Hello Dr. Naderi,
I am starting to notice a bit of facial sagging but only on one side of my face (my right side). I am only 21 years old. The side that sags seem to look like I have been hit in the face. Although years ago I have had trauma to the left side of my face, it still is the right side that seems to look worse than my left. There are more profound lines on the right side than the left as well. I have noticed that the normal side of my face is a little harder to move and feels a but stiffer than right sagging side. Could this be due to overuse of one side of my face? Also, in the past 5 years, I have underwent a rhinoplasty (just scrape of the bone and reduction of the tip of the nose) but they never had to “break” the bone like some other rhinoplasty procedures. I do notice a small deviated septum and the tip is a little uneven. Could this be a factor to my asymmetrical skin condition?
without seeing you I cannot make specific comments about the cause of what you perceive to be asymmetric facial sagging. You are too young to have true aging face changes such as sagging but the two sides of the face are asymmetric in 85% of people so you may be simply noticing normal stuff that you did not notice before. Also the face continues to change throughout our lives so this may again be normal but the most important thing is for you to see a doctor to be examined to make sure there isn’t something more serious going on such as a slow growing facial tumor on one side or a nerve issue on one side that is making your face change asymmetrically.