1. Affects the overall beauty and harmony of the face and disturbs the visual balance (more than 3 mm difference in height).
2. Shows a tired, sad, angry or uneven facial expression permanently.
3. caused by a functional problem (such as severe muscle weakness or unilateral grinding of teeth).

In that case, there is a need for detailed analysis and therapeutic intervention to restore visual and functional balance.

Urgent consultation and WhatsApp number: 09381855454

The main causes of asymmetry in adults (why does asymmetry get worse with age?):

• Congenital or developmental causes: Difference in growth
• Daily habits and mechanical pressure:
  • Sleeping on one side: Constant pressure on one side of the face while sleeping accelerates fat and bone loss on that side.
  • One-sided chewing (Unilateral Mastication): Repeated use of one side of the jaw causes hypertrophy (enlargement) of the masticatory muscle (chewing) on the active side and shrinking and atrophy of the muscle on the weak side.
• Age Changes and Asymmetric Analysis: Structural analysis of deep fat pads (which provide structural support) and bones occurs asymmetrically. For example, the cheekbones on one side may recede faster than the other, causing more sagging of the underlying tissues on that side.
• Ligament Laxity: Facial support ligaments, such as the orbital and zygomatic ligaments, become lax with age. If this loosening is faster on one side, that side of the face will sag sooner and intensify the asymmetry.

• Muscle and nerve injuries: Weakness, tension, or temporary paralysis of muscles on one side (such as Bell's palsy), which requires a multifaceted therapeutic approach to restore muscle activity.

2. MD Codes: A detailed roadmap for correcting structural asymmetry (3D analysis and classification of codes)

Asymmetry correction requires a comprehensive, step-by-step and very precise approach.

[Dynamic and static asymmetry analysis image]

1. MD Codes points are divided into three main categories that are critical in asymmetry correction:
   • Lift Codes (Lift Codes): such as Ck1 (for mid-face lift) and T1/T2 (for brow tail lift).
   • Contour Codes (Contour Codes): such as JW1 (for jaw angulation) and C1 (for chin prominence).
   • Refine Codes (Refine Codes): such as Tt1 (to fix under-eye dimples) that injection in these points is done only after repairing lift and contour codes.
2. Determining The Root Causeand Treatment Cascade: Asymmetry is often caused by a cascade of problems. MD Codes help the doctor to understand which "code" on which side of the face is the main source of the problem.
   • Vertical Asymmetry (Vertical Asymmetry): If one side of the face is more droopy, more support is needed in the middle lifting points (Ck1, T1) on the weak side.
   • Horizontal Asymmetry (Horizontal Asymmetry): If the jaw or chin deviates, it is necessary to strengthen the jaw and chin codes (JW1, C1) on the backward side.
3. Restoration of deep support and anchor points (Anchor Points): In most cases, the fallen or weaker side needs more support in the deep points (Supraperiosteal). For example, structural injection in Ck1 on the weaker side, causes tissue lifting on that side and vertical symmetry of the face is restored. Also, strengthening the temporal codes (T1) on the atrophied side can help to lift the tail of the eyebrow and the eye on that side and indirectly improve the problem of the under eye area.

Urgent consultation and WhatsApp number: 09381855454

3. Correction of asymmetry by combined method (Botox, filler and supplements); both structure, same movement

Many cases of asymmetry are caused by a combination of structural problems and movement problems. Therefore, the successful treatment of vulneck often requires the combined use of filler and botox with completely asymmetric dose and volume:

a) Correction of structural asymmetry with filler (MD Codes) – restoration of volume and alignment:

• Cheeks (Cheeks – Ck1, Ck4): Cheek height difference is the most common type of asymmetry. By precise injection at Ck1 (on the bone) on the weaker side, the height and lift of that side is compensated. For this purpose, fillers with high viscosity (High G-Prime) are used, which have the power to support and lift the tissue. Ck4 is also used as a corrective and bridging point to integrate the cheek area with the hollow under the eyes on the weak side.
• Jawline (JW1, JW2): If the jawbone is backward, smaller or has a weaker angle on one side, by injecting high viscosity filler (High G-Prime) in the jaw codes (such as JW1 in the angle of the jaw and JW2 in the body of the jaw), C1

1. Digital Analysis 3D and Evaluation Resting vs. Dynamic:

The first and most important step is to use 3D digital imaging for detailed analysis. This tool allows us to measure millimeter differences in height, width and volume of two sides. Also, we investigate asymmetry in two cases:

• Resting Asymmetry (Resting Asymmetry): in the state of rest and relaxation of the face.
• Dynamic Asymmetry: While smiling, frowning and talking.

The "strong side vs. weak side" approach: the doctor should be able to apply a different dose and technique (deep filler on the weak side and more Botox on the strong side) on each side.

2. priority of cannula safety and awareness ofFacial Danger Zones:

In structural and deep injections to correct asymmetry, especially in MD Codes anchor points that are close to vital vessels, the use of cannula (round tip) is a non-negotiable principle. In addition, the doctor must be fully in control of the Facial Danger Zones to avoid injecting near the main arteries and nerves.

3. Protocol follow-up and precise adjustment (Staged Correction) for perfectionism:

Due to the complexity of asymmetry, the final result cannot be achieved in one session. We consider a two-week follow-up protocol for Botox and a one-month follow-up protocol for fillers. In these sessions, the tissues are fully stabilized and the doctor can inject a very small amount of Botox or filler to achieve the final symmetry. This multi-step approach is the key to achieving a natural result without being "overcorrected".

5. Duration of treatment, durability and role of the patient in maintaining symmetry (guaranteeing the longevity of the result)

Time required to achieve full symmetry: Usually after 4 weeks, maximum symmetry is achieved. It is important to know that asymmetry correction is a project and not a simple injection.

The role of the patient in maintaining symmetry (key lessons): To ensure long-term durability, the patient should take the doctor's recommendations seriously:

1. Adjustment of sleeping habits: Try to sleep on your back (or use special pillows) to remove one-sided pressure from the face.
2. Awareness while chewing: Practice to chew food symmetrically with both sides of the jaw, which helps prevent masseter hypertrophy.
3. Stress management: Reducing teeth grinding, which itself can cause the asymmetry of the masts and wear of the teeth.
4. Using a tooth protector (Night Guard): In case of severe teeth grinding, use a night guard to prevent skeletal and muscle damage.

6. Conclusion: restoring facial harmony, investing in self-confidence

Asymmetry correction is the most advanced and challenging cosmetic treatment that requires an artistic eye, deep anatomical knowledge and mastery of advanced MD Codes techniques. At Dr. Vida Shakiba Clinic, instead of just "filling", we look for We are "aligning" and "restoring harmony" of your face. Our ultimate goal is not just beauty, but enhancing self-confidence and providing a face that makes you look fresher and more balanced.

If you are looking for a scientific and precise treatment plan to correct the asymmetry of your face in the Valenjak area, we are ready to restore balance and natural beauty to your face.

Contact and appointment information:

Brand Name: Doctor Vida Shakiba Clinic

Urgent consultation and WhatsApp number: 09381855454

Address of North Tehran Branch (Zafraniyeh):

Tehran, Zafaranieh, Ejazi St. (Asef), above Serah Asef, 33 Asef Building, No. 33, 2nd floor, Unit 7

(landline: 02126293055)

Address of West Tehran branch (Sadeghieh):

Tehran, 2nd floor of Sadeghieh, East Ferdous Boulevard, in front of Ferdous Cultural Center, No. 191, 5th floor, Unit 10

(landline: 02144003929)

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