Options to fix my asymmetrical lower face? (Photo)

Question

Dear Doctors, What options do I have in order to minimize the asymmetry in my lower face? I would like to level out the jaw area and achieve a more symmetrical smile. Thanks in advance.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. Facial symmetry can be improved through properly administered dermal fillers. These hyaluronic acid formulas are a non-invasive option for restoring volume that is lost as a natural part of the aging process. Adding volume to the face can improve facial balance and symmetry while creating a more youthful appearance. 
Results from dermal filler injections can last for up to a year or more, depending on the formula used. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a physical examination to better assess your concern and suggest the best treatment option for you.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photograph.

The asymmetry that is bothering you seems to have a significant contribution from the lower face skeletal support.

I would advise a consultation with a maxillofacial surgeon to understand better the configuration of your lower face and whether adjustments in the upper and lower jaw would be beneficial not just for the aesthetic aspect but also for your conclusion and the long-term wear and tear of the teeth.

Jason Emer, MD · Answer

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.

Zoran Potparic, MD · Answer

It would be very difficult to give you good advise based on this photo, in particuler regarding smile. Correction of the facial asymmetry may be achieved in different ways using implants, soft tissue fillers, fat grafts, bone chips. In person cosultation with a board certified plastic surgeon with background in craniofacial surgery, may help do get a good evaluation and an idea what is possible. Good luck.

Options to fix my asymmetrical lower face? (Photo)

Answers (4)

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