Facial Pain and Asymmetry: Which Specialist to Consult? - Family Medicine

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Cheek tenderness upon palpation?


Hello, recently I have been experiencing pain on the right side of my cheek (just below the cheekbone) only when pressed, and there is noticeable asymmetry in the flesh on both sides of my chin, with the left side visibly sagging while the right side appears normal.
Which specialist should I see for this?

Miss Lin, 50~59 year old female. Ask Date: 2022/12/30

Dr. Liao Yaopan reply Family Medicine


Hello, based on your description, the symptoms are also atypical.
It is recommended that you first consult your family physician for an evaluation, and depending on the situation, they may refer you to other subspecialties.
Please note that online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2022/12/30

More Info


When dealing with facial pain and asymmetry, it's essential to consult the right specialist to address your concerns effectively. Based on the symptoms you've described—pain in the right cheek area and noticeable asymmetry in the jawline—there are a few potential specialists you might consider.

1. Otolaryngologist (ENT Specialist): An ENT specialist can evaluate any underlying issues related to the sinuses, jaw, or ear that might be contributing to your facial pain. They can also assess if there are any infections or structural problems affecting your facial symmetry.

2. Oral and Maxillofacial Surgeon: If the pain is related to dental issues or jaw alignment, an oral and maxillofacial surgeon would be an appropriate choice. They specialize in conditions affecting the mouth, jaw, and face, and can provide insights into whether your symptoms are related to dental problems, temporomandibular joint (TMJ) disorders, or other structural issues.

3. Neurologist: If the pain is more neurological in nature, such as nerve compression or trigeminal neuralgia, a neurologist would be the right specialist to consult. They can perform tests to determine if there is any nerve involvement causing your facial pain and asymmetry.

4. Plastic Surgeon: If the asymmetry is significant and you are considering surgical options for correction, a plastic surgeon who specializes in facial procedures can provide you with options for cosmetic improvement.

5. Physical Therapist: Sometimes, facial pain and asymmetry can be addressed through physical therapy, especially if there are muscular imbalances or tension contributing to your symptoms. A physical therapist with experience in facial or jaw issues can help with exercises and treatments to alleviate pain and improve symmetry.


Additional Considerations
- Assessment of Symptoms: It's crucial to provide a detailed history of your symptoms to the specialist you choose. This includes when the pain started, any associated symptoms (like swelling, numbness, or changes in sensation), and any previous treatments you've tried.

- Diagnostic Imaging: Depending on the specialist's evaluation, they may recommend imaging studies such as X-rays, CT scans, or MRIs to get a clearer picture of the underlying structures in your face and jaw.

- Treatment Options: Treatment will depend on the underlying cause of your symptoms. This could range from medication for pain relief, physical therapy, dental interventions, or even surgical options if necessary.

- Psychological Impact: It's also worth noting that facial pain and asymmetry can have psychological effects, leading to concerns about self-image and confidence. If you find that these issues are affecting your mental well-being, consider discussing this with a mental health professional as well.

In summary, start by consulting an ENT specialist or an oral and maxillofacial surgeon, as they can provide a comprehensive evaluation of your symptoms and guide you to the appropriate treatment. Don't hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Your health and comfort are paramount, and finding the right specialist can make a significant difference in your treatment journey.

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