?
The size of the left and right sides of the face is uneven, and the cheekbones are also highly asymmetrical (right side higher than the left).
What should I do? If surgery is an option, what results can I expect? Which type of doctor should I consult?
tony, 10~19 year old female. Ask Date: 2002/09/17
Dr. Luo Qihua reply Plastic Surgery
Is it caused by what is known as hemifacial microsomia? In severe cases, this condition can even affect dental occlusion.
Whether surgical correction is possible requires actual evaluation and discussion.
Chang Gung Memorial Hospital's craniofacial surgery department is well-known and worth considering.
If there is a persistent growth in the area of the zygomatic bone, the possibility of tumor growth should also be considered.
A thorough assessment by a physician is essential.
Plastic Surgery Dr.
K.
H.
Lo.
Reply Date: 2002/09/17
More Info
Addressing facial asymmetry, particularly when it involves significant differences in the size and position of facial structures like the cheekbones, can be a complex issue that often requires surgical intervention. In your case, where you have noted a pronounced asymmetry with the right cheekbone being higher than the left, there are several surgical options available, and it is crucial to consult with a qualified specialist to determine the best course of action.
Surgical Options for Facial Asymmetry
1. Orthognathic Surgery: This type of surgery is often used to correct jaw misalignments that can contribute to facial asymmetry. If your asymmetry is related to the position of the jaw, this may be a suitable option. It involves repositioning the upper and/or lower jaw to achieve better alignment and balance.
2. Cheekbone Augmentation or Reduction: If the asymmetry is primarily due to the size of the cheekbones, procedures such as cheekbone augmentation (using implants) or reduction (reshaping the bone) can be performed. This can help create a more symmetrical appearance.
3. Facial Implants: In cases where one side of the face is less prominent, facial implants can be used to enhance the contours of the face, providing a more balanced look.
4. Fat Grafting: This minimally invasive procedure involves transferring fat from another part of your body to the areas of your face that require volume. It can help in achieving a more symmetrical appearance, especially if one side of your face appears sunken.
5. Soft Tissue Procedures: Sometimes, the asymmetry may be due to soft tissue issues rather than bone structure. Procedures such as fillers or Botox can be used to adjust the appearance of the face without the need for invasive surgery.
Effectiveness of Surgery
The effectiveness of these surgical options largely depends on the specific characteristics of your facial asymmetry. Many patients report significant improvements in their facial appearance and self-esteem following surgery. However, it is essential to have realistic expectations and understand that while surgery can greatly enhance symmetry, it may not achieve perfect balance.
Choosing the Right Specialist
When seeking a specialist for facial asymmetry, it is crucial to choose a board-certified plastic surgeon or an oral and maxillofacial surgeon with extensive experience in facial procedures. Here are some recommendations on how to find the right doctor:
1. Research Credentials: Look for surgeons who are board-certified in plastic surgery or oral and maxillofacial surgery. Check their educational background, training, and any additional certifications.
2. Review Before-and-After Photos: Many surgeons provide galleries of their previous work. Reviewing these can give you an idea of their skill level and the types of results you can expect.
3. Consult Multiple Surgeons: It is advisable to have consultations with several surgeons. This will allow you to compare their approaches, recommendations, and the rapport you feel with them.
4. Ask About Their Experience: Inquire about the surgeon's experience with facial asymmetry cases specifically. Ask how many similar procedures they have performed and what the outcomes were.
5. Patient Reviews: Look for reviews and testimonials from previous patients. This can provide insight into the surgeon's bedside manner, the quality of care, and overall patient satisfaction.
Conclusion
Facial asymmetry can be addressed through various surgical options, and the effectiveness of these procedures can significantly improve your appearance and confidence. It is essential to consult with a qualified specialist who can provide a personalized assessment and recommend the best approach for your specific situation. Remember, the journey to achieving facial symmetry is not just about the physical changes but also about enhancing your overall self-image and well-being.
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