.

Long-term Maintenance

1. **Regular Follow-ups:**
- Regularly consult with your dermatologist or plastic surgeon to maintain and adjust treatments as needed.
- Stay updated with the latest non-invasive procedures that may benefit you.

By combining these approaches, you can achieve facial balancing and prevent signs of aging while ensuring that you maintain a natural and symmetrical appearance. Always prioritize safety and choose treatments that align with your long-term aesthetic goals.

It seems from the submitted photos that you've had nice results from the filler treatments you've had. You can consider other treatments such as HydraFacial to keep skin looking healthy. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.