Do you have asymmetrical facial features you wish to correct? Here’s how Botox treatments at Aesthetic Envy Medspa can help.


Everyone has some degree of facial asymmetry. The features on either side of your face probably look more like siblings than twins. One eyebrow may be higher than the other, or one nasolabial fold might be deeper than the opposite side. However, pronounced facial asymmetry can make you feel self-conscious.

Fortunately, there are ways to improve the balance and harmony of your face. Dr. Kasturi believes in making facial asymmetry less noticeable without erasing it. Below, you’ll learn what likely caused an imbalance between your features and how we can correct it at Aesthetic Envy.

What Causes Facial Asymmetry?

Facial asymmetry can be present in virtually any feature, including the jawline, lips, nostrils, eyes, and eyebrows. Some features are easier to correct than others, and some asymmetrical features are more noticeable than others. Common causes of facial asymmetry include:

  • Genetics: Often responsible for an asymmetrical appearance, genetics play a major role in facial development. There’s a good chance you inherited certain imbalanced features from your family.
  • Lifestyle and Environmental Factors: These can influence your facial symmetry. Factors include:
    Smoking, Aging, Dental work such as a tooth extraction, Sun damage, Injury or trauma

Facial asymmetry is usually an aesthetic concern. However, new, pronounced asymmetry can be a sign of a serious medical condition. For example, sudden facial drooping is a recognizable indicator of a stroke.

Benefits of Facial Symmetry

Improving facial symmetry offers several benefits:

  • A more youthful, attractive appearance
  • Better balance of facial muscles
  • Enhanced facial function

Working with a board-certified plastic surgeon to develop customized skin treatments, such as Botox, can help correct any facial asymmetry and create a more aesthetically pleasing appearance.

How Botox Can Help

Botox is a minimally invasive treatment that can address facial asymmetry by relaxing specific muscles, thereby balancing the overall facial appearance. It’s effective for areas such as:

  • Eyebrows
  • Jawline
  • Lips
  • Nasolabial folds

Why Choose Aesthetic Envy?

At Aesthetic Envy, our skilled practitioners, led by Dr. Kasturi, specialize in creating balanced and harmonious facial aesthetics. We focus on subtle enhancements that maintain your natural look while improving symmetry.

How Can Facial Asymmetry Be Corrected?

Correcting facial asymmetry can be approached through various methods, largely depending on:

  • The cause of the asymmetry
  • The severity of the asymmetry

By assessing your specific condition, a plastic surgeon can determine whether non-surgical treatments, such as Botox or dermal fillers, are appropriate or if surgery is required.

Botox and Dermal Fillers for Facial Asymmetry

For minor but noticeable asymmetry, injectable dermal fillers or wrinkle relaxers like Botox are often recommended. These treatments can restore facial contours and add balance to your appearance.

These non-invasive treatments are ideal for those with mild asymmetry who prefer not to commit to permanent changes. Botox and dermal fillers can correct asymmetry in facial areas such as:

  • Chin
  • Cheeks
  • Jawline
  • Lips

Treatment Process

Injecting facial fillers is a non-surgical procedure that requires little downtime and can be tailored to your specific needs and aesthetic goals. By working with Dr. Kasturi, who specializes in injectables, you can achieve a more balanced and attractive appearance.

Preparing for the Procedure

Before undergoing a facial balancing procedure with dermal fillers and/or Botox, it’s crucial to schedule a consultation with a qualified and experienced injector. During this consultation, the injector will:

  • Evaluate your facial features.
  • Identify areas needing treatment to achieve balance and symmetry.
  • Discuss the procedure in detail.
  • Answer any questions you may have.
  • Develop a customized treatment plan based on your goals and preferences.

Pre-Procedure Guidelines

  • Avoid Blood-Thinning Medications: Refrain from taking aspirin, ibuprofen, and other blood-thinning medications for at least a week prior.
  • Avoid Alcohol and Smoking: These can increase the risk of bruising and other complications.

Steps Involved in the Procedure

  • Cleansing the Skin: The treatment area will be thoroughly cleansed to remove any makeup or dirt.
  • Numbing the Skin: A topical anesthetic or ice may be applied to numb the skin and minimize discomfort during injections.
  • Injecting the Dermal Fillers: Using a thin needle, the injector will carefully place dermal fillers into the targeted areas, often massaging the area to ensure even distribution.
  • Injecting the Botox: If Botox is part of the treatment, it will be injected into the targeted muscles using a small needle.
  • Evaluating Results: The injector will assess the results post-injection to ensure the desired balance and symmetry are achieved. Additional injections may be made if necessary.

Aftercare Instructions

Post-procedure, you may experience some swelling, redness, and bruising, which typically resolve within a few days. To ensure optimal recovery and results, follow these aftercare guidelines:

  • Reduce Swelling: Apply ice packs to the treated areas.
  • Avoid Strenuous Exercise: Refrain from intense physical activity for at least 24 hours.
  • Do Not Touch or Rub the Area: This helps prevent any unintended movement of the injected material.
  • Avoid Sun and Heat Exposure: Protect the treated area from direct sunlight and high temperatures.
  • Follow Professional Instructions: Adhere to any additional aftercare advice provided by your injector.

