How to I create balance in my face? Left side is slimmer than right (Photos)

Question

So, historically my face has always been uneven but when I lose weight it’s even more obvious. The left side of my Face is a lot slimmer than my right. I’ve had a few practitioners recommend masseter Botox to reduce the size of my right masseter muscle. Thoughts ? What can I do to even out out my face.

Ira Shapira, DDS · Answer

The problemi s the underlying bony structures and teeth.  You have a short lower 1/3 of face.

Correction of skeletal issues are probably the best approach

Camille Cash, MD · Answer

We are all asymmetrical to some degree.  A combination of Botox and fillers can be used to help define facial contours and improve asymmetry.  Botox to the masseter muscles can be used to slim the jawline.  The treatment is done in the office with final results seen after two weeks.  See an expert injector near you to learn more.

Anna Petropoulos, MD, FRCS · Answer

Thank you for your question Alexandra, 
The right side of the picture seems to have a perfect heart shaped  contour laterally with an appropriate amount of fullness. The left side of the picture  has a dent in the contour and would benefit from either a biostimulator such as Sculptra or a gentle hyaluronic acid facial filer using a fanning technique with a very skilled and experienced  injector. I personally do not see the need for masseter shrinkage (using Botox or any other neuromodulator) based on the front view photography. Furthermore, even though this is not one of your questions, there is somewhat lacking anterior projection at the infraorbital rim at the lid cheek junction and that would benefit from some contouring as well to perfect the heart shape on the 3/4 view. For a more thorough evaluation,  all photographic angles would be necessary.

Best Wishes in your quest,

Dr. Anna Petropoulos, MD, FRCS
Board Certified Facial Plastic Surgeon
Boston's Back Bay and North Shore

How to I create balance in my face? Left side is slimmer than right (Photos)

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How to I create balance in my face? Left side is slimmer than right (Photos)

Answers (3)

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