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Asymmetrical Face: Causes, Concerns & Solutions

Written by an Expert Aesthetic Content Writer Lisa.
Reviewed by Expert Medical Director Dr. Raj Thethi
Published on: October 8, 2025
Face

Asymmetrical face

Have you ever looked at your reflection and thought, How come my face is not symmetrical? If you have, you are not alone. Many people can pick up on slight differences between the two sides of their face, be it one eyebrow resting just a bit higher, or one cheek showing a bit of added fullness. 

This condition is called face asymmetry or an asymmetrical face, and it is far more common than one might think. We will explore the meaning of asymmetrical face, its causes, and treatments to balance out your features and make your appearance more harmonious.

What Is an Asymmetrical Face?

What is an asymmetrical face? Simply put, it is when one side of the face differs in size, shape, or position. Total symmetry would rarely exist; most asymmetrical faces are considered the norm and may even be considered beautiful. In some cases, pronounced disparities in face asymmetry can raise concern, especially if such differences grow in prominence with time.

From an aesthetic point of view, even the slightest imbalance can make your face look lopsided or uneven, inadvertently highlighting areas you wish would remain unnoticed.

Common Causes of Face Asymmetry

Why is my face not symmetrical? Several reasons may account for it:

1. Genetics

Your facial features are inherited; many are born with an asymmetric face. If your parents or siblings have a bit of facial asymmetry, you might share it too.

2. Sleeping Habit 

The habit of always sleeping on a particular side would, over time, cause the face to grow lopsided, especially if pressure is exerted on the cheek or jaw during sleep. Over the years, a slight change in bone structure and soft tissue can occur.

3. Injury or Trauma 

Any facial injury, especially during childhood, might cause asymmetric development. A broken nose, jaw dislocation, scars from surgery- all can lead to noticeable imbalances.

4. Dental Issues

Teeth that are crooked or a bite that is misaligned can create a crooked face. Orthodontic issues can, especially if left untreated, affect the jaw positioning and make your uneven face more evident.

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5. Muscle Weakness or Paralysis

Bell’s palsy, for example, is a mildly abnormal syndrome caused by the weakening of facial muscles from mild erosion or damage, making one-half of the face temporarily or permanently asymmetric.

6. Ageing

Through ageing, natural changes infringe on a balance as the fat pads slide over one another within the face, combined with uneven collagen depletion. 

So you are left with an increasingly asymmetrical face that is either sagging on one side or dotted with marionette lines. (Here’s an insightful guide on how to get rid of marionette lines.)

Types of Facial Asymmetry

Knowing the exact type of facial asymmetry you have can help you opt for the right treatment:

  • Skeletal Asymmetry: When the jaw or skull bones are uneven.
  • Muscular Asymmetry: Imbalance in facial muscle tone or activity.
  • Soft Tissue Asymmetry: Uneven fat distribution, skin laxity, or volume loss.

Can You Fix a Lopsided or Crooked Face?

Yes, depending on the cause, several treatments are available to improve face asymmetry. Here are some of the most effective ones:

1. Dermal Fillers

For subtle asymmetric face concerns, fillers can restore volume and balance out uneven features. For example, if one cheek appears flatter, hyaluronic acid fillers can plump it to match the opposite side.

2. Muscle Relaxation 

Muscle isolation may be used to relax overactive muscles on one side of the face. This is especially useful for correcting asymmetrical smiles or uneven eyebrows.

3. Facial Exercises

In some cases, facial yoga and muscle exercises can help improve mild facial asymmetries by strengthening the weaker side.

4. Surgical Options

For more pronounced cases, procedures such as genioplasty (chin surgery), rhinoplasty (nose surgery), or orthognathic (jaw) surgery may be recommended.

When to Seek Help

If your facial asymmetry appears suddenly, is worsening over time, or is associated with pain, numbness, or difficulty chewing or speaking, it’s essential to consult a healthcare professional. In rare cases, it could be a sign of an underlying neurological or muscular condition.

Final Thoughts

From genetics to ageing, there are many reasons why you may have a crooked face or feel your face is not symmetrical. While most forms of face asymmetry are harmless, cosmetic and medical solutions exist if you’re looking to achieve a more balanced appearance.

Whether you’re exploring treatments or simply seeking to understand the meaning of your asymmetrical face, the key is awareness. A little imbalance is normal—and sometimes even beautiful.

FAQs

1. What causes a face to be asymmetrical?

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Common causes of face asymmetry include genetics, ageing, injuries, dental issues, and sleeping habits. In most cases, it’s completely normal.

2. Is it normal to have an asymmetric face?

Yes, most people have asymmetrical faces to some degree. Perfect symmetry is rare and not necessary for beauty or health.

3. Can face asymmetry be corrected without surgery?

Yes, non-surgical options like dermal fillers, Botox, and facial exercises can help improve the uneven face appearance.

4. Why is my face not symmetrical when I take selfies?

Cameras and angles often exaggerate face asymmetry. What looks like a crooked face in photos may be barely noticeable in real life.

5. When should I worry about face asymmetry?

If your asymmetric face changes suddenly or comes with pain or muscle weakness, consult a doctor to rule out medical conditions.

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About Dr. Raj Thethi - Medical Reviewer

Dr. Raj Thethi

Yorkshire Skin Centre in Leeds is a CQC-registered medical clinic. It is led by Dr Raj Thethi who completed his core surgical training in hospitals around West Yorkshire before branching into aesthetics. Dr Raj Thethi is a Northern Territory Regional Expert for an international dermal filler company called Teoxane. He also sits on their National UK Faculty.

View all posts by Dr. Raj Thethi

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