A New Simple Technique for Making Facial Dimples

Abstract

In Asia, especially in China, women think a dimple is an important part of a beautiful smiling face. The dimple can make them more confident. Unfortunately, not all women have dimples. Hence, with the development of the Chinese economy, there is an increasing demand among Chinese women for the creation of dimples. Most women hope the impairment of the operation will be slight and the period of recovery short so they can go to work as quickly as possible. Some of them want to have dimples only when they smile. The authors have used a new simple technique to form 56 dimples for 36 women. During the operation, they use a syringe needle to guide a monofilament nylon suture through the dermis and the active facial muscles (usually the buccinator). A sling is formed between the skin and the buccinator muscle. The knot is tied, and the dimple is created. After the operation, patients have been satisfied with the shape of the dimples. Furthermore, hematoma and infection never occurred. As a result, on the basis of their experience, the authors conclude that this technique is simple and easy to duplicate. Moreover, this technique has many benefits. For example, with this procedure, it is easy to adjust the bulk of dimples by adjusting the tension of the knot and the amount of dermis tissue the injection needle sutures. Because no tissue is resected, there is mild postoperative swelling. Consequently, patients can return to work or other activities 2 days after the operation.

A Simple Technique to Create Cheek Dimples

“…Not only women desired cheek dimple but also some men became interested to have dimples. In patients requesting only 1 dimple, the left side was more requested than the right and this finding was also reported by Bao et al 7 The first report for a cheek dimple was published by Boo-Chai. 3 Sporadic reports for creation of cheek dimple then followed.…”

“…However, the main disadvantage of this technique is the less satisfactory results in 14% of dimples in the form of fading or complete disappearance, which is relatively higher than other previous described techniques. 5,7 CONCLUSIONS All techniques used for creation of dimples have similar principle of making skin adherent to the underlying buccinator muscle. This technique is very simple, rapid, easy to execute, and gives satisfactory results in up to 86% of patients.…”

“…This technique was not also recommended because it is not easy to suture the dermis alone without including the epidermis. 7 For this reason, Bao et al 7 adopted a newer modification in which a syringe needle was used to guide the monofilament nylon suture to form the sling without passing through the epidermis. This was achieved by not allowing the needle point to pull out of the epidermis but changing its direction in the dermis to suture the dermis without the epidermis.…”

Soft, conformal bioelectronics for a wireless human-wheelchair interface

“…Note that normal human external tissues stretch upto ~20% without tissue damage (Yeo et al 2013b) and typical skin deformation does not exceed the selected bending curvature (Hattori et al 2014a). Overall, the FEA and experimental results ensure that the fractal structure makes a suitable electrode even if a user has unusually developed dimples and habits to create exaggerated facial expressions (Bao et al 2007). …”

Actinomycosis in a Mucosal Lesion on a Created Perioral Dimple: A Case Report

“…Since Boo-Chai's report of a technique for creating facial dimples in 1962, several authors have described various techniques of creating perioral dimples. Bao et al [5] reported a simple technique in which a syringe needle is used to connect the buccinator muscle to the dermis with non-absorbable suture materials. For long-term results, many surgeons prefer using non-absorbable suture materials, such as nylon or prolene.…”