Q. What causes facial asymmetry after nose fracture?

Answered by
Dr. Pavan N Murdeshwar
and medically reviewed by Dr. Divya Banu M
This is a premium question & answer published on Feb 15, 2020

Hello doctor,

I broke my nose in kindergarten, I am 26 right now and just now realized how my facial features are not symmetrical, how much does a broken nose affect that, as you can tell my right side of my face is more laid back and natural looking even my mustache above my lip, and my left side looks more tight and my mustache and lip does not match the right side. What causes this?



Welcome to

Definitely there is a whole lot of asymmetry as you suggested, because of the old broken nose. I can also see that the base of the nose is a bit too broad and gives a feeling of oddly joined fractured segments. This can be confirmed by few X-rays. Further correction if this is as well simple. We call it osteotomy and splitting. That will give you more symmetrical looking sleeker nasal dorsum. It's better if you can get yourself examined by a board certified plastic surgeon.

Thank you doctor,

Also my smile is not symmetrical, when I was young I got hit with a stick on my left side and my lateral Incisor tooth never grew in, so I was wondering would getting braces and getting a implant help fix my face some? Or is me breaking my nose in kindergarten the main cause of it? Looking at my mustache I can tell one side seems stretched out more than the other side.



Welcome back to

From what I can see in the pictures you are having an hyperactive facial muscle on one side which is making an asymmetrical animation deformity. It is very hard to attribute it to any kind of dental injury. The braces will not help in correcting this asymmetry either. An injection of botox at a particular site will help you in getting a more proper smile. However it will be short lasting and multiple injections might be required. An in- person examination will help knowing the condition better.

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