Once side of face heavier than the other - How can I fix my uneven face and neck? (Photos)

Question

hi everyone, i have uneven face, one side of face heavier than the other. also a very very uneven neck right below the chin, and extra skin under the temples between ear and cheeks. any help regarding this would be huge for me. please help im in desperate need for this to get fixed

Raffy Karamanoukian, MD, FACS · Answer

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Hi, thank you for sharing your concerns and your photo. Facial asymmetry and extra skin under the chin or around the temples are very common, and it’s completely understandable to feel frustrated or self-conscious about it.

There are a few factors that can contribute to this appearance: natural asymmetry (most people have slight differences between the two sides of their face), loss of skin elasticity, fat distribution, and muscle tone changes. Sometimes the neck and jawline can show unevenness due to fat accumulation, sagging skin, or even posture habits.

Depending on the severity and your goals, treatment options can include:

Non-surgical options:

Dermal fillers to restore symmetry and volume.

Neuromodulators (like Botox) to help relax certain muscles and improve balance.

Skin tightening procedures using energy-based devices (radiofrequency or ultrasound).

Kybella or other fat-reducing injections under the chin.

Surgical options:

Liposuction under the chin and jawline for excess fat removal.

Facelift or neck lift procedures to tighten loose skin.

Buccal fat removal or other contouring procedures to balance facial proportions.

A combination approach is often the most effective, especially when both volume differences and skin laxity are present. It’s important to address both the structural and soft tissue aspects to get a natural, balanced result.

Even though it can feel overwhelming, there are safe and effective ways to improve facial symmetry and neck contour. Small, gradual changes can have a noticeable impact over time.

Once side of face heavier than the other - How can I fix my uneven face and neck? (Photos)

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