Dimple creation surgery, or dimpleplasty, is an in-office procedure which can be done on both sides in about 30 minutes. The resulting cheek dimples are permanent and very natural in appearance. They can enhance your smile or even make wide or round cheeks appear a little narrower. Also, the recovery time from this procedure is quite short.
People who are born with dimples have them because there is a small defect or "hole" in the buccinator muscle in the cheek. The surgical creation of dimples involves making a tiny incision inside the cheek, carefully removing a piece of this muscle and placing a stitch which catches the skin of the cheek from the inside and pulls it in. The shape and depth of the dimples can be customized to the patient's wishes. Patients experience a few seconds of discomfort as the local anesthesia (lidocaine) is injected but after this they are completely numb for the remainder of the procedure. IV (or oral) sedation can be used if patients prefer to be sleepy during the procedure but I have not found this to be necessary.
Patients usually require pain medication (or Tylenol) for 1-2 days and antibiotics for 5 days afterward. Initially the dimples are present all the time (for 3-4 weeks, what we call the falling out period) but as the stitch dissolves, the dimple gradually flattens out when you are not smiling but still dimples nicely with smiling. In rare cases, the dimples settle out deeper or shallower than patients desire, in which case they can be fixed or even reversed with a very short procedure.
Do your homework and schedule consultations with surgeons who perform dimple creation surgery regularly to get the best results!
Best regards,
Dr. Mehta