According to expert analysis, surgical intervention is typically required when the central facial line deviates more than 3mm left or right, or when the height difference between the left and right sides exceeds 3mm, especially if accompanied by functional issues like malocclusion. Surgical approaches vary based on the cause and condition. Patients with congenital facial deformities require periodic X-rays to monitor bone growth rates and assess other potential issues like ear or cheekbone abnormalities.
Research by Korean plastic surgeons indicates that approximately 69% of individuals exhibit facial asymmetry.
Treatment for congenital asymmetry involves gradually lengthening the shorter side's bone structure, with the optimal surgical window occurring around age 6. Conversely, for non-congenital asymmetry, surgical decisions should be deferred until adulthood.For acquired facial asymmetry caused by accidents, cases can be categorized into facial contour asymmetry and facial midline asymmetry. These require prolonged observation to assess growth rates before establishing a systematic treatment plan.
Based on examination results, skeletal deformities are treated through facial bone reshaping, bone lengthening, and reverse jaw surgery. Skin or fat issues may require fat grafting, tissue grafting, or muscle grafting. Cases with dental malocclusion also necessitate orthodontic treatment. Therefore, it is essential to choose a specialized hospital where dental and plastic surgery departments collaborate closely.
South Korea's first facial bone specialist states: "Perfect symmetry isn't necessary. As long as asymmetry isn't noticeable or doesn't impact daily life, it's generally not a concern. However, treatment is needed if the asymmetry is severe, if bite issues prevent normal chewing, or if such bite problems cause shoulder pain."
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