When it comes to dimpleplasty, the procedure can involve either the removal of a small amount of muscle or fat, depending on the desired outcome and the specific technique used by the surgeon. Here’s a breakdown of your questions: Longevity of Dimples: Muscle vs. Fat Removal Muscle Removal: Typically, dimpleplasty involves creating a defect in the buccinator muscle, which is the muscle responsible for forming dimples. By creating a small defect or scar in this muscle, the dimple becomes more pronounced when you smile. This method tends to provide more permanent results because it relies on the natural movement and healing response of the muscle tissue. Fat Removal: Some surgeons may remove a small amount of fat to enhance the dimple's appearance. However, fat removal alone might not provide the same level of permanence as muscle manipulation, since fat can sometimes be reabsorbed by the body over time. Dimpleplasty for Those with Existing Light Dimples If you already have light dimples, dimpleplasty can enhance their depth and definition. The results might last longer because the underlying anatomical structures already support the formation of dimples. The procedure essentially enhances what's naturally present, making it more likely that the results will maintain over time. Ultimately, the best approach depends on your specific anatomy and aesthetic goals. It's important to consult with a board-certified plastic surgeon or dermatologist who has experience with dimpleplasty to discuss the best technique for your situation. They can provide personalized advice and help set realistic expectations for the outcome.