Dimple Creation

Procedures
Face
Breast
Body
Hair
Non Surgical

Indications

Anyone seeking to enhance their facial appearance can opt for simple dimple creation after discussing with their Plastic Surgeon.
If you want a cute, attractive, innocent smile, the dimples can be created for you. Both men and women can request dimple either on one cheek or both. Men may request a chin dimple. 
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WHAT DOES THE PROCEDURE ACHIEVE?

Naturally dimples occur either on the cheeks or the chin. The cheek dimples may present on one or both sides of the cheek. The cheek dimples are dynamic in the sense they appear on smiling or animation, whereas the chin dimples are static and are present at rest.

As the end result of the procedure, you can expect smooth cheeks at rest. The cheek dimple/s will appear when you smile. These are called dynamic dimples. Chin dimples are static.

Contraindications

Very chubby cheeks is a relative contraindication. In chubby cheeks the dimples may not be clearly seen. You may opt for buccal fat pad removal to achieve slimmer face and simultaneously get a dimple done. If you have bleeding disorder, dimple creation may not be possible as it requires a small cut.

CONSULTATION

The doctor will examine you and make sure you have no oral or skin problem and no contra-indication for dimple creation. You can decide with the doctor whether you want dimple on both cheeks or only one—and then which side. One can discuss the site and marking of the dimple during the consultation.

ANAESTHESIA

Dimple creation is a simple day care procedure, performed under local anesthesia with or without sedation.

Note

The surgically created cheek dimple is apparent at rest for the initial few weeks, but eventually it behaves like a natural dimple and appears only on smiling or animation. The chin dimple remains static throughout.
Dimple creation requires only routine blood tests that are mandatory before evry minor surgery.  Hemoglobin, coagulation profile and viral markers is enough. If you are diabetic, blood sugar is required. If you have chosen sedation you need to come empty stomach for the surgery. Otherwise it can be done under local anaesthesia
You need to keep your mouth open during the procedure. The procedure is performed by an incision made inside the mouth, leading to no visible scarring. A small chunk of oral mucosa may be removed. A stitch will be passed after scraping the underside of the skin clear of any fat and tissues. The stitch is then passed along the underside of the cheek skin (Dermis) for 1—2 cm and brought back into mouth. When the stitch is tied the skin and the mucosa are brought together so that they stick to each other. Some surgeons like to ensure this adhesion by bringing the stitch out and putting a small roll of gauze under it. This bolster can be removed after 5-7 days. 
Pain killers, antibiotics and mouth washes are prescribed. You may be given an ointment to apply. If there is a bolster, you will be instructed to come for removal as per surgeon’s preference.
You may be asked to do ice fomentation to alleviate swelling. 

Complications

These are pretty rare. After the procedure, one may experience a bit of swelling and bruising, There can be bleeding or infection. The oral stitch may give way. Very rarely a nerve that is responsible for smile or the salivary duct nearby may be injured.

More common issues include asymmetry of bilateral dimples. Rarely dimples can fill up and disappear especially if you gain fat on the face.

FAQs

As the surgery is done under local anaesthesia the one prick needs to be tolerated. Then there is discomfort due to mouth being kept open for 20-30 minutes. There may also be discomfort for a few days after the procedure.

You can eat within two hours of surgery. Start by drinking water. Take soft diet for 3—5 days at least. Make sure you rinse your mouth well with mouth wash and plain water after each feed. Avoid hot and spicy food.

You can resume work the very next day. There will be some swelling and bruising for 2-4 days. The rsolution period is variable. Some people may stay bruised for prolonged period. So physically attending chores is a personal choice.

Rest is usually not required. When you go out in the sun, do use sunscreen over bruised area.

You can walk from the following day.
Light exercise can be started within a week and gradually increased.