Is Further Improvement of My Facial Asymmetry Possible?

Q: Dr. Eppley, I have been treated for facial asymmetry due to hemifacial microsomia with a cheek and eye implant, browlift and a jaw implant and genioplasty for the left side of my face. Despite these efforts, there is still some asymmetry which is not insignificant, particularly around the left brow, forehead, temple and cheek area.

I have spoken to a number of cosmetic and reconstructive surgeons who have said that there is not much that they can do except for soft tissue fillers which I don’t think will address the underlying skeletal asymmetry.

I was hoping to get your opinion and perhaps, given you area of expertise, this would be something you can help with.

A: Thank you for your inquiry and detailing your surgical history. To provide a qualified opinion it would require an assessment of a combination of current facial pictures with a 3D CT scan. No one could say what is possible by merely looking at you on the outside. It requires knowing what your underlying facial skeletal structure looks like, particularly given what has been done previously, and matching that with your external appearance. Then a fully informed recommendation can be given for further facial asymmetry correction.

Dr. Barry Eppley
Indianapolis, Indiana