American Society of Plastic Surgeons
For Medical Professionals
 
KingCall
one year ago
Answered

What’s happening to the side of my face?

Last week a friend of mine told me he thought something happened to the side of my face. I had noticed it is almost like an indent in the side of face. Gradually it seemed to be getting worse over a year. A year ago I developed TMJ and an overbite and was diagnosed with generalized epilepsy. I grind my teeth at night. What’s happening to the side of my face and what can I do about this?

Procedure: Facial Implants
Location: Nashville, TN

Replies 4

Samir Shureih

Based on the incomplete history you gave, I can hardly see your indent in the side of the face, an overbite, and a grand mal seizer to be a plastic surgery issue. based on all your symptoms you need a full neurology work up by a neurologist first, possibly an MRI and CT Scan of the face and the brain, and any other test recommended by a neurologist. Once a full diagnosis is made and the condition is stable then will look for plastic surgery to address the issue of the face indent.

In Nashville you have many very good medical centers for your work up

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Kenneth Francis
ASPS Surgeon

Dear KingCall,

You may have a variation of a condition known as Parry-Romberg hemifacial atrophy. You should start with your primary care physician and neurologist and whoever is managing your TMJ to consider this as a possibility. If it is the case, the process eventually stops and will stabilize. At that point, reconstructive options can be discussed with a plastic surgeon. Good luck!

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Alfred Antonetti
ASPS Surgeon

One side of the face and body is always different from the other side and that goes for everybody. Some people more than others. Most people do not ever realize this until someone brings it up or they look closer at themselves and then they become fixed on it. You could have any number of things including nothing at all. It is not possible to give you any advice by looking at one picture and the little history that you provided. We should not be speculating about what you may or not have at this time. What you need is a complete history and physical exam to start with and then we go from there. See your doctor first

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Rozbeh Torabi
ASPS Surgeon
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This looks like an overactive massetter muscle with gradual atrophy of your buccal fat pad. This could likely be treated with some Botox in the massetter to start followed by possibly some fat grafting.

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