How Can My Facial Asymmetry Be Improved?

Q: Dr. Eppley, I have an asymmetric face, jaw, and bite and looking to even things out. The left side of my face is bigger. I’m seeking to make my jaw and cheekbone on the left side smaller to match the right. Also, my right eyelid and eyebrow are lower than the left.

A: I have taken a look at your frontal facial photo and looked at making changes that would provide the best benefit. These would include a left cheek narrowing vertical osteotomy, a left jawline/angle narrowing ostectomy and a right endoscopic browlift. I don’t know your age and you mentioned a bite that is off so there is the possibility of orthodontics and orthognathic surgery as well which would always need to be done first. If you have never had an orthodontic workup this would be a good evaluation to do so you at least know your options.

Facial asymmetry is usually very difficult to get the best symmetry when only one side is done. This is why there remains the option of a

small high right cheek implant or even a small right jaw angle implant…as the bigger left side can never be made quite as small as the opposite smaller right side.

Dr. Barry Eppley

Indianapolis, Indiana