What cosmetic procedures would fix my smile and eyelid asymmetry? (Photo)

Question

Photo included. I feel like I have a lot of asymmetry in my face, more so than other people. My lips/teeth are crooked as well as my eyelid/eyebrow.

Anna Chacon, MD, FAAD · Answer

It's important to consult with a board-certified plastic surgeon or a cosmetic dentist to get personalized advice, as they can provide a thorough assessment and recommend the most appropriate treatments for your specific needs. However, I can provide some general information on common procedures that might address your concerns about smile and eyelid asymmetry.

### For Smile Asymmetry:

1. **Orthodontics**: Braces or clear aligners (like Invisalign) can help straighten your teeth and correct bite issues, which might improve the overall symmetry of your smile.

2. **Dental Veneers**: Veneers are thin shells of porcelain or composite resin that are custom-made to fit over your natural teeth. They can be used to correct minor crookedness, gaps, and discoloration, providing a more symmetrical appearance.

3. **Dental Crowns**: If there are significant issues with individual teeth, crowns can be used to cover and restore them, improving both function and appearance.

4. **Gum Contouring**: For those with uneven gum lines, gum contouring can reshape the gums to create a more balanced look.

5. **Lip Fillers**: Injectable fillers can be used to enhance the shape and volume of your lips, potentially improving symmetry.

### For Eyelid/Eyebrow Asymmetry:

1. **Blepharoplasty (Eyelid Surgery)**: This procedure can correct drooping eyelids (ptosis) and remove excess skin or fat from the upper or lower eyelids, helping to create a more symmetrical appearance.

2. **Brow Lift**: A brow lift can elevate the position of your eyebrows, which might help with asymmetry. There are different types of brow lifts (e.g., endoscopic, temporal), and a surgeon can recommend the best one for you.

3. **Botox**: Botox injections can be used to subtly lift the eyebrows or correct minor asymmetries in the eyelid area. It can also be used to balance muscle activity on both sides of the face.

4. **Dermal Fillers**: Fillers can be used to address volume loss and asymmetry in the brow and upper eyelid area.

### General Considerations:

- **Comprehensive Facial Assessment**: A thorough evaluation by a plastic surgeon or cosmetic dentist is crucial. They can assess the overall symmetry of your face and recommend a combination of treatments tailored to your needs.
- **Realistic Expectations**: Understand that complete symmetry is not always possible or even natural. The goal of cosmetic procedures is often to improve harmony and balance rather than achieve perfect symmetry.
- **Qualified Practitioners**: Ensure that you consult with board-certified professionals who have experience in facial aesthetics. Look at their before-and-after photos and read reviews from previous patients.

### Next Steps:

1. **Consultation**: Schedule a consultation with a board-certified plastic surgeon and a cosmetic dentist. They can provide a detailed evaluation and discuss your options.
2. **Treatment Plan**: Work with your practitioners to develop a treatment plan that addresses your specific concerns and fits your budget and timeline.
3. **Follow-up Care**: Ensure that you understand the post-procedure care and any potential risks or side effects associated with the treatments.

By taking these steps, you can achieve a more symmetrical and aesthetically pleasing appearance while ensuring your safety and satisfaction.

Zoran Potparic, MD · Answer

Subtle asymmetry of the eyes and lips can be difficult to evaluate without in person evaluation. It would be in your best interest to seek consultation (in person or teleconference) with a board certified plastic surgeon. Good luck.

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