Facial asymmetries can arise from differential growth rates, cytokine differences in utero, and prolonged pressure on one side of the face.

“So again, imagine you're laying in uterero, right? You're you're you're in in the womb and you're probably spending more time on one side of your face than the other. There's so many factors we can imagine as to why why do we get facial asymmetry? It's because of maybe the growth rates were different. Maybe there's a slightly different cytoine difference between the left and the right at, you know, at six weeks and and then maybe you're laying on one side of your face for two months. You know, these are all the reasons why we end up with a little asymmetry.”