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 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.