LEARN, SHOP & CHAT ABOUT PLASTIC SURGERY, BEAUTY AND ANTI-AGING





Alexander Rivkin, MD
Expert Profile



User Photo For: AlexanderRivkinM.D.
Alexander Rivkin, MD
Plastic surgeon | Views: 244103


Friendname: AlexanderRivkinM.D.
Business Name: Westside Aesthetics
Website: www.westsideaesthetics.com
 
Location: 1033 Gayley Ave #104
los angeles, CA 90024
United States
Telephone: 310 443 5273
Languages Spoken: English




Post a reply Ask Alexander Rivkin a question Return to Alexander Rivkin's homepage



Ask An Expert > Alexander Rivkin Message Board > How to rebalance face following injury (images included)?
AUTHOR MESSAGE
Default User Photo
e6248
,
How to rebalance face following injury (images included)?
Ok. So I had an injury to left maxilla 3 years ago, blunt force. I left it untreated at the time. Eventually I had it looked at had one XRay 8 months after that showed "no obvious injury". The area of the trauma was numb for two years following the accident and now has regained feeling however I am left with a small are of swelling and bouts of trigeminal neuralgia when that area is overly stimulated. I have always had asymmetry (smaller jaw left side, smaller cheek)and it has never bothered me but since this accident I feel it has become slowly more pronounced with a loss of definition. I am starting to feel quite self conscious about it and I am looking for the most minimally invasive way to improve matters if needs be. Two doctors have seen my face and noted no major discrepancies but I am thinking maybe a tiny bit of filler might be beneficial for me. I am seeing an ENT for sinus issues and what I suspect to be a deviated septum soon. My question is what do you think has happened and if needs improvement, what would you advise? I never planned to tamper with my face but I feel the accident has left things a bit out of whack.

Attached Media

Photo:

Right side of image

Photo:

How to rebalance face following injury (images included)?

Photo:

Injured side




e6248
  February 13, 2013 10:57 AM

Oh and I am in my twenties.


docblinski
Plastic surgeon
Miami, FL
United States
View My Professional Profile
  February 14, 2013 3:52 AM

Since you are seeing an ENT doc ask him/her if fillers could improve the asymmetry you see.


drgrossman
Plastic surgeon
New York, NY
United States
View My Professional Profile
  February 14, 2013 7:28 PM

The amount of asymmetry that your face shows is typical for most people. If it bothers you so much, fat transfer would be the best, followed by fillers to create symmetry.
Good luck from NYC


AlexanderRivkinM.D.
Plastic surgeon
los angeles, CA
United States
View My Professional Profile
Fillers  February 15, 2013 12:23 PM

Its a bit tough to tell from the pictures, but it seems like fillers would be a simple and effective means of correcting this mild asymmetry. There is a wide variety of injectables that your doctor can use, just make sure that the doctor is well experinced in the use of fillers for facial sculpting (i.e. not just filling in nasolabial folds). Hope that helps.


arnioldkleinmd
Dermatologist
beverly Hills, CA
United States
View My Professional Profile
faces are never symmetric  February 21, 2013 12:28 AM

we perceive faces as symmetric but they never are. Below are right sided halves joined and left sided halves joined. Your Left nares is smaller then your right and you lost dental support on the left. Your Left naso labial fold is deeper than the right as is the lateral line under the left eye. Find someone who knows how to use fillers not just to fill but to move tissue. Use hyaluronic acids for this, Also Botox works great for trigeminal neuralgia

Attached Media

Photo:

faces are never symmetric

Photo:

faces are never symmetric





 



 

Welcome to the Ask An Expert section of our website! Our network of board certified physicians can answer any questions that you may have regarding plastic surgery, skin care, dermatology and other conditions. Popular topics include tummy tuck, liposuction, rhinoplasty, acne scars, facelift, breast augmentation and more. This frequently asked questions section is opened to everyone and you need to set up an account with Makemeheal before you can ask your own question. This service is absolutely free and is available to those who are interested in learning more about a particular cosmetic procedure, treatment or product.

Before asking a question, we recommend you to browse through our existing collection of questions and answers to ensure that the question you want to ask have not already been answered by our highly experienced experts. This will help you save time and get an answer more quickly. When asking a new question, we recommend you to be very detailed so that our experts could formulate a more precise & professional answer.

Of course, this service is not a substitute for a doctor visit or a consultation with a plastic surgeon or cosmetic dermatologist. The answer you will find here only serve as initial directions of thoughts and not as specific instructions. You should remember that it is utterly important to consult a skilled specialist prior to scheduling any type of treatment in order to get acquainted with possible contraindications. Only a one-on-one meeting will enable your cosmetic surgeon to properly evaluate your condition, conduct examinations and explain their results.