Plastic surgery restores form and function through reconstructive procedures, cosmetic enhancements, and body contouring.
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Orthognathic surgery is the definitive treatment for skeletal jaw asymmetry. When the upper jaw (maxilla) or lower jaw (mandible) grows unevenly, it creates a canted bite and a deviated chin. This procedure involves cutting the jawbones (osteotomy) and repositioning them into perfect alignment.
The surgery is meticulously planned using virtual computer models. The bones are moved to correct the midline, level the occlusal plane, and establish a functional bite. This creates a stable skeletal foundation for the rest of the face and often dramatically improves the facial profile.
A sliding genioplasty is a powerful procedure specifically for the chin. Unlike an implant, which sits on top of the bone, a genioplasty involves cutting the chin bone itself. This allows the surgeon to move the chin segment laterally to correct asymmetry, as well as forward or backward to adjust projection.
This procedure is structurally superior for significant asymmetry because it carries the attached neck muscles with the bone. This improves the neckline and ensures the chin remains centered during movement. It is a permanent modification of the patient’s own skeletal anatomy.
Fat grafting is the workhorse for correcting soft tissue volume discrepancies. Fat is harvested from the patient’s abdomen or thighs, processed to remove impurities, and carefully injected into the deficient side of the face. This restores contour and symmetry without the use of foreign materials.
This procedure allows precise, millimeter-level volume titration. It can fill out a flattened cheek, build up a weak jawline, or correct temporal hollowing. The stem cells in the fat also improve the quality of the overlying skin, adding to the rejuvenated appearance.
For patients who require significant structural augmentation but wish to avoid bone-cutting surgery, facial implants are an excellent option. Custom-made implants can be designed from CT scans to perfectly match the patient’s unique anatomy and fill specific deficits.
Implants are commonly used for the jaw angle, cheek, and chin. If one side of the jaw is underdeveloped, a custom implant can widen and define that angle to match the other side. These are permanent, solid structures that provide predictable, long-term symmetry.
The nose is the central axis of the face, and any deviation is immediately noticeable. Asymmetric rhinoplasty is complex because it involves straightening a twisted structural framework of bone and cartilage. This often requires breaking the nasal bones (osteotomies) to realign them.
Surgeons often use cartilage grafts, taken from the septum or rib, to act as “spreader grafts.” These straighten the nose and support the airway. Correcting a deviated septum is almost always part of the procedure, improving both breathing and the straightness of the nasal bridge.
Eyelid asymmetry is common, often due to uneven brow height or differences in the amount of skin and fat on each eye. Asymmetric blepharoplasty involves removing different amounts of skin and fat from each eyelid to create a balanced look.
Sometimes, one eye has ptosis (a weak muscle), causing the lid to droop lower. This requires a ptosis repair on one side to tighten the muscle, combined with standard blepharoplasty on the other. The goal is to create symmetry in the visible iris and the eyelid crease.
When eyebrows sit at different heights, it throws off the balance of the eyes and eyelids. An endoscopic brow lift can target specific areas to elevate the lower brow. This is done through small incisions in the hairline using a camera.
The surgeon releases the ligaments holding the brow down on the lower side. The brow is then lifted and secured in a higher position. This restores symmetry to the upper face and can relieve the appearance of heaviness on the affected side.
In cases of facial paralysis or uneven aging, one side of the face may sag significantly more than the other. While it is rare to do only one side, surgeons can perform a facelift that applies different vectors and tension to each side to achieve balance.
This allows the SMAS (muscle layer) and the lax side of the skin to be tightened to match the tighter side. This is often a reconstructive procedure used to manage the long-term effects of Bell’s Palsy or stroke, restoring a more symmetrical resting tone.
For asymmetry caused by muscle hyperactivity, Botox is a powerful non-surgical tool. If one eyebrow pulls up higher, or one side of the mouth pulls down stronger, Botox can selectively weaken those muscles.
This equalizes the muscle pull, creating symmetry during expression. It is particularly effective for correcting an asymmetric smile or uneven eyebrow height. It is a maintenance treatment that refines the results of surgery or serves as a standalone solution for mild dynamic issues.
Hyaluronic acid fillers provide an immediate, non-surgical solution for mild to moderate asymmetry. They are excellent for fine-tuning the lips, cheeks, and jawline. If one cheek is slightly flatter, filler can instantly provide the missing projection.
Fillers are often used as a “test drive” for patients considering permanent implants. They allow the patient to see what symmetry looks like before committing to surgery. They are also used to refine the results after major structural surgery.
Ear asymmetry can involve one ear protruding more than the other or sitting at a different height. Otoplasty can pin back a protruding ear to match the other. This involves reshaping the cartilage and suturing it closer to the head.
In cases where ears are different sizes or shapes, cartilage grafts or reduction techniques are used. Symmetry of the ear frames the face and contributes significantly to the overall perception of balance, especially in patients with short hair.
Sometimes the asymmetry lies in the position of the lip vermilion border or the philtrum. A lip lift can be performed asymmetrically to pull up a drooping lip corner. This involves removing a small strip of skin under the nose.
This procedure shortens the distance between the nose and the lip, which lengthens with age. By adjusting the excision pattern, the surgeon can level a crooked lip line and reveal more tooth show on the affected side.
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An implant is a solid, permanent structure used to mimic bone and define shape (like a sharp jawline). Fat grafting uses your own soft tissue to add volume and fullness. Implants provide definition; fat provides softness and contour.
Yes, significantly. By moving the jaws into their proper position, the entire profile changes. The chin comes forward or moves back, the nose support changes, and the cheeks may look fuller. It is a profound structural harmonization.
Yes, it is widely considered the most difficult aesthetic surgery. The surgeon must straighten twisted cartilage that has a “memory” and wants to curl back. It requires complex grafting techniques to maintain the straightness in the long term.
Botox can improve a crooked smile if the cause is a single muscle pulling harder than the others. By weakening the stronger side, the smile becomes more balanced. However, if the cause is structural (skin or bone), Botox will not work.
It depends on the type of filler and the location. Lip fillers typically last 6-9 months, while thicker fillers used on the jawline or cheeks can last 12-24 months. Maintenance injections are required to keep the symmetry.
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