How can I fix facial asymmetry? (Photo)

Question

Hi . I have an asy face + recently been feeling a bit of tension pulling /fullness on one cheek. i have a habit of biting on lip +clinching simultaneously . What is the best path . Thank you

Danielle Shanley, MD · Answer

Hi there! I think the clenching you mentioned could definitely be playing a role in what you’re noticing. If you tend to clench more on one side, the masseter muscle can become more developed on that side and make the cheek or lower face look a little fuller or uneven.

Botox or Dysport can sometimes be used in the masseter to help relax that muscle and reduce some of the fullness over time. It can also help with the tension from clenching.

I wouldn’t jump straight to filler, though. I’d want someone to look at your face in person while you’re relaxed and while you’re clenching to see what is actually causing the asymmetry. Sometimes it’s muscle, sometimes it’s volume or facial structure, and the treatment would be different depending on the cause.

Since you’re also noticing a newer feeling of pulling or fullness, I’d definitely have someone take a look at it before treating it. An experienced injector should be able to assess everything and help you figure out the best approach!

Anna Chacon, MD, FAAD · Answer

What you’re describing sounds less like true structural asymmetry and more like a combination of:

Muscle overactivity (masseter / facial tension)
Habitual clenching or biting
Possibly some TMJ involvement

That “pulling/fullness” sensation often comes from muscle imbalance.

My approach would be:

Address clenching first (this is key)
Consider Botox to the masseters if appropriate
Sometimes light treatment to overactive facial muscles
Jaw/TMJ evaluation if symptoms persist

A lot of facial asymmetry actually improves once muscle tension is corrected, not by adding fillers or structural changes.

Camille Cash, MD · Answer

We are all asymmetrical to some degree.  Fillers and Botox are great tools to address these concerns.  Botox can be used to address dynamic lines and wrinkles, improve brow asymmetry, and target overgrown masseter muscles.  There are a variety of HA fillers on the market that can address volume discrepancies.  Visit with an experienced injector to discuss your concerns and learn more about these options.

How can I fix facial asymmetry? (Photo)

Answers (3)

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