Does Side Sleeping Cause Facial Asymmetry?
- Belle Lim
- Feb 22, 2024
- 2 min read

The TikTok viral "inverted" filter trend has many users sharing what seems to be facial asymmetry. Individuals are proposing that side sleeping is the primary cause of their uneven facial structure, leading them to switch sleep positions or train themselves to sleep on their backs. However, is side sleeping genuinely the main culprit behind these facial irregularities?
The Effects of Side Sleeping: Side sleeping, a favored position for many, has associated benefits like minimizing snoring and alleviating acid reflux. Dr. Prem Tripathi, MD, a Plastic Surgeon, acknowledges that while side sleeping is linked to heightened fine lines and wrinkles, it isn't the primary catalyst for facial imbalance.

Highlighting that nobody is born with a perfectly symmetrical face, he advises against the idea that exclusively sleeping on your back greatly improves facial symmetry. In fact, making such a change might negatively impact the quality of your sleep.

Board-certified dermatologist Dr. Mamina Turegano, MD explains that the cause of facial asymmetry goes beyond your sleeping habits. Factors like chewing, dental work, and genetics also play a substantial role in determining the balance of your face.
Enhancing Facial Symmetry: For individuals seeking to improve facial harmony, merely altering sleep positions may not prove the most effective solution. Consider exploring these non-surgical alternatives to enhance facial balance:
Botox: Botox works by temporarily paralyzing the facial muscles responsible for wrinkles, fine lines, and a prominent jawline. By injecting Botox into the masseter muscles of the jaw, muscle relaxation occurs, resulting in a more refined facial contour over time.
HIFU (High-Intensity Focused Ultrasound): HIFU is a non-surgical treatment that directs focused ultrasound energy to specific facial fat layers. This process encourages the breakdown of fat cells, resulting in a more contoured, firmer, and sculpted facial appearance.
Dermal Fillers: Dermal fillers can be injected strategically into areas of the face that require a volume boost. They offer an immediate and non-surgical solution for balancing facial contours. Typically composed of hyaluronic acid—a natural substance found in our bodies—these fillers are dissolvable, providing a safe and effective way to contour your face.

It is important to remember that having some asymmetry in our facial structure is entirely normal. Embracing the distinctiveness of your features and naturally enhancing them can unveil a more authentic and refined version of yourself.
When exploring ways to enhance your facial contours, be sure to consult with a certified medical professional for personalized advice on the medical treatments available.
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