Facial Asymmetry and solutions By Dr. E. Ronald Finger

First, one should know that to be symmetrical would be very rare. After-all, our liver is on the right, the heart is on the left, pancreas on the left, and so forth. Usually, one leg is a little longer than the other, the hairline is not even, etc.Very commonly a patient will visit a plastic surgeon regarding-asymmetry of the face, and according to the location and degree, most asymmetries can be diminished, but not all. For instance, virtually everyone’s skulls are smaller on one side, and usually it’s the right side for reasons unknown. Possibly it’s because our heart is on the left and in utero the left side receives more blood supply and thus grows slightly larger. This can be noticed by looking at the eyes to assess which one is lower than the other eye. Also, the lower eye will then be closer to the mouth.

What facial asymmetry can be treated, and how?

Before and After 4 month of Bullhorn Lip Lift by Dr Finger to correct asymmetry and to shorten distance between nose and upper Lip

If the lips are uneven, (often noticeable in the upper lip) the treatment might be an asymmetrical lip lift, called a “buckhorn” lift. The result is permanent. Or a filler on the side that is thinner can be used. Each patient must be carefully assessed.

Can facial asymmetry be fixed with filler?

Yes, fillers, such as Juvederm or Restylane products can used for some facial asymmetries of the face, such as a cheek that is smaller than the opposite cheek. This also applies to the jawline or any part of the face on the deficient side. 

Plastic Surgery may be chosen as a more long lasting solution.  A facelift with fat grafts for example, or if a patient chooses the non-surgical route, a PDO thread-lift can be a solution as mentioned above. Again, each patient must be assessed and treated appropriately to help them reach event personal goals.

Do many people have facial asymmetry?

Before and After Eyelid lift -this corrected facial asymmetry caused by droopy upper eyelids. Look at the left versus the right eye on the before picture. The result speaks for itself

Yes, really no one is completely symmetric. Eyes are also a common request for more symmetry. As mentioned, the right eye is usually lower than the left, and this cannot be corrected. However, the appearance of more evenness can often be achieved by removing more skin from the upper eyelid. Again, if indicated, elevating the lowest brow may be another solution. Fat grafts or even a cheek implant may be used if there is a deficient bony rim below the lower eye. 

Facial Asymmetry often includes the nose

Before and After Nonsurgical nose job with 1/2 syringe of Belafill to correct facial asymmetry

Asymmetrical noses usually require a surgical rhinoplasty, but amazing results can be achieved in many cases with properly placed fillers. In fact, humps can be minimized, noses shortened and even tilted more upwards non-surgically as well. 

Although most people are unaware of asymmetry of their faces, others have noticeable asymmetries which can easily be corrected with minimal (if any) downtime.

Interested? Give us a call at 912-214-3690.

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