This area of missing tissue is then stitched together using an absorbable suture. The stitch goes through the cheek muscle on one side of the circle of missing tissue, then through the dermis layer of the skin and finally back through the cheek muscle on the other side of the circle. A surgical knot is tied, and a dimple is created, even when not smiling.
Within a week or two, as the suture absorbs, the cheek will flatten out and the dimple will disappear (when not smiling). However, inside the cheek, as scarring occurs, the muscle will connect to the skin and create a dimple when you smile.
This procedure can be performed on any kind of cheek however the best results are seen when the cheeks are not overly chubby. Larger dimples can be created using a bigger punch biopsy to remove a larger circle of tissue.
Out Patient procedure. No admission necessary.
Duration of operation
One to three hours
Pre Operative Care
Before surgery please inform your surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription). You should also not smoke for 2 weeks prior to surgery as smoking can affect your reaction to the anaesthetic and slow down the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery. To eliminate the chance of post op. bleeding you should avoid aspirin and any medication containing aspirin or brufen for two weeks prior to surgery.
Post Operative Care
You may return to normal activities straight after the procedure.
In the first few months you should regularly rinse your mouth with Betadine oral antiseptic solution or Bactidol (chlorhexidine) solution, and the surgeon may prescribe antibiotics.
Risks and complications
There is very little risk associated with this procedure however you experience some minimal swelling.