- avg. recovery
About the Procedure
Dimples are small depressions in the skin that appear when smiling. These indentations can enhance someone's features and are often desired to create a more attractive facial contour. Natural dimples are apparent at birth and are caused by a slight deformity in the cheek muscle where the skin is tethered to the zygomaticus major muscle. When an individual smiles, the fibrous connection causes the dimple to become deeper and more visible. This tethering can be mimicked surgically during a dimpleplasty procedures. For those with prominent cheekbones looking for a dramatic reshaping of the face, a cheekbone reduction surgery may be better suited. Before the dimpleplasty procedure, the surgeon will mark the areas on the surface of the cheeks for where the new dimples will be. Once the location is agreed upon, local anesthesia will be applied to ensure comfort for the patient. A small incision will be made on the inside of the cheek. An absorbable suture will be passed through the inside of the cheek to catch the undersurface of the skin where the dimple is desired. Once the suture is tied, a depression will form on the overlying skin. After surgery the dimple will be present even without smiling. Eventually, the dimple will only fade and only be present when moving the face. The suture will cause scarring between the cheek and cheek muscle so that even when the suture has dissolved, the scar tissue will act as the fibrous connection and create the superficial indentation when smiling.
The goal of a dimpleplasty is to create the appearance of dimples.
What to Expect
A dimpleplasty creates dimples on the cheeks or chin. Sutures are stitched intraorally, leaving no external scars. Here is a quick guide for what to expect before, during, and after a dimpleplasty.
- Stop taking blood thinning medications for 2 weeks
- Stop smoking 4 weeks before and after surgery
- Do not eat or drink for 6 hours prior
- Cheeks marked for dimple placement
- Local anesthesia
- Intraoral incision
- Absorbable suture passed through the inside of the cheek to catch the undersurface of the skin
- Suture is tied to create dimple
After a dimpleplasty most patients are able to return to work the day following the procedure however may be self conscious of redness and swelling. Avoid strenuous activity for at least 1-2 weeks following the procedure. Final results are typically seen after 2 months however the dimple will be present, even when not smiling, until healing is complete.
The ideal candidate for a dimpleplasty is generally in good health and desires dimples.
Not Recommended For
Dimpleplasty is not recommended for candidates with infections in or around the mouth such as herpes, lupus, blood-clotting diseases, diabetes, or heavy smokers unwilling to quit for a short period.
Side effects from dimpleplasty may include infection, pain, bruising, scarring, and possible asymmetry.