Can Orthodontics Fix Facial Asymmetry?

Wondering if your crooked bite is affecting more than just your smile? You’re not alone. Many patients ask us, “Can orthodontics fix facial asymmetry?” The short answer: it can improve many cases, depending on what is causing the imbalance. At Smith & Heymann Orthodontics, our doctors use modern braces, Invisalign, and growth-guiding appliances to improve facial balance for patients of all ages.

Let’s walk through what facial asymmetry is, how orthodontic treatment can help, and what to expect from a free consult with our team.

Smiling teen patient checks her straight, balanced smile in a hand mirror during an orthodontic visit with Dr. Dempsey Smith and Dr. Gavin Heymann at Smith & Heymann Orthodontics in Durham, NC

What Is Facial Asymmetry?

Facial asymmetry means that the left and right sides of your face don’t mirror each other perfectly. You might notice it in your jawline, chin position, smile line, or how your lips rest when closed. A small amount of asymmetry is normal. In fact, every human face has some degree of imbalance.

There’s a difference between aesthetic asymmetry and functional or skeletal asymmetry:

  • Aesthetic asymmetry involves minor differences in soft tissue, like a slightly higher cheek or an uneven smile.
  • Functional asymmetry affects how your jaw, bite, and teeth work together. This type often shows up as a shifted midline, a crossbite, or a chin that leans to one side.

Jaw and bite misalignment is one of the most common structural causes of noticeable asymmetry. When the upper and lower jaws don’t meet properly, your face can look uneven, and chewing or speaking may feel off.

So when does asymmetry become a clinical concern? If you notice jaw strain, a visibly tilted chin, difficulty closing your lips comfortably, or a bite that feels like it shifts to one side, it’s worth getting evaluated at Smith & Heymann Orthodontics.

[IMAGE_SUGGESTION: Diagram showing facial symmetry lines with examples of mild vs. moderate asymmetry]

How Orthodontic Treatment Corrects Facial Asymmetry

Orthodontic treatment corrects facial asymmetry by repositioning the teeth, jaws, and bite so the two sides of your face balance more evenly. Dr. J. Dempsey Smith, Dr. Gavin Heymann, and Dr. Katya Skillestad use 3D imaging, digital scans, and cephalometric analysis to diagnose the exact cause of imbalance and build a personalized plan at Smith & Heymann Orthodontics.

Here’s how the process works, step by step:

  1. Diagnostic workup. Your free consult includes digital photographs, 3D scans, and cephalometric X-rays. These let our doctors measure skeletal relationships, midline shifts, and bite discrepancies.
  2. Jaw and bite repositioning. Shifting the bite into a balanced position often shifts facial proportions. When the lower jaw aligns correctly with the upper jaw, the chin and lips tend to center.
  3. Modern braces. Damon metal braces and Damon clear braces apply gentle, targeted force to move teeth into better positions.
  4. Palatal expanders. For growing patients with a narrow upper jaw, an expander widens the arch and creates more facial balance, often improving a crossbite that pulls the jaw to one side.
  5. Invisalign. Clear aligners move teeth in small, controlled steps. Invisalign works well for mild to moderate asymmetry and midline correction.
  6. Intercuspation. This is the final fine-tuning phase where your teeth interlock properly. When the bite settles correctly, the chin and dental midline often align with the center of your face.

Benefits of Orthodontic Correction for Asymmetry

Correcting facial asymmetry does more than improve how you look in photos. The functional benefits often matter just as much as the cosmetic ones. Here’s what patients at Smith & Heymann Orthodontics commonly notice after treatment:

  • Improved facial balance and smile aesthetics. When your teeth, lips, and chin align along the facial midline, your smile looks more even and your profile feels more harmonious.
  • Better bite function. Chewing, biting, and speaking all become easier when your upper and lower teeth meet correctly.
  • Reduced jaw strain and TMJ-related headaches. A balanced bite takes pressure off the jaw joints and the muscles around them. Some patients report fewer tension headaches after treatment.
  • Improved airway and sleep. Expanding a narrow upper jaw or correcting a recessed lower jaw can open the airway, which may help with mouth breathing and snoring concerns.
  • Boosted confidence. A transformed smile will give you brand new confidence in photos, meetings, and everyday conversations.
  • Non-surgical results for mild to moderate cases. Many patients see meaningful improvements with braces or Invisalign alone, without needing jaw surgery.

The team you choose makes all the difference, and our talented team of doctors focuses on both function and aesthetics in every treatment plan.

Braces vs. Invisalign vs. Jaw Surgery for Asymmetry

Choosing the right treatment depends on your age, growth status, and how severe the asymmetry is. Here’s how the main options compare for patients considering braces for asymmetry, Invisalign facial symmetry correction, or jaw alignment orthodontics.

