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Overview

Facial paralysis causes uneven aging on the left and right sides of the face. While minor asymmetry is natural, noticeable differences can impact facial harmony and self-confidence. During functional surgery to correct facial palsy, cosmetic techniques can be added to improve both appearance and confidence. Symmetrizing procedures, which can be surgical or non-surgical, are tailored to restore balance, enhance symmetry, and improve overall facial aesthetics.

Common Causes of Facial Asymmetry

Facial asymmetry can result from a variety of factors, including:

  • Congenital conditions – Developmental differences present from birth, such as facial palsy or hemifacial microsomia.
  • Nerve damage – Conditions like Bell’s palsy, stroke, or trauma can cause uneven muscle tone and movement.
  • Aging-related changes – Volume loss, skin laxity, and shifting facial structures can contribute to asymmetry over time.
  • Previous surgeries or injuries – Past trauma or surgical procedures may lead to noticeable imbalances in facial structure.
  • Muscle imbalances – Uneven muscle function or strength can result in asymmetric facial expressions.

What Other Treatments May Be Involved with Asymmetric Face Lifts?

The goal of an asymmetric facial procedure is to restore balance by adjusting facial volume, repositioning soft tissues, or refining contours. Depending on the specific needs of the patient, the procedure may include:

Fat grafting or dermal fillers

To correct volume deficiencies and create more symmetrical contours.

Botox® or neuromodulators

To address muscle imbalances and improve facial symmetry.

Surgical lifting techniques

Such as a brow lift, eyelid surgery (blepharoplasty), or midface lift for structural correction.

Facial implants

For permanent enhancement of the chin, cheeks, or jawline.

How Is the Procedure Performed?

The approach varies depending on the severity and cause of the asymmetry:

  • Non-surgical techniques (fillers, Botox®, or fat grafting) are performed in-office with minimal downtime.
  • Surgical procedures may involve incisions in concealed areas, muscle repositioning, and skin tightening to achieve optimal balance.
  • The procedure can be performed under local anesthesia with sedation or general anesthesia, depending on complexity.
Patient at New York Facial Paralysis receiving botox for synkinesis.

Who Is a Good Candidate?

Individuals with noticeable facial asymmetry due to genetics, nerve dysfunction, trauma, or surgery may benefit from this procedure. A thorough consultation will determine the most appropriate treatment plan based on individual needs and aesthetic goals.

Enhance Your Natural Balance

Our Midtown, Manhattan clinic specializes in advanced facial rejuvenation, including asymmetric facelifts designed to restore harmony and proportion to your features. Led by Dr. O, a double board-certified expert in facial plastic and reconstructive surgery, we provide customized treatments to address facial imbalances with precision and artistry. If you’re looking to achieve a more symmetrical, natural-looking appearance, schedule your consultation today to explore your options.

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