What Can Be Done To Make My Face More Symmetric?

Q: Dr. Eppley, My face is twisted with the right side smaller than the left. Honestly, I’m not exactly sure what all I will need done. I want a softer look overall, less square, more symmetry, and a more youthful appearance. I am a 35 year old female. I know perfect symmetry is unnatural but I know my face is less symmetrical than normal. Pics do not lie.

A: In looking at your pictures, there is an overall comprehensive approach that can be done to improve your facial asymmetry. The fundamental problem is that the right side of your face is smaller than your right, accounting for the entire right facial deviation in development. What I see that can be helpful is the following from top to bottom; right endoscopic browlift,  right lateral canthoplasty, right cheek implant, rhinoplasty and a chin osteotomy that moves the deviated chin point to the left to make it centered. These would be the collection of procedures that would make the biggest difference in improving your facial symmetry. I have attached a frontal imaging prediction to show the predicted changes. The most challenging part of any facial asymmetry improvement is in the eye area. I am unsure how much orbital dystopia you have so there still remains the possibility for right orbital floor augmentation to raise the right eyeball as well.

Dr. Barry Eppley

Indianapolis, Indiana