What Facial Asymmetryt Procedures Do I Need?

Q: Dr. Eppley, I’ve attached front and side view photos for Dr. Eppley’s assessment, along with an edited version I created to provide a loose visual of the aesthetic I’m hoping to achieve.

My primary concerns are facial asymmetry and improving overall facial harmony. I’m specifically interested in an evaluation of whether I would be a good candidate for a brow lift and chin augmentation to improve my eyebrow and chin symmetry.

My goal is to raise my left brow so it sits at the same level as my right, while also creating a slightly more upturned, lifted appearance for both brows. I’d also like to lengthen my chin slightly and improve its symmetry.

At the moment, I’m leaning toward filler for the chin, but I’m open to Dr. Eppley’s recommendations if he feels another approach would be more appropriate.

A: Thank you for your inquiry and sending your illustrated pictures to which I can make the following comments:

1)  There is not usually an explanation for most facial asymmetries and the most minor ones, such as yours, is not uncommon. Perfect facial asymmetry is actually very rare.

2) A differential endoscopic browlift is needed. Whether perfect brow symmetry can be achieved may not always be possible.

3) The vertical chin lengthening shows a V-shaped chin which can only be achieved reliably by a custom chin implant design.

Dr. Barry Eppley

Plastic Surgeon