Dimple Creation | Scars and Visible Marks

A natural dimple forms when muscle fibers insert into the skin, creating tethering. Dimple surgery deliberately creates a scar in the skin layer that adheres to the underlying cheek muscle, so the dimple shows when smiling. It may be done through the skin or from inside the mouth, which avoids a visible scar. The site is usually marked with you, often where a faint dimple already appears on smiling. Possible complications include infection, bleeding, nerve or salivary duct injury, asymmetry or sudden disappearance of the dimple. Good knowledge of facial anatomy and blood supply matters for outcome. The exact technique and scar placement are discussed during consultation.

A dimple is created by forming a scar in the skin layer that adheres to the underlying cheek muscle, so the skin tethers when you smile. The inside-the-mouth approach removes a small cylinder of inner lining, muscle and fat while leaving skin intact, which is why it may not show scarring. A stitch through skin and muscle can also create the dimple. Scar quality still varies with skin type, tension, wound direction and healing. The final appearance depends on individual healing and surgical technique. Healing and scar visibility vary from person to person, so a visible scar is possible even when the approach is chosen carefully.

One described method passes a needle from the skin surface as a guide, removes a full-depth core of cheek lining, muscle and fat, and leaves skin with its deeper layer intact; the gap is closed with dissolving stitches. Other methods use a mouth-side punch through cheek lining or an open mouth-side technique avoiding visible scarring. The aim is a scar in the deeper skin layer that sticks to underlying cheek muscle, so the dimple appears when smiling. Complications can include infection, bleeding, nerve or salivary duct injury, asymmetry and sudden disappearance. Suitability and expected depth depend on facial anatomy and goals.

A natural dimple forms when skin is tethered inward during smiling. The surgery aims to create a scar in the deeper skin layer that adheres to the underlying cheek muscle, becoming a dynamic dimple. It can be done through the skin or from inside the mouth; the latter may avoid a visible outside scar. Because every surgery produces a scar, technique, tissue handling and healing influence visibility. Reported complications include sudden disappearance and asymmetry, so planning and follow-up matter. The open intraoral technique may not show scarring, while transcutaneous sutures create the tethering scar; infection, bleeding, nerve or duct injury are also listed complications, so careful technique and follow-up matter.

The surgery is designed to create a scar in the dermis that adheres to the underlying buccinator muscle, producing a dynamic dimple that appears mainly on smiling. The source describes this as a simple, safe procedure with expected minimal morbidity, but complications can include sudden disappearance of the dimple and asymmetry. General wound-healing factors such as infection, tension, age and individual healing response can influence scar prominence and maturation. Because the dimple’s appearance depends on this controlled scar, differences in healing may change depth, symmetry or visibility rather than guaranteeing a fixed result. Close follow-up helps address scar tissue if it develops.

Anatomically, a natural dimple comes from dermocutaneous insertion of zygomaticus major fibers; dimpleplasty aims to create a scar in the dermis that adheres to underlying buccinator muscle, producing a dynamic dimple. All surgical procedures produce a scar, and the goal is the least noticeable scar possible. Because all surgery produces scars, scar quality matters: tension, wound-edge alignment, infection, delayed healing, and skin thickness can influence scar formation, and scars may become thick, raised, tethered or abnormally pigmented. The evidence does not give a dimple-specific scar rate or predict who will scar abnormally. The important trade-off is a natural-looking dimple with a scar that may be visible.

The procedure aims to create a scar in the dermis that adheres to the underlying buccinator muscle, using an absorbable internal suture through a small inside-cheek incision with slight muscle electrocautery. Listed complications include foreign body reaction, infection, bleeding, and injury to the buccal branch of the facial nerve or Stensen duct. General scar guidance says scars can be raised, firm, itchy or uncomfortable, but the supplied dimple-specific evidence does not state a lump rate or confirm that scar tissue always forms a lump. A swollen, painful, warm or pus-draining area needs prompt medical review. The internal stitch dissolves on its own; no skin incision is made; healing changes vary by patient.

