Are these dimples normal after 19 days? (photos)

Question

It has been 20 days now. The attached photo shows various stages of the dimples. Four questions: are the dimples in the normal location on my cheek, how much longer will they remain based on the photos, will they be permanent, and can anything be done after 4 weeks to remove the dimples?

Hooman Khorasani, MD · Answer

This is not uncommon due to the insertion points of the thread. The ideal treatment the clinician is able to go in and out of the same injection point to minimize the dimpling. However, this might not be the case every time. The dimpling is temporary and does resolve over the next three weeks. The lifting does go down over 6-24 months but the PLLA in the threads leads to collagen turnover leading to great skin texture and fullness of the cheeks/face.  I recommend that you see a board certified dermatologist or plastic surgeon who has expertise in this procedure. All the best.

Lawrence Janowski, MD · Answer

Dimpling of the skin after Silhouette is one of the most common and troublesome side effects of this procedure.  The best management of this problem is to inject filler under the skin to pop up the dimple.  Eventually these should subside as the thread dissolves but can take up to a year to resolve.  Should any dimple remain, injecting a product such as Bellafill should effectively eliminate them.

Quenby Erickson, DO, FAAD, FACMS · Answer

Thank you for your photos with your question. The photos are very helpful. First, It is normal to have some puckers and dimples that will resolve within a couple weeks of the procedure, and yours do seem to be resolving, albeit slowly. Your dimples seem deeper than I typically see after the procedure to start with which can be technique dependent.  This is a highly technique dependent procedure that for best results requires an understanding of facial anatomy and lifting vectors and is best performed by surgically trained dermatologists and plastic surgeons.I hope this helps!Dr. Quenby Erickson, DO, FAAD, FACMS

Bruce E. Katz, MD · Answer

Thank you for your photos. Dimples should resolve within a couple weeks. It’s difficult to tell with just photos. For more information, I recommend getting a formal evaluation from your provider. As always make please make sure you seek treatment from a board-certified dermatologist.

Wayne Wertheim, MD · Answer

the pics are hard to see. "dimples" in general should disappear in less than 20 days. i would suggest you visit your physician. he may want to subsize the area the free up the skin a bit.Good luck

Steven H. Dayan, MD - Account Suspended · Answer

Dear linda2moy,
Thank you for your question. It is difficult to make an accurate assessment and recommendations based on photographs alone. Dimpling from the sutures can happen with this procedure and typically resolve within weeks. If they persist, they should be re-evaluated by the provider. If the dimple is due to a retained stitch or cone, sometimes it can be removed. We recommend you seek re-evaluation with your provider who can evaluate you and discuss the best management option for your issues.

Are these dimples normal after 19 days? (photos)

Answers (6)

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