Dimple Creation | Permanence and Reversibility

The surgery aims to create a scar in the dermis that adheres to the underlying buccinator muscle, forming a dynamic dimple. Initially the dimple is static and then deepens with animation; it resembles a natural dimple, appearing mainly on smiling, within 4–6 weeks. For 6–8 weeks it may be visible at rest and during animation, then gradually disappears and shows mainly during facial expression. If it disappears entirely, that is a failed knot complication, not the expected course. The knot may also cause a foreign-body reaction, presenting as a nodule with drainage. The procedure is performed under local anesthesia after informed consent; a punch removes mucosa, muscle and fat while the skin and dermis stay intact.

Natural dimples come from muscle fibers inserting into skin. Dimpleplasty aims to create a scar that adheres to the cheek muscle. Initially the dimple is static, then deepens with facial movement, and resembles a natural dimple within four to six weeks. One source describes it as a permanent, omnipresent dimple for six to twelve weeks before it appears mainly with smiling or expression. Complications include sudden disappearance, asymmetry, foreign-body reaction, infection, bleeding, and injury to a nerve or salivary duct. Healing and anatomy can influence how long the dimple remains noticeable, and no absolute guarantee of permanence is possible. The trade-off is accepting possible complications and change in appearance for a dimple that usually becomes smile-linked.

Dimpleplasty carefully aims to create a scar in the deeper skin layer that adheres to the underlying cheek muscle, producing a dimple that deepens with smiling. Initially it may show at rest and then deepen with animation; over time it usually becomes a subtle hint at rest that accentuates on smiling, resembling a natural dimple within four to six weeks. Possible complications include sudden disappearance, asymmetry, foreign-body reaction, infection, bleeding, or injury to a facial nerve branch or salivary duct. The procedure is usually done under local anaesthesia after informed consent. Good knowledge of facial anatomy helps deliver a good outcome. Discuss expected appearance, risks and aftercare with your surgeon before proceeding.

The surgery aims to create a scar in the dermis that adheres to the underlying buccinator muscle, becoming a natural dynamic dimple. Initially there is a static dimple that deepens on animation; gradually there is only a hint when static, accentuating on animation, resembling a natural dimple within four to six weeks. The result depends on scar healing and muscle movement, so sudden change rather than gradual fading is the concern. Because the dimple is created by dermal tethering rather than a filler, it is not expected to slowly fade; instead, any sudden loss or asymmetry should be reviewed. Listed complications include sudden disappearance, asymmetry, foreign body reaction, infection, bleeding, and injury to a nerve or salivary gland duct.

A dimple is created by bringing the skin and underlying buccinator muscle together so a scar tethers them; the absorbable suture holds this relationship while healing occurs. The described method uses 3-0 Vicryl absorbable suture through cheek mucosa, muscle and dermis. Absorbable sutures are gradually resorbed as tissues heal well. The dimple depends on scar formation, not only on the stitch. The procedure is usually done under local anaesthesia after informed consent, with a small tissue cylinder removed while skin and dermis remain intact. Complications can include sudden disappearance, asymmetry, infection, bleeding, or injury to a nerve or salivary duct.

The procedure removes a small tissue cylinder and creates raw dermal and mucosal areas that oppose and stick together. The defect is closed with absorbable Vicryl suture, while the intended lasting dimple comes from scar adhesion between dermis and buccinator muscle. Initially the dimple is static, then deepens with animation; within four to six weeks it resembles a natural dimple that appears mainly on smiling. Possible complications include sudden disappearance of the dimple and asymmetry. Dimple surgery is performed under local anesthesia after informed consent, and postoperative care includes antibiotics, analgesics, good oral hygiene and mouthwash. The patient is advised not to fully smile during the first two weeks.

Natural dimples come from muscle fibers inserting into skin, creating dermal tethering. Dimpleplasty aims to create a scar in the dermis that adheres to the underlying buccinator muscle, so the dimple appears with movement rather than as a fixed mark. The procedure is usually done under local anaesthesia after marking the site, often where a faint dimple already appears on smiling. Because healing and scar maturation vary from person to person, the early appearance can change; the early static dimple deepens on animation and gradually becomes only a hint at rest, resembling a natural dimple within 4–6 weeks. Sudden disappearance and asymmetry are listed as possible complications.

The procedure aims to create a scar in the dermis that adheres to the buccinator muscle, so the dimple appears with smiling. Because the result depends on that scarred tether, there is no simple way to reverse it to the original anatomy. Known complications include sudden disappearance of the dimple and asymmetry. If the dimple fades or looks uneven, the cause and options need individual assessment rather than assuming a standard reversal. The surgery removes a small tissue cylinder and closes the defect so raw areas oppose and stick together; this is why the dimple is created, not merely a temporary indentation.

