Many people desire a perfectly symmetrical face, but the truth is, almost everyone has some degree of unevenness, especially when it comes to the jawline.
An uneven jawline, also known as jaw asymmetry, doesn’t just affect appearance; it can also impact chewing, speaking, and even confidence levels. For some, it’s barely noticeable, while for others, it may be a discomfort or self-consciousness.
Whether you’re dealing with mild asymmetry or a more noticeable imbalance, understanding the causes & exploring possible solutions can make a big difference.
Here, we’ll break down the reasons behind an uneven jawline, discuss symptoms & treatments for those seeking improved symmetry and function.
An uneven jawline happens when one side of the jaw is different in size, shape, or position from the other side. Sometimes, this difference is so slight that only a doctor can notice it. In more severe cases, it can visibly change your facial structure and impact daily life, such as making it hard to bite, chew, or talk comfortably.
Human faces aren’t meant to be 100% symmetrical. In fact, tiny differences from side to side are entirely natural, and most people won’t notice unless the asymmetry becomes significant.
This asymmetry can be temporary or permanent, and it can be caused by anything from genetics to how you sleep at night.
Uneven jawline involves paying attention to both visual appearance and physical sensations. Below are the most typical symptoms to watch out for:
An uneven jawline can be the result of several different factors. Here are the most common ones:
The way your jaw develops is often inherited from your family. If your parents, siblings, or close relatives have noticeable jaw differences, you might have a similar pattern. Genetics affect the size, shape, and alignment of your jawbones, making them appear uneven.
The temporomandibular joint (TMJ) joins your jaw to your skull. When this joint becomes inflamed or doesn’t work smoothly, it can cause pain, limited movement, and sometimes make your jaw shift to one side more than the other.
Sometimes, as you grow up, your upper and lower jaws don’t develop at the same pace. Childhood habits like thumb-sucking, long-lasting pacifier use, or tongue thrusting can also affect jaw growth and lead to unevenness as you get older.
Sports injuries, falls, and accidents can all harm the jawbone. If the jaw heals in an odd position or bone is lost or shifted, the jaw might look slanted or unbalanced.
When your teeth are crowded, missing, or sit at odd angles, your jaws might not line up when you bite down. Over time, your jaw may begin to move slightly to compensate, which may cause or worsen unevenness.
Some people are born with medical conditions that affect their jaw shape or function. For example, a cleft palate or other congenital issues can cause the jawbones to develop differently on each side, which leads to lasting asymmetry.
Regularly sleeping on one side of your face or pressing your jaw into a pillow may slowly change the way your jaw rests or grows, especially at a young age. These habits can create subtle differences in jaw shape over time.
If you only use one side to chew food, the muscles and bones on that side can become more developed. Over months or years, this can cause one side of your jaw to look larger or more pronounced.
As you get older, changes to your bones and the way fat is distributed in your face can highlight small differences in your jaw that weren’t as noticeable before. Bone loss and sagging skin can make your jawline look more uneven than when you were younger.
Diagnosing an uneven jawline involves more than just looking in the mirror for asymmetry. It requires understanding why the jawline appears uneven, whether it’s due to structural issues, muscle differences, or another reason. Here’s how professionals usually approach this:
If you’re not ready for surgery but want more than just exercises or habit changes, there are a few treatments that sit in the middle. They’re less invasive and still deliver noticeable results.
Botox is a popular choice when one side of your jaw is more muscular than the other. It works by relaxing the overactive masseter muscle, which can slim and balance out the lower face.
It doesn’t affect bone or fat, but if your asymmetry is caused by muscle bulk, often from clenching or chewing on one side, it can make a visible difference.
Results typically last 4 to 6 months, and touch-ups are easy to maintain.
Dermal fillers can be used to add volume to areas where the jawline looks weaker or smaller.
If one side of your jaw appears sunken or less defined, fillers can help sculpt a more balanced look. They’re often used along the jaw angle or chin and offer immediate results with minimal downtime.
While they’re not permanent, they usually last anywhere from 6 months to a year, depending on the product used.
FaceTite shapes the lower face and tightens loose skin using radiofrequency energy. It works below the surface by melting small fat deposits and stimulating collagen production.
