Asymmetric facial bulge - what options do I have besides a facelift? (Photos)

Thank you for sharing the photos. You have some of the typical hallmarks of facial ageing and age-related gravitational forces, such as loss of tone and support, soft tissue ptosis, volume loss with jowls and marionette lines, and as such, in reality, nothing apart from a facelift would address these features. The facial asymmetry you have described is a part of the same changes; however, it is due to more severe age-related changes on that side. Ideally, a facelift (preferably Deep Plane ) is likely to give you the best outcome. Considering your reservation to undergo this surgery, a simple unilateral buccal fat reduction may be a good start to partially address your concern.

A facelift may be your best option. However, an alternative to consider, if you are scared of a facelift, is a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.