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Facial asymmetry is very common, and most people have a “better” side they prefer. From your description, it sounds like your left side appears more defined, while the right side looks fuller or puffier. This kind of asymmetry can be due to a variety of factors, and the good news is there are multiple ways to improve balance.Possible Causes of Puffiness or Fullness:Natural fat distribution or muscle dominance (we tend to chew more on one side or sleep on one side)Mild fluid retention or lymphatic drainage imbalanceHabitual posture or sleeping positionSkeletal asymmetry (bone structure differences)Parotid gland enlargement or fullnessVolume loss on one side making the other appear fuller in comparisonOptions to Improve Facial Symmetry:Non-Invasive Approaches:Lymphatic massage: Helps reduce puffiness and fluid retention if that’s contributing to the asymmetry.Facial exercises or muscle retraining: May help tone one side if there's a muscle dominance imbalance.Consistent sleep posture: Try to avoid always sleeping on one side.In-Office Treatments:Injectables (Fillers & Neuromodulators):Dermal fillers: Can subtly enhance the less prominent side to create symmetry (often done in cheeks, jawline, or temples).Botox/Dysport: Useful if muscular asymmetry is involved (e.g., masseter muscle hypertrophy on one side).Fat Dissolving Injections (e.g., Kybella or Deoxycholic acid):If the puffiness is due to excess subcutaneous fat (like in the jowls or lower cheeks), this can help contour the area.Skin Tightening Devices:Radiofrequency or ultrasound-based devices (like Thermage or Ultherapy) can help with mild laxity or volume imbalance.Buccal Fat Removal or Contouring (if applicable):In select cases, if there's significant cheek fullness asymmetry, contouring can be discussed, but only if non-invasive options are not sufficient.Skincare Add-ons:Topical caffeine-based creams or mild tightening serums can offer temporary contouring effects, especially when used before photos or events.Even subtle tweaks can make a noticeable difference in symmetry. Combining a conservative approach with the right treatments often gives the most natural and balanced result.
We are all asymmetrical to some degree. Fillers and Botox are great options to help improve facial balance. Botox can be used to help improve eyebrow asymmetry as well as address the jawline. Fillers can help balance contours and volume discrepancies. See an experienced injector near you to learn more.
To address this area you may benefit from Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. It is safe for all skin types and can be used to address the under eyes. See an experienced provider to learn more.
Thank you for your thoughtful and honest question. Changes in facial appearance, especially after weight loss or prolonged use of medications like Rybelsus (semaglutide), are not uncommon. Many individuals report facial thinning, sagging, or changes in structure after losing even a moderate...
Thank you for your detailed question. It’s not uncommon for tear trough filler to still be present a year after treatment, especially if hyaluronic acid-based products like Restylane or Juvederm were used. These fillers can persist in the under-eye area longer than in other parts of the face d...