Why do I still have permanent holes 3 months after Dimpleplasty? (Photo)

Thank you for your question. You’re asking if the areas where you underwent dimple surgery by a plastic surgeon 3 months prior will appear to have permanent holes. Further, you describe that you feel depressed about doing this procedure.
In my practice, I routinely perform dimpleplasty surgery. Patients come to us from around the world for this procedure. I have been featured in media for this type of surgery. Although I don't know the specifics of the procedure you underwent, it is likely that the surgeon performed one of the traditional surgical procedures involved in dimpleplasty.
The procedure typically performed involves working from the inside of the mouth, removing a certain amount of soft tissue, and engaging a muscle called the buccinator with the skin to create the dimple. This is necessary to create the connection that results in a dimple when smiling.
In my practice, I routinely advise my patients to understand that the dimple will be present even when they’re not smiling. I would say that for the overwhelming majority of patients are comfortable with this, and recognize this is a necessary part of the process to have dimples. I expect you have been in contact with your plastic surgeon, and followed the process regarding the placement of the dimples. In my experience, it is not unusual to have the presence of dimples at rest at 3 months. However, I would defer to your surgeon’s guidance since your surgeon would know best about the predictability, and the natural progression of healing from their own experience using their technique.
I recommend that you continue following up with your surgeon regarding the expected longevity of the dimples being present at rest. Generally, these areas of constant indentation do not remain beyond 6 months, although you may have some subtle indentations present at that point. However, the dimples will appear more accentuated when smiling, which is the intention of the procedure. Once again, I recommend you communicate with your surgeon to ask these questions, and hopefully you will be confident in your surgeon’s guidance. Thank you for your question.