Dimpleplasty creates a cheek dimple by making a small internal incision and fixing skin to muscle, so the dimple shows at rest initially and settles over about six to eight weeks to show mainly on smiling. The dimple lasts for most patients but can fade in some. A redo for fading or unevenness is done without charge, while reversal is charged. The clinic creates cheek dimples only, on one or both sides as wished. The procedure uses an absorbable internal suture through a small incision inside the cheek, with very slight electrocautery to the muscle and no skin incision, usually under local anaesthesia. Reversal details depend on your individual assessment.

In one reported series, two patients requested dimple reduction; partial scar release inside the mouth with 0.5 ml hyaluronic acid was used. Five of 2,048 patients had stitches removed to eliminate the dimple after changing their mind, three within the first month and two after several months. Overcorrection, undercorrection, disappearance and asymmetry are largely cosmetic issues and may lead to reoperation. One surgeon quoted in ASPS guidance says dimpleplasty is permanent and cannot be reversed, so expectations should be discussed carefully. Timing, scar depth and individual healing can affect whether reduction is possible or advisable. These figures come from specific studies rather than a universal rule.

Because the dimple is created as a permanent scar, complete reversal is not described in the available evidence. The ASPS article quotes a surgeon saying dimpleplasty is permanent and cannot be reversed. In one 100-dimple case series, no patient requested complete reversal; two patients who wanted a smaller dimple had partial scar release with 0.5 ml hyaluronic acid injected into the defect. That is a reported possibility, not a standard or guaranteed reversal method. The dimple is formed by scar tissue tethering cheek muscle to skin; literature describes partial reduction by releasing scar intraorally and injecting hyaluronic acid, while accentuation requires redo. No complete reversal was requested in that series. Reversal charged.

Dimpleplasty creates a scar tether between cheek muscle and skin so the dimple shows with smiling. Because the result is intended to be permanent, reversal is not presented as a simple undo. In one 100-dimple series, no patient requested complete reversal; two requested reduction and three requested accentuation. Late issues more often involve fading, deepening or asymmetry of depth rather than a removable implant. Complications such as infection, bleeding, nerve or duct injury are very rare; if infection is treated incorrectly a scar may remain in an undesirable shape. Before bilateral surgery patients should be fully informed about possible asymmetry.

The dimple forms from a scar that tethers cheek skin to underlying muscle, so changing it means altering that scar. In one 100-dimple series, two patients requested reduction; partial reduction was done by releasing the scar intraorally and injecting 0.5 ml hyaluronic acid. In a larger series, five of 2,048 patients had stitches removed to eliminate the dimple after a change of mind, three within the first month and two after several months. Another source says dimpleplasty is permanent and cannot be reversed. Because reports are small and techniques differ, no single reversal method or outcome can be promised. Complete removal was not requested in that series, and no method is guaranteed.

Depth is controlled mainly by knot strength during surgery, but knotting alone does not sufficiently control depth. To create a deeper dimple, the oral mucosa incision may be placed slightly anterior to the thread-fixing point on the skin, using facial muscle movement vectors. Asymmetry after surgery is often due to depth differences rather than position, and reoperation may adjust depth or symmetry. However, one surgeon quoted in ASPS guidance says dimpleplasty is permanent and cannot be reversed. The reported partial reduction used scar release and 0.5 ml hyaluronic acid, not complete reversal. Because the dimple forms from a scar tethering skin to muscle, changing depth requires altering that scar, which may be unpredictable.

Dimpleplasty creates a scar that adheres cheek skin to underlying muscle, so the result is meant to be permanent rather than adjustable later. One source states patients should be completely sure because the result cannot be reversed. Depth is controlled during surgery by knot strength, incision direction and the amount of tissue scraped, not by a later simple conversion. If asymmetry is severe, reoperation may help adjust depth or symmetry. The dimple may initially look deeper and more noticeable, then soften over several weeks as tissues relax. A redo can be planned after about six months if a dimple fades or looks uneven. No supported evidence describes converting a permanent dimple into a subtle dimple after healing.

Dimpleplasty aims to create a scar in the skin that adheres to the underlying cheek muscle, producing a dynamic dimple that resembles a natural one within about four to six weeks. The dimple position is marked with you, often where a faint dimple already appears on smiling. Reported complications include sudden disappearance, asymmetry, foreign-body reaction, infection, bleeding, and injury to the buccal branch of the facial nerve or Stensen duct. Aesthetic dissatisfaction can also occur despite informed consent, because expectations and emotional readiness vary. The procedure is usually done under local anaesthesia after informed consent. Good knowledge of facial anatomy, especially vascularity and face shape, matters for a good outcome.