How to Make a Dimple on Cheeks: Natural vs. Surgical

Dimples are small indentations in the skin, typically found on the cheeks. These facial features are often perceived as aesthetically pleasing, adding character and enhancing smiles. Many desire them, prompting interest in their natural formation and creation. This article explores the scientific basis of natural dimples, evaluates non-surgical methods, and details the surgical procedure for dimple creation.

Understanding Natural Dimples

Natural dimples arise from a variation in the zygomaticus major muscle. It raises the corner of the mouth when smiling. Most have a single band of this muscle; in people with dimples, it may divide into two distinct bundles.

This arrangement creates a split in the muscle. When smiling, the skin overlying this divided muscle is pulled inward, forming the indentation. Though sometimes called a birth defect, dimples are a harmless muscle anomaly with no negative health implications.

Dimples are considered a genetic feature. Research suggests they may follow an autosomal dominant inheritance pattern, meaning one gene copy is sufficient. However, the exact genes involved are not fully understood, and the inheritance pattern can be complex.

Non-Surgical Approaches

Non-surgical methods explored for dimple acquisition include facial exercises and “dimple makers.” Facial exercises involve repetitive movements like puckering lips, sucking cheeks inward, or pressing indentations. The idea is to manipulate facial muscles.

Despite their popularity, there is no scientific evidence that these exercises create permanent, natural-looking dimples. While temporary indentations might form, they do not result in lasting structural changes to muscle or skin.

Similarly, “dimple makers”—devices applying continuous cheek pressure—are ineffective for permanent dimple creation. They aim to create an indent by compressing skin and fat. While they may produce a temporary indentation, this effect is short-lived.

Using such devices or consistent skin pressure can pose risks. These include skin irritation, internal cheek inflammation, hyperpigmentation, or external scarring. Ultimately, these methods fail to replicate the anatomical variation for natural dimples, making them unsuitable for permanent results.

Surgical Dimple Creation

For individuals seeking permanent dimples, dimpleplasty is the only medically recognized surgical procedure. This minimally invasive procedure creates artificial dimples. It is typically performed by a qualified surgeon in an office setting under local anesthesia.

During the procedure, a small incision is made inside the cheek, leaving no visible external scars. The surgeon removes muscle and fat from the targeted area. A suture connects the inner cheek skin to the underlying muscle, creating the indentation.

This internal stitch pulls the skin inward, forming a depression. As the area heals, scar tissue develops, permanently securing the skin to the muscle. This creates an indentation appearing when the facial muscle contracts, such as during a smile.

The dimpleplasty procedure is relatively quick, taking 20 to 30 minutes. Patients can typically return home on the same day. Internal incision and dissolvable sutures contribute to a discreet, straightforward recovery.

Important Considerations

Surgically created dimples are considered permanent, due to a lasting connection between skin and underlying muscle. Initially, the dimple may be static, showing at rest. As the area heals, the dimple typically becomes dynamic, appearing only when smiling.

Surgically created dimples vary based on facial structure and healing. Weight fluctuations or changes in facial shape may influence visibility or depth. The final results become apparent within two to three months as swelling subsides.

Recovery from dimpleplasty is typically straightforward, with most patients resuming normal activities within one to five days. Mild swelling, bruising, and soreness are common post-procedure, manageable with cold packs and pain medication. Oral hygiene is important during healing; dissolvable sutures eliminate removal needs.

As with any surgery, potential risks exist, though dimpleplasty is generally safe. These risks include infection, asymmetry (where dimples may not look exactly the same on both sides), and in rare cases, nerve damage leading to numbness or altered sensation. Dimple fading or disappearance is a slight possibility if muscle attachment does not heal as expected.

Anyone considering surgical dimple creation should consult with a board-certified plastic surgeon. A thorough consultation discusses suitability, realistic expectations, and potential risks and benefits. This professional guidance ensures the procedure aligns with individual goals and facial anatomy.