Dimples are created surgically. Dimple creation surgery or dimpleplasty is a safe & simple procedure, if performed by an expert. It is an office and outpatient procedure. Both sides can be operated under local anaesthesia in the same sitting. In this surgery, to create the dimple, a scar is created in the dermis, through an incision inside the mouth, and a small amount of muscle is removed from the target side, and then absorbable sutures are used to create dimples. The mass of muscle removed and the depth of the sutures are adjusted precisely during the surgery to create more natural-appearing dimples or to get permanent tethering effect. Initially the dimple is seen at rest, but later once the absorbable suture dissolves by 3-4 weeks or slightly later, it becomes visible only once the patient smiles.
This procedure demands a short time for recovery. The patient is allowed to go home shortly after this surgery. The patient may feel mild swelling just after the operation that can be reduced by using ice packs. Prescribed antibiotics should be taken for faster healing. To eliminate the chances of infection, proper care and an antiseptic mouthwash should be used by the patient. The patient is restricted from making extreme facial expressions during the healing process.