"Dimple"-matically correct - Revisiting the technique for the creation of a chin dimple

Abstract

The boom in cosmetic surgery has ushered in the age of the “designer dimple.” In the current scenario where an increasing number of Indians are seeking cosmetic surgery, we present our technique for creation of chin dimples. We used this simple and straightforward technique in one patient. The principal steps of the technique include thinning the skin flap, creating a concave indentation in the mandibular symphysis, and obtaining an adhesion between the thinned skin flap and the indented bone. An aesthetically pleasing chin dimple was achieved. We propose that the bony contouring improves the chances of creating a permanent chin cleft or dimple. Our technique for creation of chin dimples aims to give an aesthetic and permanent result by altering the underlying contour of mandibular symphysis and achieving accurate skin coaptation with non-absorbable sutures.

The Yellow Ligament of the Chin, As Part of Retaining Ligaments of the Face: Bibliographic Review and Proposal for Terminology Change

“…This is why the yellow ligament together with the mentalis muscles are an essential component in the position of the chin and lip. Numerous surgical approaches exist for doing dimple creation, such as transcutaneous sutures or by an open technique that is performed through intraoral approach, which would show no scar formation [31]. Guerrero-Santos (1971) quotes Ivo Pitanguy (1968) who described a procedure where he thinned the skin at the site of the future dimple when a flap is separated from the median raphe while an augmentation mentoplasty is performed [32], they used it to firmly fix the implant and also creates a dimple in the midline on the chin.…”