Results and Maintenance

The effects of facial balancing with dermal fillers and Botox typically last between six months and two years, depending on the type of filler used and individual metabolism. Follow-up treatments may be necessary to maintain the desired level of balance and symmetry.

Facial Asymmetry Correction Techniques

Correcting facial asymmetry can be achieved using various techniques tailored to each patient’s unique facial anatomy and treatment goals. During your consultation with Dr. Kasturi, he will thoroughly examine your facial features and discuss your aesthetic goals to determine the ideal treatment options for you.

Jawline Botox

Facial asymmetry can often result from overuse of the jaw muscles, specifically the masseter muscles. When one side of the jaw is used more frequently or clenched unconsciously, it develops stronger and visibly larger muscles, leading to asymmetry in the lower face.

Botox Masseter Treatment:

  • Botox is injected into the larger masseter muscle.
  • The injection blocks nerve signals, causing the muscle to relax and shrink.
  • This helps balance the muscle size on both sides, improving the overall appearance of the jawline.

Learn more about Botox masseter injections.

Botox Injections for Other Facial Areas

Botox is also effective for correcting facial asymmetry in other areas. Dr. Kasturi uses a customized approach tailored to each patient’s facial anatomy to address the following:

  • Asymmetric wrinkle lines
  • Brow asymmetry
  • Eye aperture asymmetry
  • Lip asymmetry

These subtle, nuanced treatments can create significant improvements in facial harmony.

Dermal Filler Injections

Dermal fillers, such as Juvederm and Restylane, are excellent for restoring facial symmetry and balance with immediate results and no downtime. Fillers can enhance volume, projection, and definition in areas that appear less pronounced compared to the opposite side.

Common Treatment Areas:

  • Cheeks
  • Midface
  • Jawline

Dr. Kasturi often performs filler injections in these areas to correct facial asymmetries, providing a more balanced and harmonious appearance.

Correcting an Elvis Lip with Botox

The “Elvis lip” is characterized by the overactivity of the levator labii alaeque nasi muscle on one side of the mouth, causing a distinct snarl. A simple treatment with one unit of Botox on the affected side can reduce this overactivity and correct the snarl.

Using Botox to Improve Facial Asymmetry Caused by Bell’s Palsy

Botox is approved in 85 countries for over 25 medical treatments, including Bell’s Palsy, Blepharospasm, elbow muscle stiffness, and chronic migraines. With more than 2,300 publications devoted to Botox, its safety and effectiveness are well-documented. At Aesthetic Envy, we use Botox to treat the symptoms of Bell’s Palsy, focusing on functional improvements rather than cosmetic purposes.

How Botox Helps with Bell’s Palsy:

  • Effective Treatment: Botox is highly effective for partial facial paralysis and Synkinesis caused by Bell’s Palsy.
  • Pain Relief: Injections provide significant relief from pain and discomfort.
  • Restores Symmetry: Botox restores facial symmetry and overall comfort.
  • Muscle Retaining: By paralyzing overactive muscles, Botox allows for retraining of both muscles and neuromuscular pathways.
  • In-office Treatment:Procedures are done in the office with no downtime.
  • Quick Results: Reduced muscle action is noticeable within 12 to 18 hours post-injection, with maximum results visible within the first week.
  • Comfortable Treatments: Topical anesthetics can be applied to sensitive areas to enhance comfort.
  • Long-lasting Effects: Maintenance treatments can increase the duration of effectiveness during retraining therapy.

Understanding Synkinesis

Synkinesis refers to pain and discomfort caused by nerves that regrow into incorrect facial areas, resulting in misdirected muscle responses. This occurs during the recovery phase of Bell’s Palsy when regenerating nerve fibers navigate through the main nerve trunk and may choose incorrect paths. For example, nerve fibers intended for smiling may end up controlling the corner of the mouth and eyelid, leading to abnormal functions such as tears when laughing or chewing or abnormal blinking when talking.

Facial Asymmetry Treatment Aftercare

All our treatments are non-surgical and minimally invasive, allowing you to return to your everyday activities immediately after your session. Minor swelling, redness, or bruising at the injection sites may occur, but these effects are temporary.

Post-treatment Expectations:

  • Immediate Results: Visible improvements can be seen immediately or within a few days.
  • Longevity: Results can last several months or longer, depending on the chosen product.
  • Maintenance: After the effects fade, maintenance treatments are available to sustain the desired results.

Contact Aesthetic Envy

For personalized care and effective solutions for facial asymmetry, schedule a consultation with Dr. Kasturi at Aesthetic Envy. Our expert team is dedicated to helping you achieve a balanced, harmonious appearance.

Schedule A Consultation

Unlock your journey to radiant beauty and rejuvenation. Call us at 916-333-4906 to schedule your personalized consultation at our medical spa today!

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