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Reversal of Unilateral/Bilateral Dimples at MACS Clinic

Posted on: 13 May 2024


Cheek dimples, those little indents that appear when one smiles, have been admired for their charm and allure. While some are blessed with natural dimples, others opt for surgical creation to achieve this facial feature.

Natural cheek dimples are believed to be a result of a unique anatomical configuration involving the zygomaticus muscle and/or buccinator muscle. These dimples occur due to abnormal adhesion / insertion of zygomaticus major/buccinator muscle to the deeper part of skin.

Dimple creation surgery involves making a small incision on the inside of the cheek and creating a connection between the skin and underlying muscle tissue to form a dimple. This procedure is typically performed under local anaesthesia by Mr. Shailesh Vadodaria as a day case procedure.

Reversing Cheek Dimples

Although very uncommon, patients would like to get their dimples made shallower or completely reversed.

Reversal of Natural/Surgically Created Dimples:

Mr. Shailesh Vadodaria releases the tethering between the skin and the underlying muscles and introduces either absorbable dermal filler or a fat graft. This procedure is multi-stage and unlike any aesthetic procedure, it would not be possible to give an assurance that it would release or reverse the dimples to your expectations, even after multiple attempts. There is always a possibility of undercorrection, overcorrection, and asymmetry. Hence, realistic expectations are absolutely necessary.

A rare case of reversal of inborn dimples of the shoulders

One of Mr. Vadodaria’s patient posed a unique challenge, she had bilateral congenital dimples on her both shoulders. She felt very self-conscious wearing sleeveless tops in hot weather and while swimming. This compromised her selection of clothings. Mr. Vadodaria released bilateral dimples and interposed with fat graft on her shoulders under local anaesthetics.

Release of bilateral congenital dimples and fat graft on shoulders under local anaesthetics
Ultrasound confirmed fibrous extension between the dimple and underlying bone. Dimple was marked. The fibrous tissue underneath the dimple was released and interposed with autologous fat graft.