Dimples. How to make a genetic defect, photos before and after surgery

Even despite the flourishing of the body positivity movement, it has not become easier for fat people in this world. Many of them still experience some discomfort and, despite calls to accept themselves at any weight, do not give up trying to lose weight.

Anna Shikunova

, plastic surgeon, candidate of medical sciences @doctorshikunova

It's never too late to start losing weight. Another thing is that after certain marks this process becomes much more complicated. Not many overweight people manage to attract attention in a timely manner. As a rule, they turn to specialists for weight correction when the process has already gone too far. What can be done?

How to get rid of extra pounds? How to remove a “hanging” belly? These are the main questions that concern patients when diet and exercise do not give the long-awaited results. A person loses control over his weight, which is rapidly approaching the 100 kg mark - it’s time to take decisive action.

Advantages and disadvantages

You can make artificial dimples on your cheeks using cosmetics, piercings and special exercises. An effective method is the surgical method. Before plastic surgery, you need to familiarize yourself with its advantages and disadvantages.

Positive and negative aspects depend on the individual characteristics of the person. Now cosmetology centers are equipped with a high-quality arsenal of medications, medical equipment and a variety of effective techniques that are selected strictly for the patient. All this helps reduce the risk of further complications.

Photos before and after

Tags: plastic surgery

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Indications

There are no indications for dimplectomy other than the desire of patients to change their appearance. The procedure has no age restrictions and is performed on any skin type.

The main reasons for the operation are:

• the desire to add expressiveness and beauty to round cheeks;
• the need to adjust the cheek line;
• the desire to highlight the cheekbone line;
• age-related decrease in skin turgor.

A surgeon can make dimples on the cheeks if there are no contraindications to the procedure.

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Contraindications

There are a number of contraindications for the procedure:

• diseases of the heart and blood vessels that are in the acute phase (complications may occur);

• diseases and tumors caused by viruses;
• pregnancy and lactation;
• chronic diseases that are in the acute stage (provoking severe complications);
• pathologies of the circulatory system leading to deterioration of coagulation (for example, hemophilia - provokes large blood loss during surgery);
• general ailments;
• oncology (the presence of benign tumors is also a reason for refusing surgery);
• diseases of the central nervous system;
• mental disorders;
• epilepsy;
• diabetes mellitus (decompensated and in the stage of decompensation can provoke ketoacidotic coma; compensated diabetes mellitus is assessed as a relative contraindication, so some surgeons will be able to perform the operation);
• allergic reactions to medications (causes of anaphylactic shock and death during invasion);
• long history of smoking (leads to disruption of natural tissue regeneration, the rehabilitation period is delayed by 2-3 weeks);
• menstruation (may increase bleeding during surgery);
• severe obesity of 3-4 degrees;
• elderly age;
• children under 18 years of age.

What examinations need to be completed

If the clinic performs a dimplectomy under general anesthesia, the following tests and examinations must be taken and completed:

• examination by a general practitioner (based on the results of a clinical examination and laboratory and instrumental examination data, it determines the general condition of the patient and his readiness to undergo the required amount of surgical intervention) (cost about 1,800 rubles);
• coagulogram (about 1305 rub.);

• procedure for determining the patient’s blood type and Rh factor (about 700 rubles);
• blood test for AIDS, syphilis, hepatitis B and C (cost about 442 rubles);
• chest x-ray (bring with you if the procedure was performed within the last year) (about 1,600 rubles);
• clinical blood test, ESR (about 315 rubles);
• detailed biochemical blood test (determining the content and amount of sugar, ALT, AST, bilirubin, creatinine, urea, total protein) (about 5920 rubles);
• urine analysis with sediment microscopy (range 320-640 rubles);
• ECG (about 530 rubles).

Cheek dimples can be made using surgery under local anesthesia.

List of tests:

• clinical blood test (necessary to determine the number of platelets and clotting time) (about 315 rubles);
• blood test for AIDS, syphilis, hepatitis B and C (about 442 rubles);
• ECG (within 530 rubles);
• biochemical blood test (determination of sugar, ALT, AST, bilirubin and creatinine) (about 5920 rubles);
• general urine analysis (range 320-640 rubles);
• examination by a general practitioner (about 1,800 rubles).

Tests will be valid for 14 days after they are completed.

Preparing for surgery

The desired result depends not only on the professionalism of the surgeon, the equipment of the clinic with special medical equipment, but also on the correct preparation and psychological attitude of the patient.

The following rules must be followed:

• refrain from taking medications (for example, drugs containing acetylsalicylic acid, anticoagulants, hormones, vitamins E and C affect the nature of blood flow). Do not take them 2 weeks before surgery. Take medications prescribed by your doctor to correct blood pressure, cholesterol and sugar;
• quit nicotine 14 days before the procedure;
• stop drinking alcoholic beverages a week before the dimpleectomy (they promote bleeding);
• cook food with little salt;
• exclude spicy foods and caffeine (this prevents swelling after surgery);
• reduce the consumption of meat, fresh vegetables and fruits, as well as vitamins;
• stop visiting the solarium;
• start a proper rest.

The evening before the dimpleectomy, have a light dinner before 18:00. After midnight, refrain from constant drinking. Cleanse the body of waste and toxins with an enema. Take mild sedatives. Have a good rest and sleep before the procedure.

