Uneven smile - what procedures can I get done to fix my whole face and turn it symmetrical? (Photo)

Question

My teeth slant to the side and I had originally thought that braces would fix this but it did not. I then started analyzing my whole face and noticed everything is asymmetrical including my eyes. I was wondering what procedures I can get done to fix my whole face and turn it symmetrical.

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. While perfect symmetry is difficult to obtain, you may benefit from a conservative amount of Botox to help your smile appear more symmetrical. 
This injectable treatment can target specific facial nerves to reduce specific muscle movement. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concerns and suggest the best approach for helping you achieve your aesthetic goals.

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.

Caner Kacmaz, MD · Answer

Almost everyone in the world has facial asymmetry. It’s extremely common. Botox and fillers along with dental corrections will help. In a situation that your asymmetry is extreme and very  noticeable, then your plastic surgeon may recommend surgical treatment over minimally invasive procedures such as dermal fillers and Botox. Good luck.

Alan Gonzalez, MD, FACS · Answer

Hello @rebeca.deras, thank you for your question. A completely symmetrical face does not exist. It is important to remember that we aren't completely equal on both sides; there are always some differences that may or may not be noticeable. It is wise to keep this in mind when setting expectations and planning your non surgical protocol. Having said that there are technologies that can favor symmetry like Ultherapy. For more information and recommendations, consult with one or several board certified specialist. Best wishes! Alan Gonzalez MD, FACS.

Camille Cash, MD · Answer

First it is important to note that we all are asymmetrical to a degree and you certainly fall into the normal category.  To help improve nuances of asymmetry you can consider Botox and fillers.  Your smile actually looks very nice.  I would caution you to not focus on perfect symmetry, but rather improvement.  See an expert injector near you to discuss your concerns.

Barry Kusman, MD, FACS (retired) · Answer

The face is normally asymmetric. Even when rejuvenating the face, the doctor should maintain the asymmetry. The only part of the face that should be symmetric are the lips. Look up symmetric faces and you will see how strange people look.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your 2 photos of the lower 1/3 of your face, I cannot detect significant asymmetry. You note other asymmetries of your face, but they are not included in your photos.Noone is symmetric. If you place a mirror image of one side of your face alongside a correct image of the other side, you will not look the same...If there are significant symmetry issues, I would recommend a consultation with a board certified plastic surgeon for evaluation and discussion. Best wishes...

Uneven smile - what procedures can I get done to fix my whole face and turn it symmetrical? (Photo)

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