FACIAL ATTRACTIVENESS RELATED TO SYMMETRY OF FACIAL HALFS
The importance of facial symmetry is well known to have a major influence on how attractive one’s face is. The more symmetric two facial halves are, the more they are perceived as attractive, regardless if one is male or female. Off all the factors that contribute to the judgment of beauty, facial symmetry is often rated as most important even though most human faces have some asymmetry. (often referred to as character)
While some amounts of facial asymmetry are acceptable, and maybe even desired, significant facial asymmetry can cause major distress to the patient and is a common source of low self-esteem. There is no precise quantitative measure of acceptable vs. non-acceptable amounts of facial asymmetry other than how bothersome it is to the patient. Regardless of how it is perceived by others, individual perception of facial asymmetry is the most important determinant of whether surgical correction should be attempted.
ASSESSMENT OF FACIAL ASYMMETRY
Most facial asymmetry problems rarely affect just one facial area. Often it may really be the whole side of the face from the forehead down through the chin. Some asymmetries really require close inspection to see their full extent. In most cases the problem is one of underdevelopment or hypoplasia rather than overgrowth or hyperplasia of tissues.
Many typical facial asymmetry problems include such issues as chin/jawline deviation, vertical facial shortening, cheek retrusion, orbital floor/eye displacement, eyebrow lowering, forehead and brow bone protrusion or retrusions and nasal deviations.
FACIAL ASYMMETRY CORRECTION PROCEDURES
Facial asymmetry surgery (FAS) can include changes in the skull, forehead, eyebrows, brow bones, temples, ears, eyelids, nose, cheeks, lips, chin, jawline and neck The collection of available FAS procedures includes the following:
- Forehead/Brow Augmentation
- Temporal Line Augmentation/reduction
- Orbital Rim Reshaping
- Orbital Floor/Rim Augmentation
- Eyelid Canthoplasties/Canthopexies
- Cheek Augmentation/Reduction
- Buccal Lipectomies/Perioral Mound Liposuction
- Fat Injections
- Lip/Corner of Mouth Lifts
- Bony Genioplasty
- Chin Implants
- Jawline/Jaw Angle Reduction and Narrowing
- Jawline Implant Augmentation
- Submental/Neck Liposuction
Before Facial Asymmetry Surgery
A thorough assessment of the entire face from the skull down through the jawline using photographs and computer imaging is an essential diagnosis and treatment planning step. In some cases, a 3D CT scan may be very helpful to what is seen in the physical examination or photographic analysis. These assessments are necessary to determine what exact procedure(s) would be beneficial and which ones would have the greatest impact on improving facial symmetry. A list of all structures contributing to the asymmetry is made and ordered in priority of importance to the patient. Then the appropriate procedures are matched to the diagnosis list. The patient then gets to choose which procedures they value and feel will make the greatest amount of improvement. In some cases, all selected procedures may be done at once and in other cases the patient may choose to do a staged approach.
Facial Asymmetry – The Operation
All FAS procedures are done under general anesthesia and certain patients will require an overnight stay in the facility based on the number of facial procedures performed and whether they are traveling alone or with someone. Each FAS procedure has its own unique methods of being performed, many involve bone or implants whole others are done by more traditional aesthetic surgery techniques such as soft tissue suspension or fat removal In general, however, dissolvable sutures are used as opposed to those that need to be taken out. Drains are used for skull and forehead procedures which are removed the next day. Rhinoplasties are taped and splinted. Most cheek, chin and jawline procedures are done from incisions inside the mouth and a compression wrap is applied right after to help manage swelling.
After Facial Asymmetry Surgery
FAS may involve just a single procedure (rarely) or multiple facial procedures may be done which is far more common. This leads to a highly variable amount of facial swelling and bruising which is largely expected by most patients. One’s recovery is not based on pain or other dysfunctions but on swelling and the time it may take to look more normal again. It could take anywhere from two to three weeks for one to feel completely comfortable being in public without having noticeable signs of surgery. Risks and complications from any FAS procedure are individual and most of these are enumerated in different sections of this website under the individual procedure listings. The biggest overall issue to understand is that FAS is about lessening the degree of asymmetry and perfect facial symmetry is usually not possible. In many patients, it may take more than one surgery to get the best result possible.
The Cost of Facial Asymmetry Surgery
Due to the number and complexity of the procedures, each patients needs to be individually treatment planned and costs determined.