What procedure will accurately address asymmetric chin & jaw line? (Photos)

Question

Please see the pictures regarding my lower face asymmetry. My chin seems to have too much fat on my left side (right side as shown in picture) giving a crooked chin appearance. I also have more cheek/jaw fat on that same left side causing jawline asymmetry. When I hold back some of the fat as shown in the picture or lift my skin on my jawline it does improve. However, with age it seems to get worse and worse. What can be done to permanently fix this?

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.

Randal Haworth, MD, FACS · Answer

Hello !

Your problem can be addressed with liposculpture (liposuction + fat transfer). It will correct the asymmetries.

Best of luck,

Randal Haworth

Mats Hagstrom, MD (license on probation) · Answer

The human face and body are both asymmetric as a baseline. This is true for all people, and there is no person who has a symmetrical face during embryological development, each side of the face develops independently from the other, and they eventually fuse in the midline.
Most of the asymmetry is based on the skeletal structure. Soft tissue coverage tends to be much more consistent from side to side and from person to person. Attempts to treat skeletal asymmetry through soft tissue manipulation may be helpful in some cases, but often doing so simply creates two asymmetries. The original asymmetry, which was based on bone structure, and now a compensatory soft tissue asymmetry.
The human brain typically does not see facial a symmetry on others, as being anything, but normal. You, for example probably don’t notice your friends and family have just as much asymmetry as you do. It’s generally better to leave asymmetry alone. Going down the road of treating asymmetry with soft tissue manipulation rarely accomplishes what people had hoped for. 
The bodies also highly asymmetric with all in internal organs placed in an asymmetric manner. People likewise I read the right handed or left-handed. 
The human body is not symmetrical. It’s not supposed to be symmetrical, and the most attractive people are not symmetrical.
There’s no shortage of people who will differ with my opinion and encourage you to spend thousands of dollars on fillers or other treatments collecting something that doesn’t need to be treated.
You will definitely get different opinions from different providers.
The only time we have the opportunity to see a symmetrical face is, if it’s computer generated. Purely symmetrical faces have a very odd, unfamiliar, and in my opinion unappealing look to them.
Best,
Mats Hagstrom, MD

What procedure will accurately address asymmetric chin & jaw line? (Photos)

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What procedure will accurately address asymmetric chin & jaw line? (Photos)

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