A Simple Technique to Create Cheek Dimples

Shaker, Ayman; Aboelatta, Yasser Abdallah; Attia, Khaled S

doi:10.1097/sap.0000000000000057

Cited by 4 publications

(14 citation statements)

References 5 publications

(5 reference statements)

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“…Injury to the buccal branch of facial nerve or salivary gland duct is rare. [1][2][3][4][5][6] Excessive scarring secondary to foreign body reaction or infection with abscess formation is also uncommon but can result in disfigurement. [1][2][3] In general, open techniques have more risk of complications because more tissue is resected, in contrast to closed techniques with little tissue defect.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] Hematoma formation or bleeding is one of the most common complications. Injury to the buccal branch of facial nerve or salivary gland duct is rare.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] Complications might occur, albeit rarely. [1][2][3][4][5][6] Poor oral and dental hygiene and certain surgical techniques are possible risk factors.…”

Section: Facial Surgerymentioning

confidence: 99%

“…[1][2][3][4][5][6] Complications might occur, albeit rarely. [1][2][3][4][5][6] Poor oral and dental hygiene and certain surgical techniques are possible risk factors. [1][2][3][4][5][6] Even though actinomyces are common oral commensals, oral actinomycosis is rare.…”

Section: Facial Surgerymentioning

confidence: 99%

“…[1][2][3][4][5][6] Poor oral and dental hygiene and certain surgical techniques are possible risk factors. [1][2][3][4][5][6] Even though actinomyces are common oral commensals, oral actinomycosis is rare. [7][8][9][10] Certain predisposing factors-for example, trauma or dental or oral surgeries that cause a mucosal lesion-might help actinomyces gain access to deep tissue, become invasive, and cause chronic draining sinuses.…”

Section: Facial Surgerymentioning

confidence: 99%

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Actinomycotic Sinus of the Buccal Mucosa: A Rare Complication of Cheek Dimple Creation

AbdullGaffar¹,

Ghandoor²,

Ahli³

2014

Aesthetic Surgery Journal

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Even though actinomyces are common oral commensals, actinomycosis is an uncommon oral infection. Cheek dimple creation is a common surgical procedure with rare complications. Bacterial infection with abscess formation and foreign body reaction were reported. We report a rare example-and, to our knowledge, the first-of oral actinomycosis after cheek dimple creation. A young woman complained of a chronic tender nodule of the right buccal mucosa with pus discharge after surgery for cheek dimple creation. Histologic examination showed a sinus tract with actinomyces microorganisms. This complication can be mimicked by other oral or dental sinus-forming lesions, can be chronic and insidious, and could therefore clinically be missed or mistreated. This might delay the diagnosis and cause scarring and disfigurement. The treatment of choice is early recognition and complete surgical excision to avoid irreversible complications and prevent recurrence. Awareness of this potential complication by aesthetic surgeons, oral clinicians, and dentists is important. Patients' adherence to preventive measures and plastic surgeons' application of inclusion criteria and contraindications, as well as their choice of best technique per patient, should help minimize such a problem in a simple and safe aesthetic procedure. Level of evidence: 5

show abstract

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] Hematoma formation or bleeding is one of the most common complications. Injury to the buccal branch of facial nerve or salivary gland duct is rare.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6] Complications might occur, albeit rarely. [1][2][3][4][5][6] Poor oral and dental hygiene and certain surgical techniques are possible risk factors.…”

Section: Facial Surgerymentioning

confidence: 99%

Section: Facial Surgerymentioning

confidence: 99%

Section: Facial Surgerymentioning

confidence: 99%

See 3 more Smart Citations

Actinomycotic Sinus of the Buccal Mucosa: A Rare Complication of Cheek Dimple Creation

AbdullGaffar¹,

Ghandoor²,

Ahli³

2014

Aesthetic Surgery Journal

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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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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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A Simple Technique to Create Cheek Dimples

Abstract: This technique is very simple, very rapid, easy to execute, and gives satisfactory results in up to 86% of patients. This article also highlights the important information that must be discussed with the patients preoperatively.

Cited by 4 publications

References 5 publications

Actinomycotic Sinus of the Buccal Mucosa: A Rare Complication of Cheek Dimple Creation

Actinomycotic Sinus of the Buccal Mucosa: A Rare Complication of Cheek Dimple Creation

Cheek Dimpleplasty: A Review of the Literature

Cheek Dimpleplasty: A New Classification of Described Procedures

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