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Facial asymmetry is common in our population, it is when one side does not exactly line up or mirror the other. Most of us have it and don’t even notice it in ourselves or others. Occasionally people seek treatment such as dermal fillers, Botox or surgery to correct an asymmetry that causes an aesthetic issue

Have you ever really looked at your face and noticed an asymmetry? I thought my features were balanced until I had a good look at my face and compared the left side to the right side. If you look at this photograph, see if you can pick out the asymmetries.




Left side


(as you look at the picture)

Right side


(as you look at the picture)


Is higher than right


Eye is smaller


Fuller mid face


Flatter mid face (front cheek)



Fuller lip


Deeper nose to mouth line


wider jaw line


Smaller lip



So why does this happen? (apart from trauma or disease)

Perfect bilateral symmetry is rarely found, and these asymmetries can be attributed into biological and environmental factors.

Genetics, sometimes they are just a result of genetics or development, if prominent these features can run in families.

Dentition is a major cause of asymmetry, from extractions, veneers and dentures all playing a major role in how the muscles lay over these bony structures.

Chewing on a favoured side can change the muscle structures on that side which can cause an imbalance.

Sleeping on a favoured side can weaken the area where the skin naturally folds making them deeper on that side.

Poor Posture and resting your face on your hand have been attributed to facial asymmetries.

Sun damage & smoking have effects on the elastin, collagen and pigmentation, which can be attributed to asymmetry.

Aging   although, your bones stop growing at puberty, your cartilage continues to grow as you age. This means your ears and nose grow and change as you age, which may cause asymmetry.


Why is this important?

Asymmetry can be prominent or barely noticeable, it can be what makes your beauty unique or it can cause loss of confidence. Either way you are in the majority.

It is important when you are considering aesthetic treatments, whether to correct an asymmetry or to improve a particular facial feature. The one size fits all approach to antiwrinkle injections & dermal fillers simply does not work. Facial assessment is crucial prior to treatment and imbalances must be pointed out and respected during treatment, if you are using dermal fillers in the same region in the same volume on both sides, asymmetries can be enhanced, treat an raised right sided eyebrow like mine the same as the left with toxin and I will be looking at you very quizzically indeed!

We are aiming to achieve harmony and balance in facial aesthetics. Disrespect the differences and you will get disharmony and imbalance.


What can be done about asymmetry?

Dermal fillers can be used to balance uneven volume loss and Botox to even out uneven muscle activity.

Lifestyle habits can be adjusted to help with associated asymmetries, sleep on your back, chew food on both sides, correct your posture (especially when using devices) and don’t rest that lovely face on your hands!

They can be embraced, they make us unique.








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