Addressing Facial Asymmetry: Is Surgery the Only Solution?

My cheeks?

My left cheek is noticeably more prominent than my right cheek, and people who don't know me often think I have swelling or that I'm deliberately holding a piece of candy in my mouth! Additionally, the bones on the left side of my face make a squeaking sound when I intentionally open my mouth wide.
I'm wondering if it's because I've always used my left teeth to chew food since I was young, which has caused my left cheek to be much more protruded than my right.
Is there no way to fix this? Would I need plastic surgery to address the issue of my facial asymmetry?

Chen, 20~29 year old female. Ask Date: 2002/05/31

Dr. Lu Daokuan reply Plastic Surgery

There are multiple reasons for facial asymmetry.
If it is simply due to bone prominence, cosmetic surgery may be necessary.
However, if it is caused by malocclusion leading to unilateral muscle hypertrophy, orthodontic treatment would be the solution.
In any case, a comprehensive evaluation should be conducted first to ensure that the treatment is effective.

Reply Date: 2002/05/31

More Info

Addressing facial asymmetry can be a complex issue, and while surgery is one option, it is not necessarily the only solution. Facial asymmetry can arise from various factors, including genetics, habitual behaviors, and even dental issues. In your case, it seems that you have noticed a significant difference between the left and right sides of your face, particularly in the cheek area, which you suspect may be related to your eating habits.

Firstly, it is essential to understand that some degree of facial asymmetry is normal and common among individuals. However, when the asymmetry is pronounced, as in your case, it can lead to concerns about appearance and self-esteem. The sound you describe when moving your jaw could indicate a temporomandibular joint (TMJ) issue, which is not uncommon and can contribute to facial asymmetry. TMJ disorders can result from various factors, including teeth grinding, jaw clenching, or misalignment of the jaw.

Before considering surgical options, it is advisable to explore non-surgical treatments that may help improve your situation. Here are a few options to consider:
1. Orthodontic Treatment: If your facial asymmetry is related to dental alignment, consulting with an orthodontist could be beneficial. They can assess your bite and recommend braces or other orthodontic devices to correct alignment issues, which may, in turn, improve facial symmetry.

2. Physical Therapy: If the asymmetry is related to muscle imbalances or TMJ disorders, physical therapy may help. A physical therapist can provide exercises to strengthen and balance the muscles of the face and jaw, potentially reducing asymmetry.

3. Dermal Fillers: For mild to moderate asymmetry, cosmetic procedures such as dermal fillers can be used to enhance certain areas of the face, creating a more balanced appearance. This is a non-surgical option that can provide immediate results with minimal downtime.

4. Botox Injections: In some cases, Botox can be used to relax overactive muscles on one side of the face, which may help improve symmetry. This treatment is temporary and requires ongoing maintenance.

5. Lifestyle Changes: If you suspect that your eating habits have contributed to the asymmetry, consider evaluating your diet and chewing habits. Try to use both sides of your mouth when eating to promote balanced muscle development.

If, after exploring these options, you still feel dissatisfied with the results, surgical intervention may be considered. Surgical options can include procedures such as:
- Cheek Augmentation: This involves adding volume to the cheeks to create a more balanced appearance.

- Jaw Surgery: In cases where the jaw structure contributes to asymmetry, orthognathic surgery may be recommended to realign the jaw.

- Facial Contouring: This can involve removing or reshaping bone to achieve a more symmetrical appearance.

It is crucial to consult with a qualified facial plastic surgeon or oral and maxillofacial surgeon who can assess your specific situation and provide tailored recommendations. They will consider your medical history, the degree of asymmetry, and your aesthetic goals before suggesting a treatment plan.

In conclusion, while surgery is one option for addressing facial asymmetry, it is not the only solution. Exploring non-surgical treatments and lifestyle changes may provide significant improvements. Always seek professional advice to determine the best course of action for your unique circumstances.

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