American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Asymmetric jawline

I have a weak “jawline”, it recedes into my face/neck on one side, sometimes get pain on that side of my face.

1. Is a strong, defined “jawline” on both sides feasible?

2. Why is my face like this? Genetics? It is as if that entire side of my face has been pushed “back” and “in”.

3. What treatments are available for this type of problem?

Link to pictures:


Procedure: Cosmetic Surgery
Location: Kent, AB - United Kingdom

Replies 3

Rahul Vemula
ASPS Surgeon
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Thank you for this excellent question and thanks for the pictures!

First of all hard to say why you have this. You could have just been born that way or if you had any traumatic injury to the face, this can cause asymmetry as well. If you feel the asymmetry is getting worse over time, it could also be a very condition called Parry-Romberg disease

To correct this I always start with injecting an HA filler like voluma to correct. This however is not permanent and will need repeat treatment in 2-5 years. Another option is a silicone implant to permanently correct the asymmetry

Please consult with a board certified plastic surgeon to determine which procedures are best to achieve your goals.

Best wishes!

Nelson Castillo

Thank you for sharing your excellent question. Based on your pictures your asymmetry is either due to genetics or perhaps asymmetry in masseter muscle size. The latter could be do to your dentition, TMJ, grinding/clenching, etc. Based on your narrative you could enhance/strengthen your jawline through the placement of dermal fillers. This will not only widen your jaw from a front-facing viewpoint but also will help to separate the jawline from the neck. Hope this helps.

Manish Shah
ASPS Surgeon
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Hello. Thanks for this great question. Facial asymmetry occurs in 100% of humans so don't be too alarmed. In your case, it looks as if your upper face is fairly even in terms of width at your cheeks. It is lower on your jawline that you see some disharmony. Sometimes this disharmony is simply related to the fact that you chew your food only on one side making the masseter muscle stronger on that side. This can be treated by chewing your food on both sides. This can also be treated by using Botox or Dysport injections to atrophy the thicker muscle. In other cases, the disharmony is related to the fact that your facial skeleton developed asymmetrically. This is harder to treat, but there are both nonsurgical and surgical options. In more rare cases, patients develop normally but then start to have a wasting phenomenon called Romberg's disease that needs aggressive reconstructive surgery to manage.

A referral to a plastic surgeon for evaluation can help.

Good luck,

Dr. Shah


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