What type of facial operation to fix my asymmetry? (Photo)

Question

Having issues with my self recently. Ever since Covid I've learned that my Face is severely asymmetrical. I don't look how I see myself in the mirror and sometimes in photos. I want to find out what operations I should get and how much it would cost to even out my face.

Anna Chacon, MD, FAAD · Answer

First, I want to reassure you that everyone has some degree of facial asymmetry. It's completely normal, and it's also very common to notice it more after seeing yourself on video calls or in photographs. Cameras—especially front-facing phone cameras—can exaggerate asymmetries because of lens distortion, lighting, and the fact that we're used to seeing our mirror image instead.

From your photo, I do notice some asymmetry, but it does not appear severe. Several areas can contribute, including the cheeks, jawline, chin, nose, or even differences in muscle activity. The key is identifying what is causing the imbalance, because that determines the best treatment.

Depending on the underlying cause, options may include:

Dermal fillers to restore volume on one side and create better facial balance.
Botox® or Dysport® if one side of the face is more muscular or pulls differently during expression.
Chin augmentation with filler or an implant if the chin is off-center or lacks projection.
Rhinoplasty if the nose contributes significantly to the appearance of asymmetry.
Jaw surgery (orthognathic surgery) if there is a true skeletal or bite imbalance, though this is generally reserved for more significant cases.

In many patients, the most natural improvement comes from a conservative combination of treatments rather than surgery alone. Small adjustments can often make a meaningful difference while preserving your unique facial features.

As for cost, it varies widely depending on the procedure:

Injectable treatments generally range from a few hundred to a few thousand dollars.
Surgical procedures such as rhinoplasty or jaw surgery can range from several thousand to well over ten thousand dollars, depending on the complexity and geographic location.

One thing I'd encourage is not to judge your appearance based solely on selfies or mirrored images. The differences you notice between the mirror and photographs are very common and don't necessarily reflect how other people see you.

The most important step is a careful facial analysis to determine whether the asymmetry is primarily related to bone structure, soft tissue volume, muscle movement, or a combination of these factors. Once that is identified, a personalized treatment plan can be developed that focuses on improving facial harmony rather than making both sides perfectly identical—which is neither realistic nor necessary for an attractive, natural appearance.

Eric M. Joseph, MD · Answer

Based on your photos, you do not appear to have significant facial asymmetry that could call attention to itself. Your left eyelid is a bit droopy, compared to your right. And your left ear is a bit more prominent than your right as well. Unless these specific issues are bothering you, it may be best to avoid facial plastic surgery. I hope this is helpful. Sincerely, Dr Joseph

Camille Cash, MD · Answer

We all have facial asymmetry to some degree and yours is certainly mild.  If it is particularly bothersome you can consider fillers to boost volume or use Botox to address brow asymmetry as well as jaw asymmetry.  See an expert injector to learn more.

Leonard Grossman, MD · Answer

You may have to do some soul-searching, but there’s absolutely nothing wrong with your face. You don’t require any surgery whatsoever. Every single individual on this planet has the same amount of facial asymmetry and that does not mean that you should try to approach it surgically or that surgery will even help you. In fact, any surgical intervention to correct asymmetry results in a disaster. You have to look inside yourself and find the cause of your insecurity or lack of self-confidence. I wish you all the best and good luck from New York City Plastic Surgery.

What type of facial operation to fix my asymmetry? (Photo)

Answers (4)

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