Could my eye asymmetry be fixed with well-placed botox or filler? (Photo)

Question

Eye Asymmetry I know some asymmetry is normal, but my eyes really bother me. Is this something that could be fixed with well-placed botox or filler? I'm hesitant to go for a blep surgery b/c I'm planning on getting my nose done in December and don't want to drop so much money all at once. I am a 29 year old female. 5ft 8 120 pounds.

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. Fillers can be used to restore volume, improve facial balance, and create a more symmetrical and youthful appearance. Many dermal fillers are composed of hyaluronic acid, a naturally occurring substance in the human body. 
By adding hyaluronic acid back into the dermal structure, volume can be restored to specific areas to provide a more balanced result that can last for up to a year or more. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can consider your future surgical procedure and suggest the treatment option for you.

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.

Anshul Gambhir, MD · Answer

Hi, thank you for your question! Botox can help with asymmetry of the face. Botox would be a great start for you to help with the asymmetry of your eyes. I would place botox in between your eyebrows and also baby botox below the brows to help give a lift. I would place more botox on the right side as that side prevails heaviness in the picture.

Camille Cash, MD · Answer

We are all asymmetrical to some degree and your eyes certainly fall into the mild range.  Botox can be used to give a conservative brow lift which won't necessarily address the asymmetry but many report that they feel their eyes look more refreshed.

Leonard Grossman, MD · Answer

The eye asymmetry you see in your face is absolutely normal and exists in every single individual on this planet. In 90% of individuals the left eye is slightly higher and is set back a little more than that on the right side of the face. Not even bone surgery will solve this issue. Fillers or Botox will definitely show you absolutely no improvement. I hope this helps and good luck from New York City plastic surgery

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