Asymmetry Correction and TMJ Services
Dr. Derek Steinbacher is a plastic surgeon in Guilford, Connecticut, who is pleased to offer both facial and body surgeries for adult men and women in his facility. In addition to standard procedures such as breast augmentation, tummy tucks, and rhinoplasties, he also offers more specific procedures such as asymmetry correction and TMJ surgery. Below is a little information about both surgeries to help you make an educated decision on the one right for you!
What is asymmetry correction in facial plastic surgery?
One of the main goals of facial plastic surgery is to achieve facial symmetry. However, sometimes patients have existing facial asymmetry that needs to be corrected. Depending on the specific problem, it can be done with various surgical procedures.
Some common causes of facial asymmetry include:
- Congenital deformity
- Trauma / acquired deformity
- Lower jaw growth disturbances (Condylar hyperplasia)
- Other mandibular, maxillary, and orbital deformitiesÂ
Correcting asymmetry often requires a combination of different surgical techniques. The goal is to create a more balanced and harmonious appearance. In some cases, this may also involve adjusting the position of the teeth or jawbone. In settings of condylar hyperplasia we may need to remove a portion of the top of your lower jawbone (mandibular condyle) – this helps stop the asymmetric growth, and can make the jaw angles more even as well (proportional condylectomy). We also consider concurrent or staged orthognathic surgery, and jaw bone augmentation (implants) or reduction. During a consultation with Dr. Steinbacher, patients can get a good idea of what is required to achieve their desired results.
Bring symmetry and harmony to your face.
With skilled asymmetry correction or TMJ surgery, we can help to bring your jaw and face into natural harmony for improved comfort and attractiveness.
Schedule your consultation to discuss your options today.
What is TMJ surgery, and what is the goal?
The temporomandibular joint (TMJ) is the joint that connects the lower jaw to the skull. It is responsible for all the lower jaw movements, including chewing and talking. When this joint is not working correctly, it can lead to a condition known as TMJ dysfunction, or “TMD.” This can present with symptoms, including pain, clicking or popping sounds when moving the jaw, and difficulty opening and closing the mouth.
We are involved in TMJ treatment because the TMJs are the foundation for orthognathic jaw surgery. We want the joints to be stable and disease free (and not changing) prior to and after orthognathic surgery, if possible. Additionally, asymmetric growth at the TMJs can lead to facial asymmetry – and we want to be able to address the underlying cause(s). In some cases, TMJ dysfunction can be treated with non-surgical methods such as medication, physical therapy, and bite splints. However, in more severe cases of TMJ surgery may be necessary to correct the problem. Several different surgical procedures can treat TMJ dysfunction, depending on the specific problem.
We also treat cases of TMJ ankylosis – where the lower jaw joint is fused to the skull – and requires a joint replacement to enable mouth opening. TMJ prostheses (or joint replacements) are also at times indicated for severe arthritis or condylar resorption of the bilateral TMJs (of the mandible / lower jaw).
Asymmetry Correction & TMJ FAQs
Can facial asymmetry cause or worsen TMJ symptoms?
Yes. When the jaw is misaligned—whether due to congenital differences, injury, or prior surgery—it can create uneven pressure in the temporomandibular joints (TMJs). This can lead to clicking, locking, or chronic discomfort. Dr. Steinbacher evaluates jaw function in conjunction with facial appearance and designs corrective treatments that alleviate joint strain while enhancing symmetry. For many patients, reducing asymmetry also alleviates headaches or neck tension associated with joint imbalance.
Is it possible to fix facial asymmetry without breaking the jaw?
In some cases, yes. If the asymmetry is subtle or limited to soft tissue or surface bone contours, non-invasive methods such as fat grafting, implants, or shaving may be sufficient. However, moderate to severe skeletal asymmetries typically require orthognathic (jaw) surgery. Dr. Steinbacher will determine the least invasive, most effective approach for your specific needs. He may also suggest a combination of soft tissue and bone work for the best results.
Can TMJ surgery be done at the same time as facial asymmetry correction?
