Facial asymmetry surgery can result from congenital problems, trauma, or a prior surgery or treatment. In some cases, asymmetry may affect not only the form, but also the function of your eyes, nose, and mouth. Often, the lower jaw is uneven with the rest of the face, which may be corrected with orthognathic surgery. Other problems may include cheek retrusion (backward displacement), eye displacement, eyebrow lowering, forehead and brow bone protrusion, or retrusions and nasal deviations.
Your plastic surgeon, in coordination with any other specialists needed, will examine your facial structure and carefully create a plan to reposition bones to create a more symmetrical appearance. Our surgeons are experts in both aesthetic and reconstructive surgery and frequently employ techniques from both areas to achieve optimal results for facial asymmetry.
Your doctor will make a thorough examination of your face using photos and imaging for diagnosis and treatment planning. Together, you’ll discuss in detail the recommendations and suggested treatment process. Depending on the issues to be corrected, multiple surgeries may be needed to achieve the desired results. Correction may require moving bone (osteotomy), adding bone (bone graft), adding a facial implant (alloplastic implant), reducing bone, adding soft tissue, or reducing soft tissue (through liposuction) to create a more symmetrical result. Fat grafting may also be helpful in improving soft tissue results. Because of the myriad of tools that can be used, it’s important that you see a surgeon who is skilled with all techniques so that your treatment isn’t limited by a particular set of tools or approaches. In many cases, your surgeon will work with other specialists to carefully plan treatment both before and after surgery. On the day of the procedure, you will receive anesthesia through an IV. The specific approach will depend on the procedure(s) being performed and may include changes in the forehead, eyebrows/brow bones, ears, eyelids, nose, cheeks, lips, chin, jawline, or neck.
Depending on how extensive the surgery is, you may return home the same day or spend a night or two in the hospital. You’ll return home with instructions and medications from your doctor. Swelling and bruising after surgery is normal. Swelling and pain will typically peak a few days after surgery, and then resolve within a few weeks.
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