Facial asymmetry

Genetics and developmental abnormalities

One of the most common causes of asymmetry is hereditary – individuals may have congenital differences in the development of the bones, muscles or soft tissues of the face. These differences usually become more noticeable during puberty, when there is a rapid growth spurt and hormonal changes. Genetic factors can affect the size and shape of the facial bones, which can lead to a mismatch between the left and right sides – for example, different cheekbone heights, an asymmetrical chin or an irregular bite.

Trauma and injuries

After accidents, falls or physical blows to the head and face, bone fractures (eg cheekbones, nose, jaw) or soft tissue damage can occur. If the bone or tissue does not heal properly – either due to inadequate therapy or the nature of the injury – it can result in permanent deformity or visible asymmetry. Even minor blows from childhood that went "unnoticed" can leave consequences that become visible only later in life.

Facial nerve paralysis (Bell's palsy and other neuropathies)

The facial nerve controls the muscles of facial expression. In the case of Bell's palsy or other forms of facial nerve paralysis, there is partial or complete loss of muscle function on one side of the face. This can cause the corner of the mouth, the eyelid to droop, and even difficulty speaking and eating. Although the paralysis is sometimes temporary, in many cases it leaves long-term or permanent effects on facial symmetry.

Problems with bite and jaw

Jaw misalignments – such as malocclusion (improper bite), an overly prominent or retracted chin, and temporomandibular joint disorders (TMJ) – can cause a noticeable difference between the left and right sides of the lower third of the face. TMJ disorders often include jaw pain, clicking when opening the mouth, headaches, and the gradual development of asymmetry due to uneven tension in the facial muscles.

Inflammatory diseases and infections

Certain infections, such as abscesses, deep soft tissue infections, or nerve infections, can cause swelling, damage, or changes in the function of facial muscles and nerves. In some cases, if the tissues are damaged or exposed to long-term inflammation, permanent changes in facial structure occur.

Long-term daily habits

Although they seem harmless, certain repetitive habits can also contribute to the development of mild or moderate asymmetry over time:

Always sleeping on the same side can have a long-term impact on the structure of soft tissues and the shape of the face.

Always chewing food on the same side can cause differences in muscle development and facial contours.

Holding the phone with your shoulder or resting your face on your hand while sitting can also affect muscle tone on one side.

Aesthetic consequences

The most common aesthetic consequences include:
Unbalanced appearance – The face may appear "crooked", tired, moody or even older on one side, which can be especially noticeable when expressing emotions.

Emphasizing irregularities – Asymmetry can enhance other minor aesthetic imperfections (eg, difference in eyebrow height, uneven cheekbones, crooked nose, sideways chin).

Difficulty applying makeup – People who wear makeup can have difficulty achieving a uniform look because facial contours are not symmetrical.

Problem when taking photos or filming – Many people only become aware of asymmetry when they see their face "captured" from a different angle, which can cause discomfort and dissatisfaction with their appearance.

Psychological consequences

Reduced self-confidence – People with more pronounced asymmetry often feel less attractive, shy, or insecure, especially in social situations.

Increased self-consciousness – Individuals may develop heightened attention to their own appearance, frequently checking the mirror, or avoiding close interactions.

Social Anxiety – In some cases, people with asymmetrical facial features avoid public appearances, photography, filming or even video calls.

Body dysmorphophobia – In more severe cases, asymmetry can contribute to the development of obsessive concerns about appearance, although others may not notice the difference.

Impact on professional life – In professions where appearance is important (media, fashion, public appearances), pronounced asymmetry can affect self-confidence and career.

Non-surgical methods

Dermal fillers - to fill in the lack of volume, raise eyebrows, correct cheekbones, chin, lips

Vistabel facial wrinkle therapy – to relax overactive muscles that cause a certain side of the face to retract or droop

Thread lifting – to lift the sagging side of the face

Orthodontics – correcting the bite can positively affect the symmetry of the lower third of the face

Surgical methods

Orthognathic jaw surgery – for serious bite problems and lower jaw asymmetry

Rhinoplasty – correction of a nose that contributes to asymmetry

Blepharoplasty and facelift – to correct differences in eyelids and facial contours

Fat transplantation or implants – for longer-term volume correction

Follow the doctor's instructions.

Your doctor knows the nature of the procedure performed and the specifics of your body best. Follow the instructions to the letter – and not just for the first few days, but throughout the entire recovery period.

Instructions may include:

Applying cold compresses in the first days after the procedure to reduce swelling and prevent hematomas.

Limiting physical activity, especially heavy exercise, bending, and carrying loads.

Sleeping position – sleeping on your back with your head slightly elevated is often recommended to prevent fluid buildup and asymmetrical pressure on the face.

Avoid facial massage unless recommended by a doctor.

Avoid alcohol and smoking.

Although this recommendation is often repeated, it is not just a formality – alcohol and nicotine significantly slow down tissue regeneration, reduce oxygen supply and can prolong swelling and increase the risk of complications such as infections and poor wound healing. If ever it was important to "pause", it is during recovery.

Hydration and light diet

Your body needs support from within to optimally regenerate tissues. Drink plenty of water (avoid carbonated and sugary drinks) and choose a light, nutrient-rich diet:

Soups, cooked vegetables, fish, oatmeal

Foods rich in vitamin C, zinc, and protein promote healing.

Avoid very salty, spicy and processed foods that can retain water and promote swelling.

For surgical procedures in the mouth or jaw area, a soft or liquid diet may also be recommended.