Yes. Combining these procedures often leads to more stable and harmonious outcomes. When jaw realignment is needed to relieve TMJ symptoms, Dr. Steinbacher also uses surgical planning to correct facial asymmetry in the same procedure, reducing total recovery time and improving both function and aesthetics simultaneously. It’s a holistic approach that treats both pain and appearance, often delivering results that surpass what either procedure could accomplish alone.
What role does 3D imaging play in asymmetry correction?
3D imaging is essential for visualizing bone structure, muscle placement, and joint movement. It allows Dr. Steinbacher to precisely measure imbalances and simulate surgical corrections before making an incision. This advanced planning reduces guesswork, improves outcomes, and allows patients to preview potential changes to their face and bite. The ability to model results beforehand gives patients confidence and peace of mind about their chosen treatment
Can treating asymmetry improve my breathing or sleep?
Sometimes, yes. If the jaw position contributes to a narrow airway or misaligned bite, correcting it can enhance airflow and reduce nighttime breathing problems such as snoring or sleep apnea. Dr. Steinbacher often evaluates the airway as part of surgical planning, particularly in patients with TMJÂ or lower jaw asymmetry. In these cases, correction improves appearance, comfort, overall health, and quality of life.
Is there a non-surgical option for TMJ pain caused by mild asymmetry?
Non-surgical treatments, such as bite splints, physical therapy, or Botox injections into the masseter muscles, may relieve mild cases. These conservative approaches can sometimes reduce joint inflammation and muscular tension. If pain persists or is linked to structural misalignment, surgery may be the next step. Dr. Steinbacher will always explore the least invasive route first before recommending a more permanent solution.
How long is the recovery from asymmetry and TMJ surgery?
Recovery varies depending on the extent of the correction, but most patients experience initial swelling and jaw tightness for several weeks. Soft foods are often recommended during the early stages of healing. Full results—including improved symmetry and joint comfort—become visible over several months. Dr. Steinbacher provides a detailed recovery plan, including dietary guidelines and activity restrictions, to support healing and maximize surgical results. Â
Learn more about asymmetry correction and TMJ services with a Guilford, Connecticut doctor
If you are experiencing thaw growth asymmetry, or TMJ arthritis, or other symptoms of TMJ dysfunction or want to achieve better asymmetry of the face with plastic surgery, consult with Dr. Derek Steinbacher to see if surgery is the right option for you. Call (203) 453-6635 to request an appointment.
Dr. Derek Steinbacher has devoted his life to
aesthetic and life-changing surgery. He is an artistic and meticulous surgeon who draws patients
from around the world due to his perspective, unmatched skill, and exceptional results. He is able
to uniquely address the face (facelift +
rejuvenation), jawline (orthognathic; chin; contouring; implants), nasal (rhinoplasty), eyelids, profile, neck, breast, and body with
one-of-a-kind results.
He is a multiple Board-Certified, Fellowship-Trained Plastic, Cosmetic, and Cranio-Maxillofacial
Surgery. He is Fellow of the most prestigious surgical organizations, including the Society of
Plastic Surgeons, the American College of Surgeons, the Royal College of Surgeons of Edinburgh, the
Academy of Facial
Plastic Surgery, Societies of Craniofacial and Maxillofacial Surgery, the Aesthetic
Society, and the Rhinoplasty Society. He has served as Full-Professor
of Plastic Surgery at Yale, including Director of the Cleft and Craniofacial Program, and Chief of
Oral and Maxillofacial Surgery. Dr. Steinbacher has unparalleled training at premier institutions,
including Harvard
and Johns Hopkins. His
perspective brings together the best aspects of many distinct – but related fields – and it is this
intersection of scope and expertise, in addition to an artistic eye, which enables excellent
comprehensive results.
Dr. Steinbacher's approach: technical acumen, meticulousness, and penchant for combining art and
science, together with his eye for balance, beauty, and harmony, helps achieve outcomes that greatly
improve a person's confidence, health, and overall quality of life. Patients can trust that they are
always in good hands!
