Dimple Creation



A natural dimple is usually formed when there is a small defect in the cheek musculature (most often the buccinator muscle). The skin overlying this small defect is stuck down to the underlying connective tissue and creates a dimple in the skin with facial animation (smiling).


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Dimple creation surgery can simulate this naturally occurring process. To create a dimple, a small painless incision is made in the inside of your cheek. There is no incision or scar on the outside skin. A small absorbable suture is passed through the inside of the cheek and catches the undersurface of the skin where the dimple is desired. When this suture is tied it causes a dimpling in the overlying skin. At first there is a dimple present even without smiling, but after several days, or sometimes a few weeks, the dimple is only present while smiling or moving the face. The scarring between the inner skin and muscle will cause a permanent dimple even after the suture is absorbed.

Dimple creation surgery can be done on any type or size cheek.

The Procedure
The first step is to mark out the dimple locations. Surgeon then injects a small amount of local anesthesia in the inside of the cheek to numb the cheek from the inside. The rest of the surgery is painless and comfortable. The entire procedure is done from the inside of the cheek, with no external incisions required.

The surgery is performed by making a small incision inside the cheek and carefully removing a tiny piece of the cheek muscle, just a few millimeters in size. An absorbable suture is then used to catch the underside of the cheek skin and secure it to the deeper soft tissue of the cheek. The inside of the cheek is then closed with one or two absorbable stitches, which dissolve over the next few days. Because the surgery is done under local anesthesia, you can go home right away after the procedure is completed.


FAQs

Comparatively, dimple creation is a simple procedure. You will be awake and comfortable during the entire dimple surgery process. Special arrangements can be made if you would rather be asleep for the dimple creation surgery. The dimple surgery takes about 20 minutes to perform and you can go home right away after the procedure.
There are many variables that might affect the depth, size and shape of your dimple. Some of these variables include how thick your cheeks are, how much fat is present, the shape of your face, and the balance of your facial muscles. You will have a chance to speak in detail about the dimple surgery process and decide the exact dimple that will be right for you. He will go over what type of dimple you are likely to heal with depending on a few of these variables. Still, this surgery is entirely personalized. So, you can choose the location of the dimple on your face, depth and shape.
You can begin eating soft food a few hours following the surgery as it does not interfere with eating or chewing process. We will prescribe pain medication, just in case you need it, though most patients do just fine without it. You will take an antibiotic for a few days as well. We will prescribe you with antiseptic gargles. You must observe your oral hygiene by keeping your mouth clean with antiseptic gargle following any food or drink.
You may experience mild swelling and bruising for a few days following dimpleplasty. You should be able to resume your normal daily activities on the morning following surgery.
There is an initial period of time after the dimple creation surgery, where the dimple is present even when you are not smiling. This period is variable and can last anywhere from several days to several weeks and sometimes a couple of months. As you heal, the dimple will slowly flatten out and will only be present when you smile.
The dimple created by the surgery will be permanent in nature. Rarely, if the suture breaks during the immediate healing process, the dimple may result in being shallow or could disappear completely, however the later is very rare.
Dimple Surgery is an extremely safe procedure but like any surgical procedure there are a few risks, the first being bleeding. Infection is exceedingly rare and the risk is minimized with antibiotics prescribed after surgery. Weakness of one of the facial muscles due to nerve injury can take place but is, again, extremely uncommon and typically resolves after a few weeks. Another possibility is that you may not like the result due to over correction, under correction or asymmetry, in which case the dimple can be deepened, made more superficial or reversed. Scarring and hyperpigmentary changes may occur sometimes. Lastly, the absorbable stitch creating the dimpling of the skin can break prior to the healing process being completed, in which case the procedure may need to be repeated.
It is possible to reverse the surgery with a small procedure to loosen the dimple. Your surgeon will spend time with you to make sure dimple creation surgery is right for you. Hopefully this will prevent the need of having to potentially reverse the dimple.