What Can Be Done For My Facial Asymmetry?
Q: Dr. Eppley, I am 21 years old and I have plagiocephaly which has never been treated. The cranial malformation does not bother me but the asymmetry of my face is really showy and ruins my life, I am in depression because of this, I have no social life. I send you photos of my case, hoping that there are solutions. Thank you for taking the time to read me.
A: Thank you for your inquiry and sending your picture. You have a left facial asymmetry that is complete, meaning it extends from the forehead down to the jawline, and the entire side of your face is shorter vertically than the other side. You have an inferior-based facial asymmetry which means it affects most the inferior part of the face (jawline) and becomes less severe as one heads further up on the face.
Like all complete facial asymmetries the patient has to prioritize the facial features that are most important to improve or will create the biggest difference. Technically a complete facial asymmetry surgery involves an endoscopic browlift (to raise the lower eyebrow), vertical orbital dystopia correction (raise up the eye), cheek augmentation, nostril repositioning, mouth corner lowering and chin/jawline augmentation. From your viewpoint what asymmetric facial features bother you the most?
Dr. Barry Eppley
A detailed description and pictures of your concerns allows for the most informed response.