Procedure for asymmetrical cheekbones? (photo)

Subtle differences in the left and right side of the face are very normal in all people.  When the asymmetry is very noticeable or bothersome, injectable fillers or fat transfer can be used to balance out the difference.  Sometimes cheek implants are also appropriate when both sides need more volume, which is commonly lost with age.  The lips shown in the photos look fine, but hyaluronic acid fillers are often used for minor corrections or enhancement.

Most patients have some asymmetry if you look hard enough.  A very effective and minimally invasive way to help with facial asymmetry is with dermal fillers.  You can use products such as Juvederm, Restylane, Radiesse or Sculptra depending on the area treated and the volume required.  I would suggest setting up a consultation with an experienced injector.

 

Good Luck.

Most of us have natural asymmetries in our faces. Many people (myself included) have one side of the face that is flatter and broader, and one that is fuller and more narrow. The most common place to observe this asymmetry is in the area of the cheekbones. In my experience, women tend to notice it in themselves more than men, because women tend to notice as they put their blush on, that one side requires a bit more than the other to achieve the same highlighting effect.

Just as you can camouflage asymmetries in the cheeks and lips with makeup, you can also camouflage them in a more semi-permanent way with injectable facial fillers such as Perlane, Juvaderm, or Restylane.

The advantage of the hyaluronic acid facial fillers mentioned above is that they are easy to do, and are not permanent if you DON'T love the results. The disadvantage is that they are not permanent if you DO love the results. The hyaluronic acid fillers last about 5-6 months in the lips and 9-12 months in the cheeks.  The more mobile an area is, the quicker the filler is absorbed.  The most permanent solution is a custom designed implant. 

I would recommend consultation with an experienced injector and/or surgeon.  Good luck!

Dear Cvb,

thank you for your question and photos.  It appears you have a very mild asymmetry which most people have.  Cheek augmentation would be over-kill for you.  Fillers will provide temporary improvement, as they will dissolve and go away.  I would recommend fat grafting to the face as a permanent way to even out this asymmetry.

Best Wishes,

Pablo Prichard, MD

Asymmetry of the face is normal and expected to various degrees. Cosmetic surgery and treatments can help improve asymmetry, however, some asymmetry will still persist. Cheek augmentation options include non-surgical facial fillers such as Radiesse or Sculptra. Silicone cheek implants provide a permanent solution for cheek improvement. Only after a comprehensive evaluation can a plastic surgeon help determine appropriate options for you. Your surgeon can give more filler or place a larger implant on the smaller cheek. Best of luck.

Dr. Chaboki