Facial asymmetry - any suggestions on what to consider? (Photo)

Question

I am a 28-year-old female with a relatively healthy lifestyle and no health concerns. Over the last few years, I have noticed that the left side of my face has more volume than the right side. I have one major and very noticeable bag under my left eye. I tried undereye fillers back in 2019 but had them dissolved a year later as it did not address the problem. I am unsure what to do or how to proceed with this unusual concern. Any suggestions on what to consider?

Whitney Florin, MD · Answer

Hello! You are beautiful and asymmetry is common. However if this bothers you, you may want to consider surgery. What you are seeing is puffiness on the left side due to the fat pads under the eye bulging or sticking out. Some people do see this at a young age like you and some people see this more on one side versus the other. To correct it, it would be lower eyelid surgery (transconjunctival blepharoplasty) to remove some of those fat pads on the left side. I have done this surgery to two different young women who just had one side with more pronounced puffiness. I performed the surgery only to the "puffier" side. However depending on your exam, a surgeon may recommend surgery on both sides for better results. I wouldn't do filler since it will not correct the problem and may only make that side look even fuller/puffier. Hope this helps!

Camille Cash, MD · Answer

We all have facial asymmetry to some degree.  Fillers are helpful to improve asymmetries and improve contours.  Other options for the under eye area are AccuTite and Morpheus8 which can address eye bags.  I encourage you to visit with a board certified plastic surgeon near you to discuss your concerns and learn more about your options.

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.

Stuart Diamond, MD · Answer

Hi halikou! in your case filler would definitely be the best option to help even out your face. Botox could be helpful for any fine lines and wrinkles you might have but filler would bring balance to your face

Facial asymmetry - any suggestions on what to consider? (Photo)

Answers (4)

Answer: Facial symmetry

Answer: Facial symmetry

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Everything you need to know about Dermal Fillers

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

Facial asymmetry - any suggestions on what to consider? (Photo)

Answers (4)

Answer: Facial symmetry

Answer: Facial symmetry

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Recommended reading

Everything you need to know about Dermal Fillers

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