This can help reshape a jawline that’s uneven due to sagging, excess fat, or soft tissue imbalance. It’s especially useful if your asymmetry isn’t from bone or muscle, but from skin laxity or age-related changes.
The procedure is done under local anaesthesia with minimal downtime.
If your jaw asymmetry is caused by bone structure, and it’s severe or causing functional problems, surgery might be needed.
Jaw surgery corrects skeletal and dental irregularities. The jawbone is repositioned to create better alignment. It’s a major surgery and often done in combination with orthodontic treatment.
Ideal for:
Sometimes the chin is the main reason the jaw looks uneven. Chin implants or bone contouring can help restore balance to the lower face.
This surgery can be done alone or alongside jaw surgery, depending on the situation.
Facial implants are used to enhance and reshape areas like the jawline, chin, or cheeks to create better facial balance. Made from materials such as silicone or Medpor, these implants help add structure and volume where it’s lacking.
They’re especially useful when asymmetry is caused by underdeveloped or uneven bone structure. The implants are placed through small incisions, either inside the mouth or on the skin near the treatment area, depending on the location. Once healed, they provide long-lasting results and can make a significant difference in overall symmetry.
In many mild to moderate cases, small changes in your daily habits can make a real difference over time. These changes won’t reshape bone, but they can improve muscle balance, reduce strain, and stop things from getting worse.
Preferring one side when chewing builds muscle unevenly. Try to switch sides regularly to balance out muscle use and reduce tension that can pull the jaw off-centre over time.
Slouching or tilting your head affects jaw alignment. Keeping your spine and neck in a neutral position helps reduce uneven strain on facial muscles and supports better jaw symmetry.
Sleeping on one side consistently can shift facial fat and compress tissue. Alternate sides or sleep on your back to minimise uneven pressure and maintain facial balance.
When you grind your teeth, one side of your jaw may have to work harder than the other. Using a night guard and reducing stress can help prevent uneven muscle growth and lower long-term strain on your jaw.
Missing or damaged teeth can lead to uneven chewing and muscle strain. Regular dental visits help identify these issues early and keep your bite and jaw aligned.
Here are a few simple movements you can practise regularly:
Sit or stand up straight. Slowly pull your chin back, as if you are making a double chin, while keeping your head level. Take a few seconds to hold this position, then release.
This exercise works the deep muscles in your neck and jaw, which helps improve your posture and jaw alignment.
Place your hand under your chin or on the side of your jaw and gently resist as you try to open or shift your mouth. This controlled resistance helps build strength and balance in the jaw muscles on both sides.
Include facial movements like exaggerated chewing, puffing air from cheek to cheek, or wide symmetrical stretches. These exercises activate and tone various facial muscles, which promotes better symmetry and control across your lower face and jawline.
An uneven jawline can be a concern, but most cases are mild and manageable. Knowing the causes of jaw asymmetry helps you make informed choices about treatment and self-care. Getting help early can correct or improve most issues, making your jawline look and function better.
1. Does having an uneven jawline affect health?
Yes, if severe, it can impact eating, speech, breathing, and even cause chronic pain.
2. Can braces fix a crooked jaw?
Braces or aligners can correct jaw position if misalignment is due to teeth. Severe skeletal problems may require surgery.
3. Is surgery necessary for an uneven jawline?
No, most people do not need surgery. Only those with severe, functional, or distressing problems should consider it. Many people can find help through non-surgical options.
4. How long does it take for jaw exercises to start showing results?
It can take weeks to months to see results, and the changes can vary. Most noticeable improvements come from professional help rather than from exercises alone.
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Dr. Mark Gorman is a consultant plastic surgeon and department lead at Salford Royal, specialising in facial plastics and complex reconstructive procedures. His expertise spans a wide range of areas, including oculoplastic, nasal, ear, abdominal, and microsurgical reconstruction, with particular focus on breast, head and neck, and lower limb reconstruction.
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Drooping lower eyelids: This can also obstruct vision and contribute to a tired appearance.
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Upper blepharoplasty: This addresses concerns with the upper eyelids, removing excess skin and sometimes fat or muscle tissue.
Lower blepharoplasty: This addresses concerns with the lower eyelids, removing excess fat or skin and sometimes repositioning tissues.
Asian blepharoplasty: This addresses specific concerns related to the anatomy of Asian eyelids, creating a more defined crease.
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