Dimples are an excellent way to slim and add definition to the lower face while adding natural appearing dimples which are an attractive addition to smiles and speech.
Dr. Robb is a facial expert who has operated on every aspect of the face. Only performing surgeries on the face and neck, he is uniquely comfortable and qualified to fully understand the anatomy and perform delicate and technical surgeries inside the mouth which is a difficult and learned task.
45 minutes to 1 hour
3-4 days to 1 week
Local anesthesia +/- IV anesthesia
asymmetry, bleeding, infection, numbness, need for further procedures
We all know people or see celebrities on television with that beautiful smile frame by well formed perfect dimples. Mario Lopez and Jennifer Garner are often sited for having beautiful and natural dimples that appear when smiling or talking. A dimple is the result from a defect in the buccinator muscle, a muscle that lines the mouth. The muscle defect allows the deeper tissues to insert on the skin.
During your consultation with Dr. Robb, you will discuss your goals and any specifics you have in mind regarding the shape and size of your dimples. Your medical history will be reviewed and the specifics of the procedure are discussed along with pictures to aid in understanding.
PREPARATION FOR DIMPLEPLASTY
Office Based Procedure
Dimple creation is often performed in the office under local anesthesia. Office based procedures performed under local anesthesia have several advantages over operating room cases. Bypassing general anesthesia also bypasses the risks associated with this deeper plane of anesthesia. Slow wake up, the hangover fog, and lack of situational control are all not experienced when local anesthesia is used in the office.
Dimpleplasty can also be performed in the operating room if a local anesthesia procedure cannot be tolerated. This approach is often used when combining this procedure with other facial procedures. When performed in the operating room, anesthesia staff is continuously ensuring you’re comfortable, asleep, and safe throughout the entire procedure.
There are various techniques used to perform dimple creation surgery. Dr. Robb uses his signature technique that replicates the exact cause of natural dimples. A portion on the muscle is removed and the deep aspect of the skin is tethered to the deeper tissues. The entire procedure is performed inside the mouth so that no incisions or scars are created on the face.
CAUTION: Some practitioners use a simple stitch to perform dimple creation. This way often appears unnatural and does not offer long lasting results.
ABOUT THE PROCEDURE
Dr. Robb will meet with your prior to the procedure to answer any questions you may have. The two of you will also finalize the surgical plan regarding your ideal shape and dimple location. The EXACT location of the dimples are marked while sitting up using a 3 way mirror. This location is marked to ensure pinpoint symmetry and surgical precision. We use a ruler and calipers to ensure meticulous symmetry and remove any possibility of misplaced dimples. After this the local anesthesia is infiltrated which numbs the area.
The procedure is performed entirely through the mouth and takes about 45 minutes for both sides.
Dissolvable stitches are placed inside the mouth.
AFTER DIMPLE CREATION
Swelling and some mild bruising are normal. For 7-10 days the cheeks will swell similar to when wisdom teeth are removed. The dimple locations will be deep for the first couple of weeks as the dimples heal into place. A small circular band aid can be worn over the area during this time.
**It is critical not to rub or itch the cheeks during the healing period as this can hurt the final result of the dimple creation.
If you’re someone who’s always loved the way dimples look, you’ll love your results. With the short procedure time, very little post operative discomfort and quick recovery, this is an extremely well tolerated procedure with excellent results. The results lasts a lifetime and generally never have to be “retouched.”
The result is dynamic and natural dimples that slim the lower face which makes a round face appear more oval and defined.