Asymmetrical face due to soft tissue distribution. Can liposuction help? (Photo)

Question

Hi! I had a consultation with a maxillo surgeon because i thought the asymmetry was due to the jaw. He did a 3d scan that revealed my jaw was symmetrical. He told me the asymmetry was due to soft tissue. Can liposuction help to treat the asymmetry? I dont want fillers to make the other side bigger.

Mats Hagstrom, MD (license on probation) · Answer

Facial asymmetry is almost always due to bone structure.
It is unusual for people to have a symmetrical soft tissue coverage.
Especially subcutaneous fat layers.
I recommend you get a second opinion.
Get copies of the scan and bring that with you for any second opinion consultation.
Soft manipulation is more likely to create new problems you didn’t have before rather than solving your current issue.
To make an accurate assessment we really need to see full face pictures.
Cropping the pictures significantly limits our ability to make an accurate assessment.
We never look at one anatomic area without seeing surrounding areas for aesthetic purposes.
Each area looks the way it does only in context with surrounding areas.
I understand the desire to maintain anonymity.
 Quality assessment requires quality pictures and in this case that means full facial pictures. 
Most likely you’ll get a variety of different opinions from different providers on this topic.
Some providers may be very excited about liposuction or fat grafting as a way to improve your outcome.
Before having any surgery, you should always confirm that the provider has ample experience with a proven track record for whatever procedure they are recommending.
This means seeing numerous quality before and after pictures of previous patients with similar characteristics, who had the same operation.
The human brain is accustomed to seeing facial asymmetry as being normal.
It takes a substantial degree of a symmetry before people start seeing it as being abnormal.
No one has a symmetrical face.
During embryological development, the two sides of the face develop independently from each other, and eventually fuse in the midline.
Most facial asymmetry is based on bone structure. 
Even classical artists through our time, having Incorporated asymmetry in world class artworks that have been around for centuries.
Facial aesthetics is more based unbalanced than symmetry, but asymmetry can, in some forms become obvious in which case treatments may be indicated.
Unless asymmetry treatment is based on the primary underlying cause treatment attempts typically just create a second a symmetry.
Another words if the asymmetry is based on bone structure, and the treatment is based on soft manipulation, the patient ends up with two separate asymmetries that often don’t end up creating The intended outcome.
Provider selection is key, and I would encourage a bit of caution before having any permanent irreversible facial contouring procedure.
Best,
Mats Hagstrom, MD

Asymmetrical face due to soft tissue distribution. Can liposuction help? (Photo)

Answers (1)

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