Is Botox a Viable Option for my Facial Asymmetry? (photo)

As you can see the left side of my face droops considerably. At first I thought it was just my eyebrow and contemplated a Botox consultation. However, based on these photos, it seems the entire left side of my face is asymmetric to a significant degree. I've always known my nose is off-center and that my eyebrows arched at different angles but it's becoming more noticeable as I age; I'm 26. When a camera lens is diagonally above me (last two photos) the asymmetry lessens.

Doctor Answers 9

Is Botox a Viable Option for my Facial Asymmetry? (photo)

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Only IN PERSON facial examination will allow a determination if BOTOX alone could help your facial asymmetry. 

Botox to correct brow asymmetry

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Yes, every one is asymmetric. Some more than others. If one eyebrow is more active than the other, small amounts of botox may help to balance them.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Facial asymtery can be helped with Botox and fillers

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Good Question.  Everyone's face is a little assymetric.  As a facial plastic surgery my taks is to recognize and helps corect those differences.  I routinely use Botx/Dysport/Xeomin as well as fillers to help with that.


Good Luck

Robert F. Gray, MD, FACS

Facial Plastic Surgeon

Robert F. Gray, MD, FACS
Bay Area Facial Plastic Surgeon

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Botox is a great option to correct facial asymmetry

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Botox, and the other two FDA approved neuromodulators (Dysport,Xeomin), is used very frequently in my practice to correct and lessen facial asymmetry. All neuromodulators work by lessining the activity of the muscle injected. If hyperactivity of a particular muscle causes asymmetry, by weakening it's action, symmetry can be attained.

Z. Paul Lorenc, MD
Manhattan Plastic Surgeon
4.6 out of 5 stars 34 reviews

Is Botox a Viable Option for my Facial Asymmetry?

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No, from the photos provided (non-smiling the best to evaluate the face) the cheeks are flat (left more so than right) and there is excess facial fatty tissue.  Based upon those findings, Botox would offer no benefits.  Facial Micro-liposuction and Cheek Augmentation with a filler (I prefer Perlane) or Cheek Implants would seem appropriate.

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

Is Botox a Viable Option for my Facial Asymmetry?

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            The brow position and the influence of its position on the upper eyelids will require an exam to determine what would benefit you most. 



Kenneth Hughes, MD Los Angeles, CA

Botox for correction of facial assymetry

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Thanks for your question.  You do have some slight asymmetry on your photos and I believe that botox might be a great option for you to correct this.  You will want to have botox injected in the forehead on the higher of the two sides.  Hopefully that helps and gives you some direction.

Shaun Parson, MD
Phoenix Plastic Surgeon
4.8 out of 5 stars 47 reviews

Botox is not the answer.

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You do have some facial asymmetry for sure, we all do.  That is not the problem.

The problem is that you have bilateral upper eyelid ptosis with a compensatory brow lift.  The brow lift is stronger on the right side for a very simple reason:  The right upper eyelid is droopier than the left.  This causes the increase compensation seen in the forehead.  The treatment of choice is to repair the upper eyelid ptosis.  I suspect that you are also likely to benefit from a small anchor blepharoplasty performed at the time of the ptosis surgery.  Please do not expect to get this type of work done by the surgeon who did your girl friends breast implants.  You need a very refined type of surgery in order to retain a natural look.  There are probably just a hand full of oculoplastic surgeons in the country who can accomplish this for you.

Kenneth D. Steinsapir, MD
Beverly Hills Oculoplastic Surgeon
4.9 out of 5 stars 26 reviews

Varying degrees of asymmetry exist in everyone's face

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Everyone's face has a degree of asymmetry, and your facial asymmetry does not stand out significantly.  However, if it is a significant concern for you, then a combination of Botox and fillers would be able to improve it.   

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews

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.