Uneven cheeks after fillers often stem from normal initial swelling, but if asymmetry persists past 1-2 weeks, it's usually due to incorrect filler placement, migration, overfilling, or sometimes an infection or product reaction, requiring a consultation with your practitioner for assessment and potential correction.
Uneven cheeks are often a result of the initial swelling from the injections. Its appearance should improve and you should see the full effects of your cheek fillers once the swelling completely subsides within 24 to 72 hours.
With most types of cheek filler, you'll usually see some results immediately after the procedure. But it often takes several days and sometimes several months to see full results. PLLA results can take up to two to three weeks.
This could be corrected by filler placement into the midface/cheeks and tear troughs. A filler such as Voluma or even Sculptra could be used to help improve the mid face asymmetry. Then any remaining asymmetry in the tear troughs (undereyes) could be corrected with a filler such as Restylane or Belotero.
Lower facial balancing injections typically last between 6 to 18 months, depending on the type of filler used and individual factors. Hyaluronic acid fillers, like Juvederm and Restylane, generally last 6-12 months, while longer-lasting options like Radiesse can extend up to 18 months.
Can your face go back to normal after fillers? Many patients fear that when the filler wears off, they will look worse than before. Though fillers may stretch your skin, it is elastic enough to revert to its original form before your treatment. However, anything that's too much is also not good for you.
High-risk areas for dermal fillers, known as "danger zones," are locations with dense, interconnected blood vessels, primarily the glabella (between eyebrows), nose (especially the tip and dorsum), forehead, and temples, due to risks like vascular occlusion (blocked blood flow) leading to necrosis, scarring, or even blindness; other sensitive spots include tear troughs, lips, and the infraorbital (under-eye) region.
Jaw Surgery (Orthognathic Surgery) – 6–12 Months
For severe facial asymmetry caused by skeletal jaw discrepancies, jaw surgery may be required. Jaw surgery is recommended when: Braces alone cannot correct the imbalance. There is significant jaw misalignment.
Yes, dermal filler can migrate, especially in high-movement areas like lips. This occurs when filler shifts from its injection site due to poor technique, overfilling, or facial motion. The good news? It's treatable and preventable with the right provider.
Exercises for Asymmetrical Face
The Settling Period: When Swelling Subsides
Cheek fillers, on the other hand, enhance facial contours as swelling reduces, offering a glimpse into the rejuvenated appearance. This settling period typically spans 1 to 2 weeks post-injection.
Within the first two weeks after your injections, lumps and bumps are normal because the cheek filler is settling. If they are particularly pronounced, your injector may recommend massaging the filler. Secondly, if it is after two weeks, your injector will likely still recommend massage first.
These danger zones for cheek filler include the infraorbital region under the eyes, the angular artery near the nose, and areas close to the supraorbital and supratrochlear arteries, where improper placement may lead to side effects or adverse effects.
A bad cheek filler injection may cause persistent swelling or puffiness in the treated area. Individuals may also experience having a pillow face or sunset eyes which can result from overfilling the cheeks. It may also cause allergic reaction symptoms, facial asymmetry, infection, and skin discoloration.
Although extremely rare, dermal fillers are able to migrate within the skin if consistent and adequate pressure is applied to them. For this reason, we advise patients not to get a facial, massage (on the treated skin), or dermaplaning for the first two weeks following their filler injections.
It takes approximately one to two weeks for the filler to settle completely. During this time, the body adjusts to the filler material, and the swelling diminishes, revealing the final, natural-looking results.
Massaging the affected area can sometimes help redistribute the filler. However, this method should be approached with caution to avoid further displacement. Use clean hands and apply light pressure. Massage in circular motions along the migrated area.
While it is possible for fillers to migrate, this side effect is extremely rare and can be avoided by choosing a qualified injector. Though filler migration is very uncommon, its likelihood increases when fillers are performed by an inexperienced or underqualified injector.
Filler migration in areas like the lips and eyes is relatively more frequent than in less mobile zones such as the cheeks or jawline. Though still rare overall, these regions are more prone due to their constant activity.
Fix asymmetrical face with non-surgical procedures
This is because only 2% of the world's population has true facial symmetry. Facial symmetry is desired, but a completely symmetric face is not seen as normal and has the opposite effect on people.
“If your asymmetry comes from bone structure, sleep position won't fix it,” says Dr. Mehta.
Avoid complications by understanding the danger areas and arteries to steer clear of when injecting dermal fillers
Many people are sharing their journeys of moving away from fillers and embracing their natural look. They often cite reasons such as: Overfilled Look: Over time, the face can appear overly plumped and unnatural. Side Effects: Bruising, swelling, and lumps are common side effects that can be off-putting.
Areas such as lips and nasolabial folds tend to be the most painful because those areas have more nerves running through them. Cheeks, tear troughs, chin and jaw line tend to be less uncomfortable. Some redness, swelling and discomfort can be expected after receiving fillers.