What can I do to improve the asymmetry in my face? (Photo)

Question

Hoping to learn what I can do to improve symmetry. I like my left side- right looks puffy and left defined

Anna Chacon, MD, FAAD · Answer

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 imbalance

Habitual posture or sleeping position

Skeletal asymmetry (bone structure differences)

Parotid gland enlargement or fullness

Volume loss on one side making the other appear fuller in comparison

Options 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.

Camille Cash, MD · Answer

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.

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