facial asymmetry

How To Fix A Crooked Face Or Facial Asymmetry?

A crooked face or facial asymmetry can really detract from your looks and make you self-conscious. While ideal beauty standards continue to change over time, one thing remains constant: facial symmetry is the key to perceived beauty. The more symmetrical the face is, the more delicate, elegant, beautiful it looks. Most of Korea’s famous stars have a balanced bone structure and perfectly symmetrical V-line face which you can read more about in our earlier article titled “What you should know about V-Line Facial Plastic Surgery”. Symmetry undoubtedly is the secret to an attractive face.

Although everyone’s face is slightly asymmetrical, those with stark and jarring facial asymmetry may feel self-conscious. Fortunately, asymmetrical faces can be corrected through a facial asymmetry surgery.

What is an asymmetric or crooked face?

When it comes to the face, there are different ways of defining “asymmetry” or “crookedness”. Let’s discuss the two main categories of asymmetry:

Bilateral asymmetry

If you were to hypothetically “split” the human body into two halves by drawing a vertical line down the middle of the body starting from the crown of your head all the way down to the feet, you would see that the two halves are symmetrical to each other – each half has an eye, part of the lips and nose, a hand, a leg and a foot attached at the same level and of roughly equal proportions to the corresponding feature on the other half of the body. This is known as bilateral symmetry. When the two halves of your face have similar bilateral symmetry, it makes you appear more attractive to the human eye. When the two halves of the face do not match each other (different sizes of the same feature on each side or the same feature appearing at different vertical levels on each side), the face is said to be bilaterally asymmetric.

Lack of proportion

Extensive research has found that there is a certain optimal ratio of the distance between the main features on the face that makes a person’s face look attractive. According this optimal ratio, also known as the “golden ratio”, the ideal face is around one-and-a-half times as long as it is wide. The three key facial measurements that are required for determining how close a person’s face is to meeting the the “golden” proportions are as follows:

– The vertical distance from the hairline to the part of the nasal bridge that is aligned with the eyes;

– The vertical distance from the part of the nasal bridge that is aligned with the eyes until the bottom of the nose (between the two nostrils)

– The vertical distance from the bottom of the nose to the bottom or tip of the chin.

In the ideal face, the above three dimensions should be as close as possible to each other.  When these three measurements differ greatly from each other, the face is said to lack “proportion” and is therefore asymmetric.


What are the causes of facial asymmetry?

There are many potential causes that can lead to facial asymmetry (such as genetics, trauma or stressors during bone development) and facial asymmetry is usually multifactorial.

It is usually caused by the combination of differences in facial length, underlying soft tissues (muscles, fat) and skeletal shape, muscular size and activity, as well as underlying structures. Even wrong life habits like resting your chin on your hand too much or favoring one side of the mouth when chewing food can also lead to facial asymmetry.


Who are the best candidates for facial asymmetry correction surgery?

– People for whom the center line dividing the upper and lower lip is non-straight.

– People who have a non-straight line between the center of the nose and middle of the lips.

– People who have two different chin or jaw lines (left & right).

What is the procedure of facial asymmetry correction surgery?

The procedure is done under general anesthesia and often takes 2-3 hours to complete. Because there could be many sources of asymmetry in a face such as left-right, upper-lower, front-back asymmetry, a 3D-CT scan is a commonly performed procedure before the surgery. The surgeon will be able to precisely calculate the directions in which and the extent to which the facial bones need to be shifted.  Issues relevant to soft tissues also need to be closely analyzed as well.

The most important thing in deciding a facial asymmetry surgery method is to consider the facial axis.

– If the axis is asymmetrical, it needs to be corrected through a double-jaw surgery combined with an osteotomy (the surgical cutting of a bone or removal of a piece of bone) of the upper and lower jaw. At first, the surgeon will turn the slanted upper jaw horizontally. After that, the slanted center line of the lower jaw will be rotated horizontally to be aligned with the upper jaw.

– If the face is asymmetrical (left and right) despite a normal facial axis, it is often corrected through a facial contouring surgery. The excess bones and soft tissues (fat, muscles) will be exposed by an incision inside the mouth and then be carefully removed or cut off. If the nose is crooked with the asymmetrical face, it can also be fixed through an accompanying rhinoplasty.

Note that the correction of overall facial asymmetry is usually performed only after facial bone development is complete.


What are the recovery timeline and precautions after facial asymmetry correction surgery?

In most cases, unless there are complications from the surgery, you will be free to go home after staying one day at the hospital to ensure there are no complications.

Immediately after the operation, your face will feel swollen and tight. It is advised to use ice packs right after the surgery until swelling goes down.

You need to wear a facial compression band for at least 5 days after the surgery and avoid bending your head down or lying on the stomach.

Having normal food is possible two weeks after the surgery. You should avoid smoking and drinking alcohol for at least one month after the procedure.

The stitches will be removed after 7-10 days.


What is the cost of the facial asymmetry correction surgery?

Facial asymmetry surgery ranges from USD 5,000 to USD 10,000. Costs vary by surgeon, geographic region, and the complexity of the procedure.

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