Dimple creation, or dimpleplasty, is a minor surgical procedure that deliberately creates an adhesion between the skin and the deeper tissue of the cheek, producing a depression that resembles a natural dimple. It is performed from inside the mouth, so it leaves no external scar, and is normally done under local anaesthesia in a clinic. A natural dimple results from a small variation in how the cheek muscle attaches to the skin, and the operation reproduces that attachment with a suture tethering skin to the underlying tissue. The procedure begins with precise marking while the patient sits and smiles, because a few millimetres separate a dimple that looks natural from one that looks misplaced. A small opening is then made in the lining inside the cheek, a tiny amount of fat or muscle tissue is removed at the chosen point, and a suture is passed to bind the deep tissue to the underside of the skin, creating the depression. Suitability is decided by clinical examination, not by a photograph the patient brings. The surgeon assesses cheek thickness, the amount of fat, muscle movement, and the position of the facial nerve branches and the parotid duct. A very thick cheek may not show a convincing dimple, while a very thin cheek may show one that is deeper than intended. Healthy teeth and gums are a requirement, because the wound sits in a contaminated environment. The limits must be stated before consent. A created dimple may initially be visible even at rest and can look fixed for several weeks before it softens, and its appearance may never exactly match a natural dimple. More importantly, the procedure is difficult to reverse: undoing it requires further surgery, the cheek may not return exactly to its previous shape, and a residual depression or irregularity can remain. A dimple also does not slim the face, does not lift it, and does not change facial proportions; in some people the depth fades over time and needs revision. Verify that the facility is licensed and that the surgeon is certified in plastic surgery or oral and maxillofacial surgery through the official Jordanian authorities. A small operation is not necessarily a simple one: it is performed close to branches of the facial nerve and the parotid duct, and injury to either is neither trivial nor easily corrected.
Procedure steps
- 1
Assessment and marking the position
Cheek thickness, fat volume, muscle movement and oral and gum health are assessed, and the dimple site is marked with the patient sitting and smiling in natural light. The point is marked externally and internally, agreed with the patient, and the difficulty of reversing the procedure is discussed openly.
- 2
Anaesthesia and intraoral antisepsis
The mouth is rinsed with antiseptic, local anaesthetic is injected into the inner cheek, and time is allowed for it to take full effect. Sterile instruments and good lighting are prepared, because working in a confined space near nerve branches and a salivary duct demands clear vision and precise, limited movement.
- 3
Creating the pocket and removing a small amount of tissue
A small opening is made in the mucosa exactly at the marked point, and a very small amount of fat or muscle is removed so that the adhesion can form. High-risk zones are avoided using anatomical knowledge, and depth is controlled carefully, because removing too much produces an unnaturally deep dimple.
- 4
The tethering suture and depth adjustment
A suture is passed to bind the deep tissue to the underside of the skin and is tightened by a measured amount, then the patient is asked to smile so the shape and symmetry with the other side can be judged. Tension is adjusted if the depression is too deep or too shallow before the suture is finally tied.
- 5
Closure, instructions and follow-up
The mucosal opening is closed with an absorbable suture, and oral hygiene, a soft diet and the warning signs are explained. A review is arranged at one to two weeks and another at about two months to assess the depth and stability of the dimple, since its appearance softens gradually.
Before the procedure
Tell your doctor about all medicines and supplements you take, especially blood thinners and anti-inflammatory drugs, and stop a long-term medicine only on medical advice. Disclose any clotting disorder, diabetes, autoimmune disease, or history of thickened or keloid scarring, and any filler previously injected into the cheek, including what it was and when. See a dentist and treat decay, gum inflammation or an abscess before the appointment, since the wound lies inside the mouth in a contaminated field. Postpone the procedure if you have a mouth ulcer, a sore throat or any active infection. Do not smoke before or after, as smoking delays mucosal healing. Eat a light meal beforehand and avoid alcohol. Prepare the prescribed mouth rinse and soft, cool food for several days, ask how long the dimple stays fixed-looking before any event, and do not schedule an important occasion within three to four weeks.
After the procedure
Use the prescribed mouth rinse after every meal, eat soft, cool food in the first days, and avoid hard or spicy food, hot drinks, straws and smoking. Do not press, massage or stretch the cheek, and do not try to deepen the dimple with your finger; sleep on your back for the first few days. Expect mild swelling, tightness and awareness of the suture, and a dimple that initially looks fixed and deep before softening gradually over two to eight weeks, sometimes with slight asymmetry between the sides. **Seek care immediately for fever, purulent discharge, a foul smell, increasing pain, or swelling that grows after it had begun to settle.** **Seek urgent review for numbness or weakness of the corner of the mouth, difficulty opening the mouth, or a painful swelling in front of the ear that worsens when eating**, as these require prompt assessment. Tell your doctor if the dimple disappears completely or remains uncomfortably deep after three months.
Expected duration
Usually twenty to forty minutes for both sides in the clinic under local anaesthesia, with a return to normal activity the same or the next day. The dimple is visible immediately and looks fixed at first, then softens gradually over two to eight weeks until the shape settles.
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