What Can Be Done For My Facial Asymmetry?

Q: Dr. Eppley, I have orbital, cheek, jaw and nose asymmetry (see attached picture). Please advise as to what can be done surgically to resolve the facial asymmetry. I would be very appreciative of your answers and expertise.

A: What I see in your picture is a right-sided facial asymmetry which is smaller and deviated to that side. The most visible component of your facial asymmetry is a lower right brow and entire orbital box and eye as well as the cheek bone. Since it is not possible to lower the left brow and eye, facial asymmetry surgery would be focused on the right side. The right eyebrow could be lifted and the brow bone augmented. The right eye can be lifted by orbital floor augmentation and the corner of the eye moved upward. Lastly the right cheek bone could be augmented as well. There are other areas of facial asymmetry, such as the nose and jaw, but I would focus first on the most distracting aspect of the facial asymmetry around the right eye. This would be the most important focus of your facial asymmetry since it is what most people focus on during conversational interactions and in pictures.

Dr. Barry Eppley

Indianapolis, Indiana