Facial Asymmetry Surgery
Q: Dr. Eppley, I am interested in facial asymmetry surgery. I feel as though one side of my face sags down (the right). I have spoken to a facial surgeon in my city and he believes that it is natural asymmetry in my face but I believe it is because of my accident which I was in when I was five. He said that any surgery would be invasive and might not even change that much. Just looking for a second opinion and any options that might be open to me .Thanks.
A: Thank you for sending your pictures/. Your facial asymmetry is caused by a left-sided facial hypoplasia. (presuming the images are not switched) It is natural only from the standpoint that it developed this way but that does not make it normal or aesthetically acceptable to you. This could be improved by the combination of a left jaw angle implant combined with a right perioral liposuction to better balance the two sides of the face. The other option for the soft tissues is to fat graft the left side of the face in the perioral region based on how you want to balance out the soft tissue asymmetries. Yes surgery is invasive but that is the only way to improve your facial asymmetry.
Dr. Barry Eppley