Abstract
Facial asymmetry is found in patients with or without cosmetic facial alterations. Some patients have facial asymmetry that manifests underlying skeletal problems, while others have only limited soft-tissue facial asymmetry. Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones. Limited soft-tissue asymmetry, meanwhile, is difficult to correct. The treatment modalities for the creation or restoration of an esthetically pleasing appearance were autogenous fat grafts, cartilage graft, and silicon injections.A young female patient had right-side facial asymmetry. The clinical assessment involved visual inspection of the face and palpation to differentiate soft tissue and bone. Although the extra-oral examination found facial asymmetry with skin atrophy, the radiographic findings revealed no mandibular atrophy or deviation. She was diagnosed as localized scleroderma with muscle spasm.In conclusion, facial asymmetry patients with skeletal asymmetry can be esthetically satisfied by orthognathic surgery; however, facial atrophy patients with skin or subdermal tissue contraction need treatment by cosmetic dermatological surgery and orthodontic correction.
Highlights
As patients become more aware of and concerned about facial esthetics, so too, they grow more selfconscious about facial asymmetry and more desirous of correcting it
Orthognathic surgery brings about a dermatic change, as soft tissue covers underlying bones
It is important in this regard to differentiate limited soft-tissue facial asymmetry and bone-facial asymmetry
Summary
As patients become more aware of and concerned about facial esthetics, so too, they grow more selfconscious about facial asymmetry and more desirous of correcting it. Bishara SE et al reported on the many and various etiologic factors that are implicated in Patients with facial asymmetry have problems of facial skeletal deformity and esthetic and morphologic problems related to skin atrophy. To obtain the best resolution, patient diagnosis, treatment planning, and result assessment should be based on accurate skeletal as well as morphological analysis and measurement. To those ends, three-dimensional models, traditional radiologic procedures, and soft-tissue examination are employed
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