Post SMAS I Developed a Deep Dimple Upon Smiling - What Could Cause This?

asked 1 year ago by SadDimple in Las Vegas
Latest answer by Julio Garcia, MD
Question viewed 956 times
Tags: female, causes, dimple, scar

Post SMAS I developed a deep C shaped dimple upon animation It begins with a dimple punctuating highest part of the central crest of my cheekbone with a substantial depression angling toward my ear. After 5 years later the depression became very wide deeper & more painful. The ENTIRE area was undermined & untethered, layered w/ fat & dermis. It has remained! I continue to feel the stitch-like pull! What's the cause & cure, can anyone help!

6 answers to Post SMAS I Developed a Deep Dimple Upon Smiling - What Could Cause This?

Dimple after a facelift

A dimple after a facelift can occur when the tissue underneath the skin are tightened, like with a SMAS lift. In most cases, with time, the stitches holding it in place dissolve and the dimple goes away. A little massage will at times speed it up.

Julio Garcia, MD
Las Vegas Plastic Surgeon

Dimpling after a facelift

Tethering of the skin to the facial muscles may be the cause of this. To lift up the skin, you'll probably need a revision facelift to remove the scar tissue and get rid of the dimpling.

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Dimpling in face

This dimpling that you are complaining about may be from adherence to the underlying soft tissue. It is best to be evaluated in person. This may be corrected with surgery or possibly with non-surgical methods like fillers.

Steven Wallach, MD
Manhattan Plastic Surgeon

Point of anchor can cause a new dimple after a facelift.

A dimple is caused by an anchored point that does not move as the other tissues around it do during expression. This could be due to a suture or a scar. In either case, it will require surgical removal and possibly the placement of some tissue between the skin and the anchoring point to keep the issue from reoccuring.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Not the "Dimple" you wanted/Scar after Facelift

It sound like you have a focal area of scar and loss of fat. The placement of a fat-dermal graft is an appropriate treatment solution. Since this is persistent I would recommend fat transfer to this area. The skin is not completely undermined which will help retain it's circulation and enhance survival of the fat. Good Luck. Dr. ES

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Deep cheek depression after SMAS lift.

If this is still present you need to see an experienced facelift surgeon to evaluate this and repair it. I have seen patients who have had their surgeon remove to much tissue and it required a large full piece of tissue to be sutured in to fill this.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

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