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Dimple creation

What is the Dimple creation?

Natural dimples usually occur on both sides of the face, and are generally present only when the face is animated, often to an unnaturally exaggerated degree. A natural dimple is formed when there is a small gap in the cheek muscle and it creates a little indentation at the side of the mouth when a person smiles.

It is possible to create a dimple or dimples by a minor plastic surgical procedure.

What is the procedure?

The procedure is simple and quick - takes about 20 minutes under local anaesthesia. A punch biopsy instrument is placed against the buccal mucosa (inner cheek) and circular motions are made to cut through the mucosa, submucosal fat, and cheek muscle. A circular core composed of these tissues is removed, leaving the skin intact, which will create a shallow cylindrical-shaped defect under the skin.

This 'defect' then is closed by placing an absorbable suture through the inner skin of cheek (muscle) on one side of the defect, then through the dermis layer of the skin and finally through the inner skin of cheek (muscle) on the other side of the defect. A surgical knot is tied, which in turn will result in dimpling of the skin even without smiling.

What kind of result can you expect?

The skin will flatten out in a week or two. The internal scarring which takes place will connect the muscle to the skin, creating a dimple when one smiles.

If someone wants dimples that are very prominent, a bigger punch biopsy will be used to be able to remove a bigger core of soft tissue.

Final results can be seen after a month.

Recovery period and recommendations

There is usually minimal swelling following the procedure, and the after care is just as simple and uncomplicated as the procedure. The after care usually involves regular mouth rinsing with antiseptic solution and a course of antibiotics.

You can go back to work the next day, but avoid strenuous activities like contact sports and exercise that can injure your face. The healing period is between 7 to 10 days.

Possible side effects and complications

As in any operation, there are risks involved in the form of infection, bleeding, scarring, under/over correction, revision surgery and weakness of the involved muscles although extremely rare. Some specific complications can occur with dimple creation surgery like persistence of unwanted dimples without facial animation or complete disappearance of this surgically created dimple/dimples.

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