Why do I only have one nasolabial fold when I smile? Is there surgery that could give me another on the other side? (Photo)

It is fairly normal to have a difference of appearance from one side of the face to the other.  There are treatments that can be done to balance the differences.  Injectable fillers would be the most common treatment to help provide symmetry to the face.  An examination of you or photographs of your face when you are not smiling would be helpful to evaluate your face more thoroughly.  

Most people want to get rid of their nasolabial folds, not create one! However, if the asymmetry of the lines when you smile truly bothers you, you can rectify it with a soft, flexible dermal filler, such as Restylane Refyne or Defyne. I’d recommend smoothing out the one NLF you do have, rather than trying to create an artificial NLF surgically. I think you’d be quite pleased with the results. Be sure to consult a board-certified dermatologist who has experience smoothing out the NLF lightly and naturally.

Everyone has some asymmetry. Volume and symmetry of the face created with well-placed fillers (Voluma, Radiesse, Bellafill) and Sculptra. Implants or fat are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer