Which procedures would help me achieve facial symmetry and a more enhanced look? Previously had rhinoplasty and filler (photos)

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.

Thank you for your question and photo. While perfect facial symmetry is impossible to attain, you can enhance your look with hyaluronic acid fillers. You mentioned that you’ve tried dermal fillers in the past, so you may want to consider a facial fat transfer for a longer-lasting solution.
An autologous facial fat transfer uses your body’s own fat to rebuild volume in the face. Fat transfer injections are a safe, natural, non-allergenic way to enhance the contour of the face, restore volume, and make the features appear more symmetrical. The results of a facial fat transfer can last for up to three years or more. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can review your aesthetic goals and cosmetic treatment history to determine the best approach for you.

Believe it or not, but there’s no such a thing as facial symmetry. Symmetric faces simply do not exist on our planet. If you look at a figure in a wax museum, you will realize how strange they look, and that is because they are created in a symmetric manner. You’re still very young and quite beautiful, but the only thing that I can recommend is that you can have your cheeks enhanced with the use of your own fat. Your cheeks appear to be quite flat, like they probably are in your father. Fat grafting produces natural and permanent results, as long as it’s done by a plastic surgeon with a great deal of experiencing fat grafting techniques. I hope this helps and good luck from New York City Plastic Surgery.