Dimple Creation | Unsatisfactory Results and Revision Surgery

Dimpleplasty aims to create a scar in the dermis that adheres to the underlying buccinator muscle, producing a dynamic dimple. Reported complications include sudden disappearance, asymmetry, foreign-body reaction, infection, bleeding, and injury to the buccal branch of the facial nerve or Stensen duct. Careful planning and technique can reduce but not always prevent such results. When a result is unsatisfactory, prompt attention, empathy and a clear management plan matter; a valid complaint deserves respect, the surgeon should be upfront about complications, and further surgery may be needed with costs discussed. Revision options, timing and costs should be discussed individually, and a second opinion may be considered if needed.

A dimple is created by an internal absorbable suture through a small incision inside the cheek, with slight muscle treatment, so the skin tethers to underlying muscle. No skin incision is made. Healing and settling vary, so a dimple may fade or look uneven; complications can include sudden disappearance or asymmetry. The internal stitch dissolves on its own and is not removed. A redo for a faded or uneven dimple is done without charge, while reversal of an unwanted dimple is charged. Revision is usually considered after about six months, once settling is clearer. Dr. Vishal Purohit can discuss revision timing. Follow-up reviews occur around day seven, one month and three months.

Dimpleplasty creates a cheek dimple through a small incision inside the cheek, using an absorbable internal suture through the cheek muscle with very slight electrocautery and no skin incision. Because placement, depth and healing can vary, one side may look different at first. Soreness, tightness and swelling usually last about one month, and the dimple settles by about six to eight weeks to show mainly on smiling. A redo for a faded or uneven dimple can be planned after about six months and is done without charge, while reversal of an unwanted dimple is charged. The procedure is usually done under local anaesthesia, takes thirty minutes, and patients go home same day.

Depth is not fully controlled by knot strength alone. If a deeper dimple is desired, the intraoral incision may be placed slightly anterior to the skin fixation point, relating to facial muscle movement when smiling. Asymmetry after surgery is often due to depth differences, adhesion differences, or habitual muscle use rather than position alone. In severe asymmetry, reoperation may be needed, and symmetry can be complemented by reoperation. Early dimples often look deeper and more noticeable before they soften over several weeks. Depth control matters especially for bilateral dimples. These are reported surgical considerations, not a guarantee for every patient. Reported cases note depth may vary with facial expression and muscle direction.

Dimpleplasty creates a scar in the dermis that adheres to the underlying buccinator muscle, so the dimple appears mainly on smiling. During surgery, the defect can be widened or scaled down, and bimanual palpation helps judge indentation. The size of the defect and how much tissue is removed affect how deep the dimple looks, and the surgeon can adjust this during the procedure. Natural dimples come from muscle fibers tethering skin, so surgery aims to recreate that effect. A shallow look early on may reflect normal settling rather than failure. If a dimple later fades or becomes uneven, a redo can be planned after about six months.

Dimpleplasty creates a cheek indentation by tethering skin to underlying muscle with an absorbable internal suture. The dimple may show at rest at first and settle over about six to eight weeks to appear mainly on smiling. In some patients the tether can loosen or the scar change, so the dimple fades. A redo is generally considered only after about six months, once tissues have settled. Sudden disappearance is listed among possible complications, so individual review matters. The internal stitch dissolves on its own and is not removed. Healthy adults with realistic expectations benefit most, and those with keloid tendency warrant caution. Brief oral antibiotics support recovery.

Dimpleplasty aims to create a scar in the dermis that adheres to the underlying buccinator muscle, producing a dynamic dimple. Because the result depends on that tether, an incorrectly positioned dimple cannot be guaranteed to disappear or be perfectly repositioned. Revision would need to account for the existing scar, tissue thickness, healing and any asymmetry, and outcomes vary. The clinic confirms a redo for a faded or uneven dimple is done without charge, while reversal of a dimple the patient no longer wants is charged. No absolute guarantee of removal or perfect symmetry can be given. Healing, scar behaviour, tissue thickness and asymmetry strongly influence final improvement, and no outcome is guaranteed.

The dimple is created through a small incision inside the cheek with an absorbable internal suture and very slight electrocautery to the muscle; there is no skin incision. Soreness, tightness and swelling usually last about one month. Follow-up reviews are at about day 7, 1 month and 3 months. A redo for a faded or uneven dimple is done without charge, while reversal is charged. Dimples last for most patients but can fade in some. No wide smiling for the first 2 weeks. Liquid and soft diet for 4 to 5 days; chlorhexidine mouthwash after meals. The internal stitch dissolves on its own.

