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Living with Hemifacial hypertrophy

A rare condition in which one side of the face grows larger than the other, starting before or soon after birth.

Understanding Hemifacial hypertrophy

Hemifacial hypertrophy is a rare condition in which one side of the face overgrows, including bone, soft tissue, and teeth.

In true hemifacial hypertrophy, all facial structures on one side are enlarged. In the partial form, only some are. It can occur alone or with other syndromes. It may be linked with breathing problems, hearing loss, or trouble swallowing. It starts during pregnancy, at birth, or in infancy.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Enlargement of half of the face
  • Uneven face (facial asymmetry)
  • Bite that does not line up (malocclusion)
  • Bigger half of the tongue (hemimacroglossia)
  • Larger teeth (macrodontia)
  • Curved wall inside the nose (deviated septum)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include ear, nose, and throat specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Is this isolated, or part of a syndrome that needs checking?
Should hearing, breathing, and swallowing be tested?
Which specialists, such as dental or facial surgery, should be involved?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is listed as autosomal dominant. It may also occur with other syndromes.

Genetic

Also known as: enlargement of half of face; facial hemihyperplasia; facial hemihypertophy; facial hemihypertrophy; friedreich's disease; hemifacial enlargement

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hemifacial hypertrophyGARD ID 16971 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hemifacial hypertrophy.

Explore the Hemifacial hypertrophy blog

Explore research for Hemifacial hypertrophy

Explore actively recruiting Hemifacial hypertrophy studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hemifacial hypertrophy with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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