Asymmetrical Cheekbones? (photo)

I have noticed my upper cheeks or cheekbones are very asymmetric. My left side looks lower and more prominent than my right. My upper lip is also crooked. Is there a procedure that could minimize this.

Doctor Answers 11

Filler or Surgery for Asymmetrical Cheekbones or Lips

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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!

New York Facial Plastic Surgeon
4.9 out of 5 stars 31 reviews

Asymmetrical Cheekbones?

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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

Pablo Prichard, MD
Phoenix Plastic Surgeon
4.9 out of 5 stars 42 reviews

Options to improve cheek and facial asymmetry

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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


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Asymmetrical Cheek Bones

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Facial asymmetries are usually treated with implants or injectables such as fat or fillers. Consult with an experienced surgeon who uses all techniques to discuss the options and the advantages and disadvantages of each.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Asymmetrical Cheekbones

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Facial asymmetry is the rule in everyone and may be more prominent in some. The fillers, whether temporary or permanent can correct these mild to moderate deformities. Surgical correction will include custom made precise cheek and jaw implants to fit your facial structure.

Mohsen Tavoussi, MD, DO
Orange County Facial Plastic Surgeon

Cheek asymmetry correction

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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.

Carey Nease, MD
Chattanooga Facial Plastic Surgeon
4.1 out of 5 stars 24 reviews

Asymmetrical Cheekbones?

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Very minor genetic/anatomic asymmetry is noted in the posted photos. Try fillers to cheek area on the right or even fat grafts. As for lips I would not attempt any correction. 

Asymmetrical cheek bones

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It is quite a matter of fact that no one person possesses a perfectly symmetric right and left side of the face.  In fact, if you closely examine the face of every person there is one side that is slightly "shorter", slightly "flatter" and the chin on that side is slightly elevated.  The lip on this side is also slightly elevated and retracted.  The reason for this is that there is less bone on  the entire facial skeleton on this side of the face.  When the asymmetry becomes quite evident to the casual observer "the grocery store test" then one may consider the situation to be more amenable to correction.  Custom implants, injections with various fillers and even surgery to re-position the bone are all available.  However, in your case the asymmetry is in the realm of what we are to expect just by the nature of being human and I would not suggest the pursuit of correction.



Michael A. Carron, MD
Detroit Facial Plastic Surgeon
4.9 out of 5 stars 42 reviews

Asymmetrical Cheekbones?

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 It is the overall shape, of the cheeks and not the degree of symmetry that determines whether the face is male, female, attractive or less so.  From the photos provided, the cheeks are a bit flat and the upper lipm is a bit thin.  Fillers can be used to augment the cheeks (I prefer using Perlane) and Juvederm can be used (or an Alloderm Lip Implant) to augment the upper lip.  Both procedures would make the face more naturally feminine and attractive.  Hope this helps. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Dealing with facial asymmetries

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When you analyze faces everyday, you get an appreciation for how common asymmetries truly are.  All of use have asymmetries in our appearance, ranging from small and subtle to more prominent.  I would urge you to keep in mind that you are a beautiful woman, with very nice features.  I do appreciate the asymmetry that you describe, but I can assure you that most everyone does not notice those things about you.  We are certainly our own worst critics.  Therefore, I usually stress to patients that perfect symmetry is not attainable, but we can often improve these findings without much difficulty.

Seek consultation with a local physician who is appropriately boarded and get his/her recommendations.  A HA filler will be effective at balancing your lips and can be used in the cheeks as well.   Other options for the cheeks including Sculptra, fat transfer, Radiesse, etc.  Your local MD will discuss the risks and benefits of these different treatments in detail and help you find the best one.  Best wishes.

Michael Bowman, MD
Roanoke Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.