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. The resulting scar in the dermis adheres to the underlying buccinator muscle to create the dimple. General scar guidance says nerve-ending injury can make some scars hypersensitive, causing tingling, shooting pain or pins and needles, but not all scars are hypersensitive. If a scar feels over-sensitive, gradual touch and texture desensitisation may help normalise sensation. The dimple shows at rest at first and settles by about 6 to 8 weeks to show mainly on smiling.

Dimple creation aims to create a scar in the dermis that adheres to the underlying buccinator muscle, producing a dynamic dimple. General wound healing moves through inflammation, proliferation and remodeling; remodeling can last weeks to years, and scar maturation may continue for months. The procedure is usually done under local anaesthesia with a small intraoral approach, and postoperative care may include antibiotics, analgesics and oral hygiene advice. Complications can include foreign-body reaction, infection, bleeding, or injury to a nerve or salivary duct. The visible dimple often appears within 4–6 weeks, but that does not mean deeper scar remodeling is finished, so readiness should be judged individually with your surgeon.

The surgery aims to create a scar in the skin layer that adheres to the underlying buccinator muscle, producing a natural dynamic dimple. At first there is a static dimple that deepens on animation; gradually only a hint remains at rest and it accentuates on smiling. It resembles a natural dimple within four to six weeks. The scar is intended to tether skin to muscle rather than leave a fixed hollow. Reported complications include sudden disappearance of the dimple and asymmetry, so expectations and placement need careful discussion. Because the dimple is meant to appear mainly on smiling, a visible indentation at rest is not the usual intended result.

The surgery creates a scar in the dermis that adheres to the underlying buccinator muscle, forming a dynamic dimple. It is usually performed under local anaesthesia after informed consent and can be a day-care procedure. It may be done with transcutaneous sutures or an intraoral open technique that would not show scarring. Initially the dimple is static, then deepens with smiling; over time only a hint remains at rest. Possible complications include asymmetry, sudden disappearance, infection, bleeding, foreign-body reaction, or injury to the buccal branch of the facial nerve or Stensen duct. The open intraoral approach avoids visible skin scarring. The procedure is safe and gives good cosmetic satisfaction. Good knowledge of anatomy matters.

The aim is a small scar in the skin that sticks to the underlying cheek muscle, so the dimple shows mainly when smiling. The spot is usually chosen with you, and the surgeon controls how much tissue is released. Reported problems include bleeding, infection, nerve or saliva-duct injury, colour change and foreign-body reaction. Later issues are usually cosmetic: too deep, too shallow, fading or uneven depth, not a dimple appearing elsewhere. Because the scar is meant to stay at the marked site, any change in depth or shape is usually discussed as overcorrection, undercorrection or asymmetry. If infection is not treated early, scarring may heal in an unwanted shape .

Hypertrophic scars form when healing deposits too much collagen, producing a raised, red scar within the incision line. They can occur at any wound closure and are more likely with infection, poor circulation, or repeated rubbing or scratching after surgery. General risk factors include young age, bacterial colonization and skin subjected to stretch. Studies of other surgical wounds suggest many hypertrophic scars appear within the first postoperative year, often within three months, and some regress by twelve months, though no dimple-specific incidence study is cited. Dimple creation intentionally creates a dermal scar to tether skin to muscle, so careful wound care matters. Keloids differ because they extend beyond the wound and may relate to personal or family history.

The goal of scar revision is to correct specific characteristics that are less than ideal and amenable to correction, not to make a scar disappear. Not all factors that contributed to undesirable scarring can be overcome, and both surgeon and patient must understand that not all problems can be corrected. When possible, only the unsatisfactory portion should be targeted. A careful diagnosis of what caused the problem guides any individual plan. For scars that are not exceptionally wide or irregular, non-surgical options such as dermabrasion or chemical peels may smooth contour, but pigmentation issues are of particular concern in dark-skinned individuals.