Can Facial Imbalance Be Corrected with Plastic Surgery? - Plastic Surgery

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Facial coordination


Hello Dr.
Chiang,
I have some facial asymmetry; specifically, my eyes are uneven in height, and my mouth appears slightly crooked.
I would like to know if it is possible to undergo cosmetic surgery to correct this issue.
Are there any potential side effects? Additionally, what is the approximate cost for such a procedure? Thank you!

aking, 20~29 year old female. Ask Date: 2004/01/01

Dr. Jiang Baicong reply Plastic Surgery


The difference in height between the left and right eyes, along with a slight asymmetry of the mouth, may be due to the condition of the facial nerve.
There are many causes of facial nerve paralysis, such as viral infections, what is commonly referred to as a mini-stroke, injuries, or congenital factors.
If the paralysis is due to an injury and is temporary, conservative treatment such as medication may suffice.
However, if there is a peripheral facial nerve rupture, surgical intervention such as nerve repair may be necessary.
In cases where there has been long-term loss of facial nerve function, functional muscle nerve flap surgery may be required to reconstruct the facial nerve paralysis.
The assessment of surgical complications should be discussed with a physician.
If the paralysis is trauma-related, it is covered under Taiwan's National Health Insurance system.
However, if it is purely cosmetic, costs will be incurred, which will depend on the type of surgery performed.
Wishing you a Happy New Year and good health, Jiang Baicong.

Reply Date: 2004/01/01

More Info


Facial imbalance, characterized by asymmetries in features such as the eyes and mouth, can indeed be addressed through various plastic surgery procedures. The extent to which these imbalances can be corrected depends on the specific characteristics of the asymmetry, the underlying causes, and the techniques employed by the surgeon.

Understanding Facial Imbalance:
Facial asymmetry is a common concern, and many individuals have some degree of unevenness in their features. This can be due to genetic factors, developmental issues, or even past injuries. In your case, with one eye being higher than the other and a slightly crooked mouth, these issues can often be corrected through surgical intervention.

Surgical Options:
1. Blepharoplasty: If the asymmetry is primarily in the eyelids, a blepharoplasty (eyelid surgery) can help to create a more balanced appearance.

2. Rhinoplasty: If the nose contributes to the perceived imbalance, a rhinoplasty may be performed to reshape the nose and improve facial harmony.

3. Facial Implants or Fillers: In cases where the cheeks or jawline are uneven, implants or fillers can be used to enhance symmetry.

4. Orthognathic Surgery: If the jaw structure is contributing to the asymmetry, corrective jaw surgery may be necessary to realign the jaw and improve facial balance.

5. Botox or Dysport: For minor asymmetries, neuromodulators can be injected to relax certain muscles, helping to create a more symmetrical appearance.

Risks and Considerations:
As with any surgical procedure, there are risks involved. Potential complications can include infection, scarring, asymmetry post-surgery, and dissatisfaction with the aesthetic outcome. It is crucial to have realistic expectations and to understand that while surgery can significantly improve facial balance, it may not achieve perfect symmetry.
Consultation and Cost:
Before proceeding, it is essential to consult with a board-certified plastic surgeon who specializes in facial procedures. During this consultation, the surgeon will assess your facial structure, discuss your goals, and recommend the most appropriate procedures. They will also provide a detailed breakdown of the costs involved, which can vary widely based on the complexity of the surgery, the surgeon's experience, and the geographic location of the practice. Generally, facial surgeries can range from a few thousand to tens of thousands of dollars.

Post-Operative Care:
Post-surgery, it is vital to follow your surgeon's instructions for care and recovery. This may include managing swelling, avoiding strenuous activities, and attending follow-up appointments to monitor healing.
In summary, facial imbalance can be effectively corrected with plastic surgery, but it is essential to approach this decision with careful consideration, thorough research, and professional guidance. The journey to achieving a more balanced appearance is not just about the surgery itself but also about understanding the nuances of facial aesthetics and the importance of individualized treatment plans.

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