I am very insecure about my face. One side of my face appears bigger than the other especially when i smile which means i spend every day trying not to smile. Is there anything that could be done to fix this?
Dr. Mesas Answered: Some times patient have mild facial asymmetries to the point that one side of the face appears bigger than the other specially when smiling. The causes of this facial asymmetry could be secondary to differences in the soft tissues of the face (eg. asymmetric buccal fat pads) or asymmetries in the bony tissues ( one cheek more prominent than the other or chin mid point slightly deviated to one side of the face).
In cases of asymmetric chubby cheeks. asymmetric buccal fat removal could make the face thinner and help to achieve more soft tissue symmetry.
In cases of facial bone asymmetry (cheek, chin, jaw), augmenting the smaller side with soft tissue fillers like voluma could help that side to match the contralateral larger size for better facial balancing and symmetry.