Facial asymmetry - can this be fixed with lip filler? (Photo)

Question

24 year old- have a lot of facial asymmetry especially in the jaw, mouth and nose area. Can this be fixed with lip filler? or would it have to a larger jaw procedure. Really don't like my right side profile, and want it match my left side.

Falguni Patel, MD, FACOG · Answer

Hi!
a lot of people have asymmetries in their face, its actually very normal to be asymmetrical. There are many different kind of fillers for different areas of the face, it all just depends what your concerns are. Going to an experienced injector who is knowledgeable in facial anatomy and filler types would be beneficial as they could choose the correct products for you to enhance your natural beauty and help fix some asymmetries. You would likely get a great result with dermal filler and not need a more intense procedure for the jaw as you mentioned.

Gary M. Horndeski, MD · Answer

Fillers will not fix your problem.  You will need your chin reduced.

Best Wishes,

Gary Horndeski, M.D.

Nelson Lee Novick, MD · Answer

From the photos you have wonderful bone structure and would seem that the simplest approach that would make the most impact would be use a robust, HA volumizing filler for contouring the cheeks and creating a more feminine, heart-shaped, oval face and the use of a less robust HA filler for augmenting the lips. A less is more approach would seem quite reasonable in this case while yielding the most pleasing aesthetic improvement. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler expert. Hope this helps and best of luck.

Camille Cash, MD · Answer

Everyone has facial asymmetry to some degree and yours is mild.  Fillers and Botox are commonly used to help improve facial asymmetry by conservatively lifting the brow, addressing hypertrophic masseter muscles, and balancing facial contours.  See an expert injector near you to discuss your concerns and learn more.

Nuket Eroglu, MD · Answer

Hello; the asymmetrical situation in your chin cannot be corrected by lip filling. I actually recommend for you a surgery for that. The fat pad; shifted to your right side; distorts your chin contour. If this is removed with Vaser and lifting procedures are achieved, this asymmetrical appearance would be eliminated. You can have additional filling; which is done for making it even sharper. The significant thing is to choose professional hands and the appropriate filling.

Mats Hagstrom, MD (license on probation) · Answer

All people have facial asymmetry.
During embryological development, the two sides of the face develop independently from each other, and eventually fuse in the midline.
All of the asymmetry is based on bone structure.
Soft tissue solutions to treat, skeletal based a symmetry will only create a secondary a symmetry.
 The human brain is accustomed to seeing peoples faces as asymmetrical. Look at people we know, and it’s strangers. We typically don’t recognize that they are symmetrical.
We see most people as looking normal, even though everybody has significant facial asymmetry.
The human brain is accustomed to seeing this, and it is what is normal.
In fact, if you look at computer generated perfectly symmetrical faces, they have an odd and unfamiliar appearance.
Every once in a while, facial asymmetry become eye-catching in some individuals.
Still the human brain in most people will not see the asymmetry as being abnormal.
Serious attempts at treating this would include cranial facial surgery.
You can certainly get an assessment. That type of work is usually done by oral surgeons with specialty Craniofacial fellowship training, and or plastic surgeons who go on to do craniofacial fellowship training as well.
For most people, the surgical approach is to invasive and extreme, but for some people it is indicated, and maybe worth the pursuit.
Simplistic solutions, including the use of fillers will most likely lead to disappointment.
In your case, the left side of your face appears quite wide, compared to the right side, and your left ocular orbit appears medial, but this may simply be the width of your face on that side.
My best recommendation is to again emphasize that all people have significant facial asymmetry.
Even classical historical great work of art had facial and body asymmetry incorporated into the works of art because the artist understood that both the body and the face of humans is never symmetrical.
Best,
Mats Hagstrom, MD

Facial asymmetry - can this be fixed with lip filler? (Photo)

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