Face not symmetrical, been told to do MRI. Should I get Botox?

Question

I had fillers in my face tear trough and profilo once. This was many years ago and I have not done anything years. I've noticed in last 4 /5 years my left side is fatter than right no symmetry. Its more noticeable in photos. It really gets me down. I've been told maybe I should do an MRI to see what is causing this. It may be old migrated filler. Another doctor said it could be my clenching teeth that's caused it and I should do botox in that muscle. Please help

Jason Emer, MD · Answer

This is my expertise and a huge portion of my practice. Asymmetry is normal and expected. Buccal fat pad gives slimming not symmetry. Masseter botox will make you slimmer and make the jawline more loose. Fillers help give shaping and contouring. If you want perfect or close to perfect symmetry you need maxillofacial surgery or implants customized. I suggest seeing an expert to go through all options. Most of my younger clients use fillers to give them shaping especially on the cheeks, jawline, and chin which make the face look more slim and tight; and threads such as PDO or Instalift can build collagen and support the facial shaping and skin looseness over time, slowing down the aging process and given the face a more “snatched” look; and morpheus8 or PiXel8 deep microneedling RF can tighten crepe skin especially on the neck and jawline and is great for long term tightening of the full face, neck and chest; its often used to give the face a slimmer more sculpted look because it tightens the skin and gives lift. an early face lift can be performed as well even in younger clients if they want a different facial shape, maxillofacial surgery with bone breaking or shaving can also be done. For facial slimming a combination of treatments are always needed. Options include: 1. Buccal fat pad removal to reduce fat on the lower face 2. Factite or Renuvion/J Plasma to tighten the lower face, jawline, and chin to reduce fat and give the jawline and neck tightening and shaping. 3. Botox to the masseter to reduce the muscular size of the jaw giving the face an illusion of being more slender 4. Fillers to the jawline, chin, cheeks, temples and brow help to shape the face and make it more angled and defined Always use at home derma rolling (see link to Emerageskin x anteageMD roller plus stem cells/hyaluronic acid ampules) and peels like emeragecosmetics enlighten or aerify that can be used to improve skin quality and tighten the skin while improving wrinkles, pigmentation, acne, and Melasma. See an expert who does facial shaping with surgical and non surgical methods to get a comprehensive option. Best, Dr. Emer.

Jonathan Kulbersh, MD · Answer

Thank you for your question. You may benefit from an injectable neuromodulator treatment such Dysport or Botox Cosmetic. These formulas can address facial symmetry as well as being valuable for treating migraines and teeth grinding or clenching.
Results from neuromodulator injections can last for approximately 3-4 months. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concerns and medical history and help you decide on the best approach.

Camille Cash, MD · Answer

We are all asymmetrical to some degree which adds to our unique look.  When it is bothersome often it can be improved with Botox and fillers.  Botox can be used to help brow asymmetry as well as decrease the appearance of the masseter muscle in the jaw area.  Fillers can address volume discrepancies.  See an expert injector near you to learn more.

Dmitriy Schwarzburg, MD · Answer

Asymmetry can come from either your bone structure or muscle imbalances. Botox and fillers can be used to even out your face. You may ask for botox, fillers, and PDO. A combination of all may be attempted to correct the asymmetry. Please contact a qualified provider with extensive experience in these procedures.

Milan Doshi, MS, MCh · Answer

Hello avaghefi, Thank you for the question.
I do understand your concern, but if you could have shared your pictures it would be ideal to understand and guide you better. If you had done fillers, only if they were permanent fillers will it migrate and stay for so long. Temporary filler usually stays for 2 years. Slight asymmetry is normal in all individuals. Lower face asymmetry can be corrected to some extent with the help of Botox. But a board-certified dermatologist or cosmetic surgeon would be able to guide you correctly. We are located in Mumbai, India if you visit you can see us. All the best.

Face not symmetrical, been told to do MRI. Should I get Botox?

Answers (5)

Answer: Botox

Answer: Botox

Answer: Lower face asymmetry can be corrected to some extent with the help of Botox

Answer: Lower face asymmetry can be corrected to some extent with the help of Botox

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Everything you need to know about Botox

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Face not symmetrical, been told to do MRI. Should I get Botox?

Answers (5)

Answer: Botox

Answer: Botox

Answer: Lower face asymmetry can be corrected to some extent with the help of Botox

Answer: Lower face asymmetry can be corrected to some extent with the help of Botox

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Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.