Introduction
The question of whether braces can correct an asymmetrical face blends aesthetics with science. Facial asymmetry occurs when the two sides of the face lack proportional harmony. An intriguing truth—perfect symmetry is a rarity, once embodied only in the sculpted features of the Greek god Apollo Belvedere. In most people, the right side is marginally larger than the left, though the difference often escapes the untrained eye. Yet, in some cases, this imbalance is more pronounced, becoming visibly apparent due to various underlying causes.
While many seek correction purely for aesthetic refinement, it is crucial to uncover the root cause of facial asymmetry, as it can also impair essential functions of the oral cavity.
Is Facial Asymmetry Normal?
Mild asymmetry is common and, in most cases, harmless. However, when it interferes with daily functions—such as eating, speaking, or breathing—it moves beyond a cosmetic concern into the realm of medical necessity. Unfortunately, many individuals remain unaware of these functional implications, focusing solely on appearance.
How Facial Asymmetry Affects Oral Cavity Function
The oral cavity plays host to vital functions—chewing, speech, swallowing, and respiration—all of which can be disrupted by asymmetry.
Contributing Factors
Hereditary:
Genetic influences often set the stage from birth, with conditions such as Class III malocclusion strongly associated with facial asymmetry.
Environmental:
Childhood trauma, birth injuries (including forceps use), or developmental disruptions may accelerate or inhibit bone growth. Even lifestyle factors such as habitual sleeping positions and smoking can play a role.
Types of Facial Asymmetry
In simple terms, asymmetry can occur:
Diagnosis
Postero-anterior cephalograms remain the most common imaging method for assessing facial asymmetry. Complementary tools include photographic analysis, bone scans, and sequential radiographs taken over time to track abnormal growth patterns.
Treatment Approaches
Early Detection:
When identified during growth years, asymmetry can often be managed with growth-modifying orthodontic appliances, guiding the development of jaw structures.
Late Detection:
Once growth is complete, surgical intervention becomes the primary corrective option. This involves reshaping bone through trimming, shaving, or removal to restore symmetry.
Role of Braces in Correcting Facial Asymmetry
Neither braces nor surgery alone can fully correct significant asymmetry. Since tooth positioning is influenced by bone alignment, orthodontics typically precedes surgery. Braces first reposition teeth to their ideal placement, ensuring surgical adjustments produce a stable, functional bite.
Surgery First or Braces First?
The sequence depends on the severity of malocclusion. In cases where teeth are misaligned, braces come first. If tooth alignment is already optimal, surgery may be performed before orthodontic finishing.
Treatment Timeline
This is typically a multi-phase process:
On average, the complete treatment spans 18–24 months, though duration varies with case complexity.
The Treatment Team
Correction is a collaborative effort involving:
Take-Home Message
Beauty may rest in the eye of the beholder, but a significant imbalance in facial proportions warrants attention—particularly when function is at stake. Early intervention can guide growth and control asymmetry; late-stage cases often require surgery. Braces, when integrated into treatment, ensure optimal alignment and long-term stability.
asymmetrical face before braces Pre Treatment
asymmetrical face after braces, Post Treatment
