Facial asymmetry correction
Asymmetry is most commonly a result of volume loss, volume excess or lack of nervous sensation. Volume loss can occur due to lack of development, after injury or inflammatory conditions of the skin and fatty tissues. Some children develop nerve related facial asymmetry after a problematic birth, whilst adults can acquire asymmetry due to several nervous conditions including Bell’s palsy as well as facial injury or ear surgery. During youth, the facial bones can become overgrown to produce a localised swelling.
BOTOX can be used to dampen the overpowered side of the face or prevent muscle movements to imitate symmetry. Synkinesis or blepharospasm caused by incorrect reinnervation (restoration of nerve function) can also be treated in this way. Fat transfer and liposuction techniques are useful for correcting volume asymmetries. Face lifting techniques can be applied in a reconstructive setting to improve cosmetic and functional symmetry. Muscular transposition techniques and free tissue transfer surgery can be used for complex cases.
Non-surgical treatments such as BOTOX are often temporary and need repeating every 9-12 months. Fat transfer and/or liposuction results last forever, once the required result is obtained. Regarding face lifting, this question is of great scientific debate. There is always some element of recurrence as muscles that are not innervated (stimulated into action) sufficiently sag with gravity.
Whilst achieving perfect symmetry is always the objective, it is difficult to recreate. Often multiple small procedures are necessary over time to keep in line with the normal ageing changes of the unaffected side. Swelling and bruising is a predictable consequence of surgery in the face and this often takes many weeks to subside. Infection and bleeding are rare, but occasionally require further surgical management.
Once the swelling and bruising has settled down, the results are immediately noticeable and very effective.
The indicative prices below include the surgical fee, any anaesthetic used and the associated fees from the consultant administering this, in addition to the hospital fee and all tests and follow up. An accurate breakdown and a detailed quote will be given following the initial consultation.
From £350 for BOTOX
From £3,000 for liposuction under general anaesthetic
From £4,000 for fat transfer under general anaesthetic
From £9,000 for face lifting under general anaesthetic
Facial swelling and asymmetry can be present for many months after the surgery. Sleeping upright for the first few nights helps reduce the severity of onset swelling and speeds up recovery.
- Surgery duration: 1-4 hours
- Type of anaesthesia: General anaesthetic
- Time in hospital: 1 night
- Time off work: 1-2 weeks
- Recovery time: 4-6 weeks
- First follow up appointment: 1 week
- Total number of follow up appointments: 3
- Pain management: Simple pain relief (paracetamol and/or ibuprofen) once discharged, with tramadol at night
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