Uneven Chin Asymmetric Face? (photo)

Question

Hello. i would like to know if there is any solution to my problem. i have been to million doctors already but they all seem to be indifferent. i have uneven jawline...my right side of face is much bigger than my left one.. the central line of my upper teeth doesnt go with the central line of my lower teeth... looks like my jaw slides to the right when i close my mouth.

Ryan A. Stanton, MD · Answer

Indeed what you see is real and in fact no face is perfectly symmetric. My personal opinion is that the fuller side is your better half thus I would augment the Left side of you jaw-line. Typical options would include and implant which woukld be more or less a permanent solution or semi-permanent fillers such as Aquamid which would get you through 5+ years until you may need a touch up. Glad to help...RAS

Barry L. Eppley, MD, DMD · Answer

Your degree of facial asymmetry is not uncommon and can definitely be improved by a single procedure. The important question is which side of your face do you like better. Based on your inquiry, it sounds like you do not like the longer right side. The asymmetry is very easy to see from the chin back along the right jawline. That could be solved by an inferior border chin-prejowl ostectomy removing the longer portion to match the other side. That is a fairly simple procedure done from inside of the mouth, making sure to preserve the mental nerve which sits well above the ostectomy line.

David C. Mabrie, MD · Answer

Wow, I think the reason your doctors have been indifferent is you have a Very attractive face!  You have really nice cheek bones and nice proportions in general.  I do however see what I would categorize as a mild/moderate asymmetry.  Your face could be treated very well with a filler like Radiesse.  It would not make it perfectly symmetric (no worries here, no ones' face is absolutely symmetric!), but it would significantly improve the gross asymmetries.

	 

	There is a link to a similar case of mine at the end of this answer.

	 

	A few facts about non-surgical chin augmentation:

	
		Radiesse is great, lasts about a year, touch-ups at 6 months
	
		Saline may be placed as a 10 minute test run
	
		Artefill is permanent but does require multiple treatments


	Good luck finding information!

Gerald Wittenberg, MSc, DMD (retired) · Answer

The key is the bite. If the midline of the upper jaw is 'off' then you could ideally consider orthognathic surgery to fix the smile/centerline ; as well as treat the asymmetry. This is quite common. Alternatively, you could just 'mask' the asymmetry with changing the jawline contours. The jawline can be altered just at the front of the jaw/chin; or along the entire jawline.

Uneven Chin Asymmetric Face? (photo)

Answers (4)