Q: Dr. Eppley, I have some questions about facial asymmetry correction. After finally doing my research I have seen amazing reviews on you and before I make some big decisions, I am asking some help from the surgeon point of view. I have two questions I would like to ask.
1) Every time I take a photo and my phone flips it my face looks very asymmetrical and weird looking. What procedures from the photos I sent do you need to perform to look even?
2) How come when I ask my friends they don’t notice it with my eyes and eyebrows unevenly but in the photos I can notice it extremely.
Also I forgot to mention under my eyes too. Thank you.
A: Thank you for sending your pictures. When it comes to facial asymmetry correction it is first important to identify which facial features are the asymmetric ones. What I can gather from the one front view pictures is that you have significant eyebrow asymmetry. The right eyebrow sits lower than the left. Because a picture freezes the face for a continued assessment most facial asymmetries are easily seen. In real life the position of one’s face is constantly moving and rarely does one talk to someone dead on with a ‘frozen face’ so one can get a good assessment of facial symmetry or asymmetries. The treatment for eyebrow asymmetry would be a unilateral endoscopic browlift. This could be effective provided one has some eyebrow tissue laxity which can be assessed by whether you can manually raise up the eyebrow with your fingers.
Your undereye hollows are the result of deficient inferior orbital rim bone. While this can be treated by fat injections, it is probably best treated by infraorbital rim implants with an overlay of fat injections if needed.
Dr. Barry Eppley