Is my cheekbones and skull so asymmetrical? (photos)

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.

When it comes to facial asymmetry one has to create a priority list of the asymmetric features and on which side of the face they prefer. Then the surgical options can be reviewed and determined which is most worthwhile. For example the eye asymmetry is very difficult to improve while the cheek and jawline asymmetries have better treatment outcomes.

Dear leahmackenzie,

Thank you for your clinical post and
photograph. Facial and extremity
asymmetry is extremely common. No two
eyes, ears, hands, feet or breasts are the same and the degree of asymmetrical
tolerance is really an individual aesthetic judgment. You do have enlarged orbit and globe on one
side with a more elevated brow, higher cheekbone and stronger jaw line and when
this asymmetry becomes an aesthetic concern for you non-invasive treatment such
as the use of soft tissue fillers, Juvederm Voluma and other products to
recreate shape and contour and balance and proportion is a simple non-invasive
way to assess aesthetic improvements by augmenting cheek and jaw line
structures. Even the eyes we can create
the illusion of more symmetry with elevation of the lower brow filling the larger
globe supratarsal sulcus of the eyelid on the bigger side and you should have
Botox brow shaping and you can achieve much more symmetry. Achieving long-term symmetrical improvement
is much more difficult. The use of
permanent implants or bone grafts are subject to variable aesthetic enhancements
and you still may be relying upon soft tissue injectables to maintain volume as
your skeletal mass changes with age.

As you age you may find that
asymmetry is to be celebrated and striving for perfection is an empty
road. Acceptance of your pretty face and
its individual features may make for a less expensive journey through the
aesthetic decisions of your life.

Many of these approaches can be
performed very safely and effectively under local anesthesia and general
anesthetic is not required.

I hope this information is of some
assistance and best of luck.

To find out more, please visit the
link below. Pay attention to the VolumaLift section particularly.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto