Lower Facial Asymmetry

Dr. Eppley, I have lower facial asymmetry that increased after advancement surgery for the lower jaw. My lower jaw was fixed in a tilted manner, which led to the displacement of the chin also. I want to fix it but I don’t now what is the best procedure. I found reviews about you, and I am hopeful you can help. Thank you.

A: Thank you for sending all of your pictures and x-rays. What they show, as you probably know, is that your lower facial asymmetry is due to the shape and position of the lower jaw. While the right side of the face is also smaller as you move up from the lower jaw, it is less so and is primarily due to the soft tissues.

Assuming that your prefer the left side of the face better (more full), the most effective approach would be a right jawline implant to build out the right side of the lower mandible that also wraps around the chin. This would create better symmetry and some increase in chin projection as well. There may also be a role for a small cheek implant combined with fat injections between the jawline and the cheeks to build out the soft tissue as well.

Dr. Barry Eppley
Indianapolis, Indiana