Tooth loss & facial asymmetry, what could be the reason for this change? (Photos)

Question

Hi, neary 1.5 months ago i lost my grinder tooth. In this time period i feel some facial changes at right side of my face. It seem more smaller and sunken now. It’s a subtle change and most people cant even notice it but it really bothers me. I thought the reason for this change is jaw bone loss but i’m not sure because in x ray it seems there isn’t big bone loss. So what can be the reoson for that change? Masseter atrophy or fat loss? What should i do detect the reason and how to treat it.

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.

Camille Cash, MD · Answer

An in person examination is needed to determine what may be causing the change in your facial contours.  You can consider fillers to help improve the asymmetry.  Botox can be used to help slim the larger masseter muscle as well.  See an expert injector near you to learn more.

Tooth loss & facial asymmetry, what could be the reason for this change? (Photos)

Answers (2)

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