Facial Dimple - A Simple Operative Technique

Ahuja, Nitin K.; Chitlangia, Punit; Narad, Chintan

doi:10.5958/j.2320-5962.1.2.044

Cited by 2 publications

(4 citation statements)

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“…There have been multiple described procedures based on exact replication or minor modification to this aforementioned procedure. For example, in 2013, Ahuja et al 9 replicated the same procedure described by Bao and claimed it to be their own without giving credit. El-Sabbagh 11 also described the same procedure as Bao et al with a minor modification: no mucosal incision.…”

Section: Resultsmentioning

confidence: 99%

Cheek Dimpleplasty: A New Classification of Described Procedures

Opoku-Agyeman

Simone

2020

Am J Cosmet Surg

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Cheek dimpleplasty has become a popular request amongst patients requesting cosmetic surgery. Since the first reported dimpleplasty in 1962, there have been many reported procedures in the literature for cheek dimple creation. Some of the procedures described by various authors as “novel” are actually similar if not identical to existing procedures. This study reviews the different procedures of cheek dimple creation and provides the first ever systematic classification for these techniques. EMBASE, Cochrane library, Ovid medicine, and PubMed databases were searched from its inception to June of 2019. We included all studies describing the surgical creation of cheek dimples. The studies were reviewed, and the different procedures were cataloged. We then proposed a new classification system for these procedures based on their common characteristics. The study included 12 articles published in the English language that provided a descriptive procedure for cheek dimple creation. We classified the procedures into 3 broad categories and subcategories. Type 1 procedures are nonexcisional myocutaneous dimpleplasties. In these procedures, the buccinator muscle is not excised. In type 1A, the suture used to create the adhesion traverses the epidermis. In type 1B, the suture does not traverse the epidermis, rather, the suture travels up into the dermis and returned back to the mucosa. Type 2 procedures are excisional dimpleplasties. In these procedures, the buccinator muscle is excised with (open) or without (closed) the excision of the mucosa. Type 3 procedures are incisional dimpleplasty. In these procedures, the muscle is incised and fixed to the dermis. Each of these groups of procedures has potential unique advantages and disadvantages. There are multiple procedures reported in the English language literature for the creation of cheek dimples. Most of the procedures are based on similar concept with minor variations. Our classification system, the Opoku-Simone Classification, will help facilitate communication when describing the different configurations of these procedures. Procedure within each group has similar potential advantages and disadvantages.

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Section: Resultsmentioning

confidence: 99%

Cheek Dimpleplasty: A New Classification of Described Procedures

Opoku-Agyeman

Simone

2020

Am J Cosmet Surg

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“…This method has been used by other authors. 2,5 Argamaso 3 proposed the ideal point to be 3.0 to 3.5 cm from the oral commissure on the line connecting the oral commissure to the ear lobe ( Figure 2B).…”

Section: Preoperative Determination Of Dimple Locationmentioning

confidence: 99%

“…Some authors have replicated or modified this procedure. 5,8,9 Thomas et al 6 described an open procedure for dimple creation in 2010. In this technique, mucosal incision was made with a T or L flap.…”

Section: Surgical Techniquesmentioning

confidence: 99%

“…3,6 Some of the reported complications include postoperative edema, 1,8 scleroma, 15 infections including abscess, 7,8,10,12,14 hyperpigmentation at the dimple site, 1 hematoma formation, 8 hemorrhage, 1 foreign body reaction, 1 and asymmetry. 13 Another reported complication is sudden disappearance of dimples 1,2,5,10,14 and has been associated with a slipped knot or accidental removal of suture.…”

Section: Complicationsmentioning

confidence: 99%

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Cheek Dimpleplasty: A Review of the Literature

et al. 2019

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Dimpleplasty is the surgical creation of dimples on the face for aesthetic purposes. Dimples have been associated with a sign of beauty and even good fortune in some cultures and have also found themselves in Western cultures. Since the first described procedure of cheek dimple creation in 1962, there have been multiple studies on the topic. The aim of this article is to review the literature on the anatomy, creation, postoperative care, and complications associated with cheek dimpleplasty. The authors performed a literature review that focused on cheek dimpleplasty. EMBASE, Cochrane Library, Ovid Medicine, MEDLINE, Google Scholar, and PubMed databases were searched from its inception to July 2019. Peer-reviewed articles published in the English language were included. Our search in the various databases yielded multiple publications. There were different described techniques published on the determination of the ideal site for a cheek dimple. There were also multiple procedures described for the creation of cheek dimples. The basic tenet of cheek dimple creation is to create an adhesion between the dermis and buccinator muscle to create a dynamic dimple which is present on facial animation. Multiple procedures have been reported with few reported complications. Patient satisfaction is dependent on appropriate determination of the site and morphology of the dimple. Most of the complications associated with cheek dimple creation are minor, easily managed, and avoided by understanding the regional anatomy and attention to meticulous surgical technique.

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Facial Dimple - A Simple Operative Technique

Cited by 2 publications

References 0 publications

Cheek Dimpleplasty: A New Classification of Described Procedures

Cheek Dimpleplasty: A New Classification of Described Procedures

Cheek Dimpleplasty: A Review of the Literature

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