How Can My Facial Asymmetry Be Fixed?
Q: Dr. Eppley, My face is severely lopsided and my lower jaw does not sit exactly in place. It is very noticeable when looking in the mirror or inverted photos of myself. One of my eyes is also larger than the other and one of my cheeks has much more skin/fat than the other as well.
A: Thank you for your inquiry and sending your pictures. What you have is a right facial asymmetry, which affects the entire right side of your face, but in which the greatest asymmetry is inferior or lower. Your chin/jaw deviation is the most severe component of your facial asymmetry which becomes less so as it proceeds superiorly. (mouth corner is lower, nostril is lower and wider, cheek is fuller, upper and lower eye corners are lower with upper lid ptosis)
All of the issues above the jawline can be improved by soft tissue procedures which can be determined by what is seen externally. The chin/jawline, however, has undoubtably a major bony component to it. This will need to be assessed and treatment planed by first getting a 3D CT scan of your face.
Dr. Barry Eppley