Treatment Best For Age Range Treatment Time
Damon Metal Braces Complex bite and skeletal cases, significant midline shifts All ages 12-24 months
Damon Clear Braces Moderate to complex cases where appearance matters Teens and adults 12-24 months
Invisalign Mild to moderate asymmetry, midline corrections Teens and adults 12-18 months
Palatal Expander Narrow upper jaw, crossbite causing jaw shift Children and young teens 6-12 months
Orthognathic Surgery Severe skeletal asymmetry, major jaw size differences Adults with completed growth Combined with braces

A few key considerations when deciding:

  • Age and growth. Children and teens still have jaw growth we can guide. Adults have fully developed bones, so skeletal changes rely more on dental compensation or surgery.
  • Severity. Mild to moderate asymmetry often responds beautifully to braces or Invisalign. Severe skeletal differences may need a combined surgical approach with an oral surgeon.
  • Goals. Some patients want a balanced smile; others want full facial symmetry. Your free consult helps clarify what’s realistic.

Dr. Smith, Dr. Heymann, and Dr. Skillestad can tell you honestly whether Invisalign is the right tool for your case or whether modern braces will give you better results.

Orthodontic team member in navy scrubs and a mask explains treatment to a young boy in the chair at Smith & Heymann Orthodontics, the Durham, NC practice of Dr. Dempsey Smith and Dr. Gavin Heymann

Who Is a Good Candidate for Treatment?

Orthodontic correction for facial asymmetry works for patients of all ages, though the approach shifts based on where you are in life. Here’s who tends to benefit most:

  • Children evaluated by age 7. The American Association of Orthodontists recommends a first orthodontic check-up by age 7. Early intervention lets our doctors guide jaw growth, correct crossbites, and prevent asymmetry from worsening.
  • Teens with developing jaws. Teenage years are ideal for skeletal correction. Palatal expanders, modern braces, and Invisalign can all deliver strong results while growth is still active.
  • Adults. You can absolutely improve symmetry as an adult. While we can’t change jaw bone growth after development, we can realign teeth, correct midlines, and balance the bite for noticeable facial improvement.
  • Patients with severe skeletal asymmetry. These cases may require a combined approach with orthodontics plus orthognathic surgery for the best result.
  • Patients with healthy teeth and gums. Good oral health is required before starting treatment. Any cavities or gum concerns should be addressed first with your general dentist.

Not sure where you fit? That’s exactly what a free consult is for.

Frequently Asked Questions

Can you make your face more symmetrical without surgery?

Yes, in many cases. Mild to moderate facial asymmetry caused by bite or tooth misalignment can be improved with Invisalign, Damon metal braces, or Damon clear braces alone. Palatal expanders in growing patients can also widen a narrow jaw and improve symmetry. Severe skeletal asymmetry may still require surgery for a full correction.

Do braces reshape your face?

Modern braces don’t reshape your facial bones directly, but they can noticeably change how your face looks. By correcting the bite, aligning the dental midline, and repositioning the jaws, braces often improve lip support, chin position, and overall facial balance. Many patients notice a more balanced smile after treatment.

How is facial asymmetry diagnosed?

A diagnostic workup includes digital photographs, 3D scans, and cephalometric X-rays. These let our doctors measure jaw relationships, midline shifts, and bite discrepancies, and understand what is causing the imbalance. Your free consult is the first step.

Can an overbite cause facial asymmetry?

Yes. A deep overbite or an uneven bite can shift your lower jaw to one side over time, creating noticeable asymmetry in the chin and smile. Correcting the overbite through orthodontic treatment often restores better facial balance, improves jaw function, and reduces strain on the TMJ.

How long does orthodontic treatment for asymmetry take?

Most treatment plans take 12 to 24 months, depending on severity and the type of appliance used. Mild midline corrections with Invisalign can finish faster, while complex cases with modern braces and expanders may run longer. Your treatment timeline will be mapped out during your free consult.

Orthodontic team member in navy scrubs and a mask explains treatment to a young boy in the chair at Smith & Heymann Orthodontics, the Durham, NC practice of Dr. Dempsey Smith and Dr. Gavin Heymann

Ready to Explore Your Options?

If you’re ready to find out what orthodontic treatment can do for your smile and facial balance, we’d love to meet you. Dr. J. Dempsey Smith, Dr. Gavin Heymann, and Dr. Katya Skillestad offer free consults with no pressure, just answers. You’re like family to us from your very first visit.

Smith & Heymann Orthodontics has four convenient offices across North Carolina to serve you:

  • Durham: 2919 Colony Rd., Durham, NC
  • Chapel Hill: 1506 E. Franklin St., Suite 304, Chapel Hill, NC
  • Mebane: 1107 S. 5th St., Suite 200, Mebane, NC
  • Roxboro: 424 N. Madison Blvd., Suite A, Roxboro, NC

Call 919-493-4911 or book your free consult online. There is no reason to wait to change your life.