A Beautiful, Charming Smile

Dimples are a lovely addition to the face of any person of any age. Genetics is the largest factor when it comes to who is born with dimples, but today there is a simple surgical process that can allow anyone to enhance an attractive smile with this feature. First impressions are important, and having a lovely smile is one of the easiest ways to wow anyone you meet.

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Dimpleplasty Overview

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What To Expect During A Dimpleplasty

The dimpleplasty procedure is surprisingly easy! It is typically performed right in our office. First, the patient helps to choose the ideal locations on the cheeks to place their dimples. The patient’s cheeks are numbed, and small incisions are made inside the cheek that are then used to suture the desired dimple into place. Patients require different degrees of suturing depending on the strength of their cheek muscles. The sutures help the tissue heal into place, and over time the dimpled area softens and looks more and more natural.

Dimpleplasty vs. Cheek Augmentation, Buccal Fat Removal, and Cheek Reduction

When designing your ideal facial profile, it helps to distinguish between treatments that change your overall facial shape and those that add charming, dynamic expressions.

Quick Comparison

Procedure Primary Goal How It’s Done Best For
Cheek Augmentation Add volume & lift Dermal fillers or implants Flat, deflated, or aging upper cheeks
Buccal Fat Removal Slim & contour the lower face Removing the lower cheek fat pad "Baby-faced" or round cheeks wanting a chiseled look
Cheek Reduction Narrow the facial width Shaving or repositioning the cheekbone Physically wide or prominent bone structure
Dimpleplasty Create facial dimples A tiny suture anchoring skin to muscle Adding a subtle, charming smile accent

Focal Accents vs. Silhouette Changes: Procedures like augmentation, reduction, and fat removal adjust the overall frame of the face. Dimpleplasty focuses entirely on adding localized, animated detail when you smile.

  • Natural Synergies: Many patients pair a dimpleplasty with buccal fat removal, as slimming down the lower cheek fat pad creates the perfect canvas for a newly defined dimple accent.

  • Minimally Invasive: Unlike surgical bone or volume reduction, a dimpleplasty is a quick, internal-suture procedure that leaves no visible external scars.

⚠️ Pro Tip: Dimples are dynamic—they should ideally appear when your expressions change rather than looking static. Choosing a surgeon who understands the anatomy of the tethering muscles is key to achieving an authentic look.

Are you interested in dimpleplasty on its own, or would you like to pair it with a contouring procedure to enhance your overall results?

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DimpleplastyBefore & Afters

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Recovery After A Dimpleplasty

One of the benefits of this procedure is that recovery is a breeze for most patients. Most go home right after the surgery. Mild swelling will occur and can be soothed with the use of ice packs. Swelling should go down in a week or so.

Oral hygiene is highly important during the healing process so the incision areas remain free from infection. Our patient care coordinators will provide you with detailed after-care instructions and schedule you for follow-up visits to ensure that healing is going well.

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Dimpleplasty FAQs

Is Dimpleplasty Permanent?

Results can be long-lasting but are not always permanent, since the suture creates a controlled adhesion between the skin and cheek muscle. Some patients maintain their dimples indefinitely, while others notice gradual softening over the years.

Can I Choose Where My Dimples Go?

Yes. Part of the consultation process involves helping the patient select the ideal placement and depth for a natural-looking result, since dimple position varies from person to person based on facial structure and smile pattern.

Does Dimpleplasty Hurt?

The procedure is performed under local anesthesia, so patients are numb during treatment. Mild soreness or tightness in the cheek is common for the first few days afterward and is generally manageable without prescription pain medication.

How Long Does a Dimpleplasty Procedure Take?

Dimpleplasty is a quick, in-office procedure that typically takes well under an hour, since it only involves small internal incisions and suturing rather than any external surgery.

Will My Dimples Look Fake or Forced?

When performed by an experienced surgeon, dimples are designed to appear dynamically, meaning they show when you smile and relax when your face is at rest, rather than looking like a static, permanent indentation.

Can Dimpleplasty Be Reversed?

The internal sutures can be removed if a patient decides they no longer want the dimple, though the tissue may retain some subtle indentation depending on how long the sutures were in place.

Is There Any Visible Scarring From Dimpleplasty?

No external scarring occurs, since all incisions are made inside the cheek. This is one of the reasons dimpleplasty is considered a minimally invasive option compared to other facial contouring procedures.

Who Is Not a Good Candidate for Dimpleplasty?

Patients with active oral infections, certain autoimmune conditions affecting healing, or unrealistic expectations about how static or dynamic the dimple will look may need to wait or reconsider. A consultation helps determine candidacy.

How Soon Can I Eat or Talk Normally After Dimpleplasty?

Most patients can eat and speak normally within a day or two, though a soft diet and careful oral hygiene are recommended in the first few days to protect the internal incision sites while they heal.

What Are the Risks and Side Effects of Dimpleplasty?

Risks include infection, bleeding, and temporary swelling or bruising inside the cheek. Less commonly, the internal suture can create an indentation that looks too deep, too shallow, or asymmetric, or the dimple effect can fade unevenly over time, which is why careful placement during the procedure matters.

Trust The Experts

Our team of surgeons at The Spiegel Center are double board-certified specializing in facial surgery. Dr. Spiegel personally chose a team of surgeons with similar experience and credentials in both facial and body plastic surgery who provide amazing results. To find out how our highly qualified Spiegel Center surgeons can help you achieve the smile of your dreams, contact our office in Newton, Massachusetts today to schedule a consultation.

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