Dimple Creation

IntroductionIs there anybody in the world who does not like dimpled cheeks? It is a lovely sight when somebody smiles and a cute dimple is formed. Dimples are considered by the majority as a very attractive facial feature. In traditional Asian folklore, the presence of a dimple suggests good fortune and fertility, while in the West it is more simply viewed as cute and unique.

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 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 when the muscle contracts with smiling; it splits apart and allows the overlying skin to indent.

It is possible to create a dimple by a minor plastic surgical procedure under local anaesthetic as an office procedure as a day case. As such, there is a huge demand now for surgically created dimples both from women and men. The results of this cosmetic procedure are usually permanent. The location and size of the dimple is a personal choice, which will be further evaluated with Mr. Vadodaria in your consultation.

Technique

Dimple creation surgery is, in itself, a fairly simple one and is commonly done under local anesthesia on an outpatient basis. 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. Usually normal activities can be resumed straight after the procedure.

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.

The skin will, however, 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.

The surgery can be performed on any kind of cheek, be it chubby or not. It would be easier if the cheeks are not too chubby. 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.

Recovery and Post operative care

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. After a few weeks, you will notice that the operated area is already taking shape; the dimples or the cleft chin is becoming more apparent while you smile (during active animation of facial muscles) and feels natural like you are born with it. Final results can be seen after a month.

Risks and complications

As in any operation, there are risks involved in the form of infection, bleeding, scarring, under/over correction, revisional surgery and weakness of the involved muscles although extremely rare. There are minimal complications with dimple formation aside from a little bit of swelling and bruising. You should be able to resume your normal activities the following day.

Summary

Dimple creation surgery is a relatively easy way to form a dimple either in the cheeks or chin, under short local anaesthetic as a day case, for those people who have always wanted one.

An example of dimples created through dimple creations surgery. This surgery was done by one of the UK’s leading cosmetic surgeons Shailesh Vadodaria.

Natural dimples demonstrated – Shailesh Vadodaria Harley Street cosmetic surgeon