What can be done to balance facial asymmetry? (photos)

Question

Why does it seem like I have so much "mass" sagging in my low face? I have no cheek definition, bull-dog looking nasolabial folds, start of jowls, downturned lips, and a lot of volume around jowls. Have researched buccal fat removal, nasolabial fold filler, PDO threads, masseter botox, fat transfer... but I don't know what the actual issue is and what I need. I'm 31. Already time for a facelift? Why do my oblique profiles look like 2 different people?

Randal Haworth, MD, FACS · Answer

First of all, I would definitely not recommend buccal fat removal; it doesn’t look like you are a good candidate and it would make you look gaunt.

You could be a great candidate for a mid-face lift. It is possible to undergo this surgery in your 30’ (here pictures of a patient of mine who got hers in her 30’) and some facial fat transfer. This would be the most effective method but other less invasive options could be considered (FaceTite …).

An “in person” consultation is necessary to determine the best course of action based on your goals.

I hope this helps,
best of luck !

Bora Ok, MD · Answer

Hi, greetings from Istanbul! The middle part of the your face appears to naturally more hollow and prone to sagging. A midface lift can take care of that hollowness and the jowls, create more defined cheeks and reduce the appearance of nasolabial folds. that. A temporal lift/ brow lift would also help create a rejuvenated look and well-rested eyes. These surgeries are commonly preferred by younger patients and although touch ups may be needed in the following years, they help keep a more youthful appearance for many years to come. Best of luck to you!

Brandon Richland, MD · Answer

Dear bri.stef,
Thanks for your question. A facelift/neck lift is used to remove skin under the neck and improve jowls. Fat grafting would add volume. PDO threads give temporary lift. Morpheus 8 is a good non invasive skin tightening device. You will likely need a combination of treatments to get improvements in all those areas. I would suggest a consultation with a board-certified plastic surgeon for further information and recommendations.

Gianfranco Frojo, MD · Answer

This is not an abnormal concern that you are having. As we age, the effect of gravity and muscle pull stretch out the underlying skin structures (the SMAS) and also stretches the skin. Even though you are young, I believe that a facelift, necklift, and facial fat grafting would be ideal. I would recommend seeing a plastic surgeon with 6 years of plastic surgery residency training and a year of aesthetic fellowship training to ensure that you find an individual with adequate training in this very important area of the body.

Richard G. Schwartz, MD · Answer

You do have some facial asymmetry, but this appears within a normal variation to me.  Although you do have fullness in the lower cheeks, and buccal fat removal might slim that area down, the appearance isn't that of typical jowls,  and you don't show any significant skin sagging in the lower face.  However, you do show some deflation in the anterior and inferior malar regions that could be improved with filler or fat injections.  Because I don't see any significant skin laxity, I would be hesitant to consider a facelift.  At your young age, I would stick to adding volume in the upper cheeks and removing some lower cheek fat, to create a more youthful heart shaped face.

Connie Hiers, MD, FACS · Answer

You would do well with noninvasive skin tightening with micro-needling and radiofrequency like Secret, or perhaps minimally invasive radiofrequency skin tightening like Renuvion.  You can google in your area to see who does these treatments.

What can be done to balance facial asymmetry? (photos)

Answers (6)

More Facelift Questions

Sagging skin - what options could reduce this? (Photo)

Liposuction and face lift for 44 male. Interested in doing surgery in my 40s rather than later in my 50s/60s (Photo)

Remove cheek filler before facelift? (Photo)

What kind of facelift do I need? (Photo)

Is laser resurfacing okay to perform during a facelift?

What is the best procedure to lift face and get rid of wrinkles and 11s? (photos)

WE SEND PRETTY
EMAILS