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Dermal Fillers and Facial Symmetry

Saniyya Mahmood • April 1, 2025

Restore Balance - Improving Facial Symmetry with Dermal Fillers

We look into the ways that dermal fillers can help with facial symmetry. Faces are rarely perfectly symmetrical. Almost every face has some asymmetry — a fuller cheek on one side, a jawline that's more defined on the other, or lips that don’t quite match. This will often be due to genetics, ageing, or muscle use.


These differences are completely normal but can sometimes affect how balanced your features appear. Dermal fillers offer a non-surgical approach to improve facial symmetry. When placed strategically, fillers will restore volume, adjust proportions, and soften uneven contours, leading to a more balanced appearance. We specialise in these advanced aesthetic treatments here at Aesthetica Medical, focusing on boosting your confidence with natural-looking results.

What do we mean by Facial Symmetry?

Facial symmetry refers to how closely the features on each side of your face match. Usually-seen asymmetries include uneven cheek volume, jawline definition, lip shape, and under-eye hollows. These differences might be subtle, or more pronounced depending on your facial structure, lifestyle, and age-related changes. A professional consultation can help identify the specific areas contributing to imbalance.

How Dermal Fillers Work

The dermal fillers we use at Aesthetica Medical, aligning with our mission to use only the highest quality products, contain hyaluronic acid (HA), a substance naturally found in your body. HA retains moisture and adds volume. In filler form, it is modified to last longer and provide structural support.

Different viscosities of filler are used for different areas:

  • Firmer fillers suit the jawline and cheeks
  • Softer fillers are used around the eyes and lips

When injected, the filler adds volume where needed. This may lift, define, or smooth features to improve balance.

Fillers are temporary. Your body gradually breaks them down over time. Longevity depends on the product used, the area treated, and your metabolism.


16 pairs of lips with different shades

Common Areas Treated for Facial Asymmetry

Lips

Uneven lips may result from genetics, dental changes, or ageing. Filler can adjust the shape, projection, or volume of one side to match the other. Soft HA lip fillers are typically used for this area.

Jawline and Chin

A more defined jawline on one side or an off-centre chin can affect the lower face's symmetry. Firmer fillers can correct this by adding volume and structure where needed. Treatment may also involve the chin to support better proportion from the side view.

Cheeks

Uneven cheek volume can impact facial contour, especially when smiling. Cheek fillers can restore lost volume or enhance projection to improve midface balance.

Tear Troughs

One under-eye area may appear more hollow or tired. Under eye fillers can help here. A skilled injector can use a smooth, low-density filler to reduce the depth of the groove and improve symmetry. The tear trough area is delicate  and requires advanced technique.


What to Expect During Treatment

We always begin with a consultation to assess your facial structure, muscle movement, and concerns. Photographs may be taken for reference.

Treatment usually takes 15 to 45 minutes, depending on the number of areas treated. Numbing cream or fillers containing anaesthetic can reduce discomfort. You may feel slight pressure or a pinch during injection.

Mild swelling, bruising, or tenderness is common after treatment. Most side effects resolve within a few days. Final results are typically visible after 1–2 weeks.


Aftercare and Maintenance

To support healing, avoid excessive heat, alcohol, or strenuous exercise for 24–48 hours. Avoid touching or applying makeup to treated areas for the first day.

Filler longevity varies:

  • Lips: around 6–9 months
  • Cheeks and jawline: 12–18 months
  • Tear troughs: 9–12 months

Top-up treatments are usually recommended to maintain results. Your practitioner will suggest a tailored plan based on your goals and response.


Safety and Practitioner Choice

Choose a medically trained practitioner like Dr. Saniyya. who fully understands facial anatomy and has a lot of experience with filler treatments. Always ask about qualifications, product types, and treatment plans before proceeding. Avoid clinics offering low-cost procedures without appropriate credentials.

When done correctly, dermal fillers can subtly improve facial harmony without drastically changing your appearance. The aim is to enhance balance—not to create perfection.


Frequently Asked Questions

Is the procedure painful?
Most patients experience mild discomfort. Numbing cream or fillers with anaesthetic reduce sensation.

How much filler will I need?
This varies based on the area and degree of asymmetry. Your practitioner will advise after assessing your face.

Are there risks?
Common side effects include swelling, bruising, and tenderness. Rare risks include lumps or blocked blood vessels. Choosing an experienced injector reduces these risks.

Will I look unnatural?
No, when performed properly. The goal is subtle improvement. Others may notice you look refreshed but won't see obvious changes.

Can fillers be reversed?
Yes. Hyaluronic acid fillers can be dissolved using hyaluronidase if needed.

How soon will I see results?
Initial results are visible immediately, but swelling may affect appearance. Final results are clearer within 1–2 weeks.

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