Is there a way to fix a noticeable facial asymmetry on my left?
Thank you! It would be interesting to have you look back at photos when you were 16-25. Can you see the asymmetry even back then or younger? Some people have an inborn (genetic) assymmetry and if you look back it’s there very early, just more subtle. Other people have an external cause like they sleep on the same side all the time (that side will usually have less volume), or they had a Bell’s palsy, etc.
To correct this, it’s usually best to fix the underlying volume deficit first, for example with Sculptra. Once the volume is as close to symmetric as possible on both sides, then tighten the skin over that more supportive volume. If it’s just a little and the skin is smooth, Thermage would be a good choice at your age (40). If the skin has wrinkles or the skin is still pretty loose, then a fractional CO2 laser like the DEKA will usually be more effective. Hope this helps, Dr. I