Dimple creation works by forming a scar that adheres skin to the underlying buccinator muscle, and complications can include asymmetry or sudden disappearance. General revision principles from other facial surgery say significant revision is often delayed until tissues are stable: residual swelling and edema are a contraindication to revision rhinoplasty, and reoperative facial fracture repair is best after complete wound healing with flexible soft tissue. Female genital revision often waits three to four months, sometimes six, for healing and revascularization. These are not dimple-specific protocols, so individual assessment matters and should not be applied blindly to dimple cases because every patient heals differently and swelling resolves at different rates.

The procedure creates a scar in the dermis that adheres to the underlying buccinator muscle, so the dimple shows with smiling. Complications can include sudden disappearance of the dimple or asymmetry. Some patients may later need contouring or dermabrasion, but no usual number of revisions is stated; many are satisfied after the initial procedure. Healing and scar behavior vary, so timing and need differ by patient. Possible revision is considered only for a persistent concern, not as a routine step. The dimple usually appears only on smiling once healing settles. Your surgeon can assess whether asymmetry or disappearance is likely to improve. No fixed number of revisions is expected.

Scar revision surgery attempts to make a scar less conspicuous and blend with surrounding skin, but a scar cannot be completely erased. Surgical revision often carries morbidity similar to the original procedure, so it should usually be delayed at least six to twelve months for scar maturation, except when function is significantly limited. The surgeon is exchanging one scar for another, and more than one procedure may be needed. Nonsurgical options such as dermabrasion, lasers or peels may smooth some scars, but widened or atrophic scars will not become narrower or flatter with time. A realistic plan considers scar type, location, skin quality and patient expectations.

Dimpleplasty creates a scar in the dermis that adheres to the underlying buccinator muscle, so the cheek is intentionally tethered rather than left in its original state. Revision surgery must work around that scar and any asymmetry or sudden disappearance already reported as complications. Cheek reconstruction aims for uniform colour, texture and a smooth natural contour, but previous scarring can make flap development more challenging and may leave visible differences. The original dimple anatomy depends on muscle insertion into skin, and surgery cannot recreate that exact natural tethering in every case. Your surgeon can discuss realistic improvement, not restoration. Individual assessment matters.

Dimpleplasty aims to create a scar in the dermis that adheres to the underlying buccinator muscle, becoming a dynamic dimple. The listed complications include sudden disappearance of the dimple and asymmetry. A natural-looking dimple usually appears only on smiling and may resemble a natural dimple within four to six weeks. Because healing and scar formation can vary, one side may not settle as expected even when the procedure is performed carefully. Individual assessment helps decide whether observation or further care is appropriate. The surgeon can review the result, discuss whether the change is likely to improve with time, and explain realistic options without promising a specific outcome.

A dimple is created by tethering the skin to the underlying cheek muscle. After surgery, there is initially a static dimple that deepens with facial movement, then gradually only a hint at rest that accentuates on smiling. Complications include asymmetry, sudden disappearance, foreign-body reaction, infection, bleeding, and injury to the buccal branch of the facial nerve or Stensen duct. Because these possibilities differ, an artificial appearance after healing should be evaluated individually rather than assumed to be normal settling. Dimpleplasty is performed on the cheeks only, on one or both sides as you wish. Healthy adults with realistic expectations benefit most, and keloid tendency warrants caution.

Overcorrection can leave dimples, dents, furrows, grooves or craters. Fat is harvested atraumatically from the subcutaneous layer, prepared, and introduced at a different site to revise unwanted contour irregularities; simultaneous liposuction around the periphery of the indentation may also be required. Dimpleplasty creates a scar in the dermis that adheres to underlying buccinator muscle; a 5-mm intraoral incision, selective muscle fenestration and dermomuscular plication can produce an immediate dimple that softens with healing. Healthy adults with realistic expectations benefit most, and keloid tendency warrants caution. Complications include foreign body reaction, infection, bleeding, and injury to the buccal branch of the facial nerve or Stensen duct.

Dimpleplasty creates a scar that adheres to the underlying buccinator muscle, so the dimple often looks static at first and then becomes more natural with smiling over about 4–6 to 6–8 weeks. If the dimple entirely disappears, one source describes this as a failed-knot complication that can be corrected with an additional surgical procedure. A knot may also cause a foreign-body reaction presenting as a nodule or drainage, which can be handled by knot removal through a slit incision. Other listed complications include sudden disappearance and asymmetry. A redo for a faded or uneven dimple is done without charge, while reversal is charged, and a redo can be planned after about 6 months.