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Facial Plast Surg
DOI: 10.1055/a-2626-9299
Original Article

Dimple Creation Surgery

Kimberly J. Lee
1   Beverly Hills Facial Plastic Surgery Center, Beverly Hills, California
2   Division of Otolaryngology, Head and Neck Surgery, Cedars Sinai Medical Center, Los Angeles, California
,
Raffaello M. Cutri
2   Division of Otolaryngology, Head and Neck Surgery, Cedars Sinai Medical Center, Los Angeles, California
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Abstract

Aims and Backgrounds

Dimple creation surgery, or dimpleplasty, recreates the dynamic cheek indentations found in approximately 30% of faces. This review highlights current evidence and provides surgical insights for predictable, natural outcomes.

Historical Aspects

Since 1962, successive refinements of the technique have focused on smaller incisions and precise dermomuscular fixation.

Anatomy

Awareness of zygomaticus major variants, orbicularis oculi bands, Stenson's duct, and buccal branches of the facial nerve underpins safe practice.

Technology

Bipolar cautery may assist with hemostasis.

Patient Selection

Healthy adults with realistic expectations benefit most. Those with keloid tendency warrant caution.

Techniques

A 5-mm intraoral incision, selective muscle fenestration, and dermomuscular plication produce an immediate dimple that softens with healing.

Postoperative Care

Brief oral antibiotics support recovery.

Current and Future Development

AI-assisted 3D smile simulation is being conducted and refined to boost dimple creation precision and predictability.

Conclusion and Clinical Relevance

With surgical precision and careful patient selection, dimpleplasty remains a low-risk procedure that can deliver high patient satisfaction.

Keywords

dimples - dimple creation - dimpleplasty - zygomaticus major - cheek aesthetics - intraoral surgery


Publication History

Article published online:
24 June 2025

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