Correcting Facial Asymmetry: Do You Need Surgery? - Plastic Surgery

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The nose is crooked?


Dear Dr.
Chou, my cheeks seem to be asymmetrical.
When I see photos of myself, I feel like my face is tilted to one side.
I'm not sure how to improve this.
Do I need surgery? What would the cost be?

Yaken, 20~29 year old female. Ask Date: 2008/01/30

Dr. Zhou Hongzhang reply Plastic Surgery


Come to the outpatient clinic for an examination to determine if there is a skeletal issue.
Is surgery necessary? A medical consultation is required before providing an answer.
Dr.
Hsiao-Hung Chang.

Reply Date: 2008/01/30

More Info


Facial asymmetry is a common concern for many individuals, and it can significantly affect one's self-esteem and confidence. The question of whether surgery is necessary to correct facial asymmetry is complex and requires careful consideration of various factors, including the underlying causes of the asymmetry, the individual's overall health, and their personal aesthetic goals.

Firstly, it's essential to understand that some degree of facial asymmetry is normal and can be found in nearly everyone. Factors such as genetics, aging, and environmental influences can contribute to variations in facial structure. In many cases, asymmetry may not be severe enough to warrant surgical intervention. However, if the asymmetry is pronounced and affects the individual's quality of life or self-image, surgical options may be explored.

Before considering surgery, a thorough evaluation by a qualified facial plastic surgeon or craniofacial specialist is crucial. They will assess the facial structure, including the bones, soft tissues, and overall symmetry. This evaluation may involve imaging studies or 3D modeling to understand the underlying anatomy better. The surgeon will also consider whether the asymmetry is due to skeletal issues, soft tissue imbalances, or a combination of both.

If surgery is deemed necessary, there are several options available, depending on the specific issues identified. Surgical procedures may include:
1. Orthognathic Surgery: This is often recommended for individuals with skeletal discrepancies, such as an overbite or underbite, that contribute to facial asymmetry. This surgery involves repositioning the jawbones to achieve better alignment and balance.

2. Facial Implants: In cases where certain areas of the face, such as the cheeks or chin, are underdeveloped or asymmetrical, implants can be used to enhance the contours and achieve a more balanced appearance.

3. Soft Tissue Procedures: These may include fillers or fat grafting to add volume to specific areas of the face, helping to correct asymmetry without the need for invasive surgery.

4. Rhinoplasty: If the nose contributes to the perceived asymmetry, a nose job may be performed to create a more harmonious facial profile.

The cost of these procedures can vary widely based on the complexity of the surgery, the surgeon's experience, and the geographic location of the practice. On average, facial surgeries can range from a few thousand to tens of thousands of dollars. It's essential to discuss the financial aspects with the surgeon during the consultation, as they can provide a detailed breakdown of costs, including anesthesia, facility fees, and post-operative care.

It's also important to consider the risks associated with any surgical procedure. Common risks include infection, scarring, anesthesia complications, and dissatisfaction with the aesthetic results. A thorough discussion with the surgeon about these risks and the expected outcomes is vital for making an informed decision.

In conclusion, while surgery can be an effective solution for correcting facial asymmetry, it is not always necessary. A careful evaluation by a qualified professional is essential to determine the best course of action. Non-surgical options may also provide satisfactory results for some individuals. Ultimately, the decision should be based on a combination of medical advice, personal goals, and a realistic understanding of the potential outcomes.

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