On the day of surgery, stop eating and drinking. In the morning, take a hot shower, wash your hair and apply an antiseptic to the area of ​​the procedure. Wear the most comfortable clothes, wash off your manicure and makeup, remove jewelry and discard contact lenses.

It is worth thinking in advance about the method of returning home. Ask loved ones for help for a while, as some drugs reduce concentration and the speed of metabolic reactions. Before the operation, it is important to discuss with the surgeon where the dimples will be located, what their size and depth are.

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Procedure

An experienced surgeon can make dimples on the cheeks by performing the following sequence of actions:

1. a special marker marks the area where the depression will be located in the future;
2. an injection is given with an anesthetic for local anesthesia (if the patient wishes and the doctor’s indications, the dimplectomy procedure can be performed under general anesthesia);

3. A small incision is made inside the cheek with a surgical instrument;
4. fat layers are removed at the incision site;
5. The treated area is stitched and tightened with surgical silk, forming a dimple.

The procedure lasts from 35 minutes to 60 minutes. After it, there is no need for the patient to stay in the hospital; he can immediately go home.

Progress of the procedure

The plastic surgeon examines the face and makes marks with a marker. The operation is performed under local anesthesia (lidocaine, ultracaine or novocaine). The operation is performed on the mucous side of the cheek, so there will be no visible scars on the skin. The surgeon disinfects and cuts the mucous surface of the cheek, partially removes the fatty tissue and excises a small piece of muscle, fixes the muscle with self-absorbable suture material, creating the effect of a dimple on the cheek, then sutures the incision and sends the patient home with recommendations for wound care. The operation lasts on average 30-40 minutes.

Recovery after

Recovery after a dimpleectomy will take from 2-3 weeks to 1 month. The patient will experience swelling for some time. There will be pain, which can be relieved with painkillers. After 2-3 days, moderate pain will remain, noticeably increasing in the operated area when moving or touching it.

Attacks of nausea are possible. Their appearance depends on the duration of local and general anesthesia. Side effects when taking analgesics are minimal, but sometimes people experience them. The face after surgery will be susceptible to swelling. The peak occurs on days 2-3, after which a decline is observed. After 8 days, the skin smooths out and tightens tighter than usual.

After 14 days, only small swelling areas are visible. To speed up regenerative processes after surgery, sleep on thick pillows for 6-7 days. This will help reduce swelling. Ice and cold water also help. Surgeons recommend cooling the intervention area on the 1st day of rehabilitation. Herbal medicines, ointments and physiotherapy may be prescribed.

Important physiotherapeutic procedures are:

• microcurrents (exposure to the wound with weak electrical impulses is necessary to restore the functioning of skin receptors and improve blood circulation; they restore the previous innervation);

• phonophoresis (medicine is applied to the skin, then ultrasound treatment of the damaged area is carried out; the procedure is painless, quickly relieves swelling and bruises);
• darsonval (stimulates good blood movement through the vessels, quickly restores skin sensitivity, relieves swelling);
• ultrasound (acts on capillary walls, improves blood circulation, relieves swelling);
• laser treatment (improves the functioning of skin cells, accelerates the regeneration of soft tissues, prevents the appearance of scars).

The most common ointments for scars:

• Kelofibrase (spread a thick layer of the product on the damaged area 2-4 times a day, average cost 1,600 rubles);
• Zeraderm ultra (apply 3 times a day, product cost about 2100 rubles);
• ScarGuard MD (use 2 times a day for 2-3 months, the drug is absorbed in a few seconds, is felt on the skin for about 20 minutes, price - about 6100 rubles);
• Fermenkol (apply on a napkin or handkerchief and apply to the affected area, price varies from 600 to 1000 rubles);
• Contractubex (apply to dimples 3 times a day, cost about 500-900 rubles);
• Clearvin (smear the wound 4 times a day, cost about 200 rubles);
• Dermatix (apply a thin layer, do not rub in, apply 2 times a day, price – from 1300 rubles);
• Solcoseryl (smear the wound 3 times a day, cost 350-450 rubles);
• Keratan (apply 3-4 times a day, cost about 900 rubles);
• Ichthyol ointment (use the medicine 2 times a day, you can buy it for 150 rubles);
• Madecassol (apply 3 times a day, cost ranges from 150 to 800 rubles).

Edema can be treated with diuretic folk remedies. For this purpose, juices, decoctions, herbal teas and infusions are used.

These are the recipes:

• take 2 cucumbers, 2 carrots and 0.5 lemon, squeeze the juice out of the products to form 300 ml of each, mix all the ingredients and pour a small amount of clean water, drink 3 times a day;
• stock up on a couple of peppermint branches, pour hot water over them, let the product brew in a dark place until it cools down, drink 2 times a day in small sips;
• chop parsley, 1 tbsp. raw materials, pour 0.5 liters of boiling water, leave the broth for half a day, strain through a gauze bandage, take 1 tbsp. 3 times a day;
• 1 tbsp. pour boiling water over corn silk and strain after 10 minutes, drink the drink 3 times a day;
• 1 tbsp. hawthorn, pour 1 liter of hot water, leave to infuse for 2 minutes, drink 1/3 cup 3 times a day.

A noticeable mark after the procedure for the formation of dimples on the cheeks is bruising. This is considered normal, since a small amount of blood accumulates under the epithelium. Bruises are observed for 2-3 weeks, after initial healing of the wounds they disappear. If the hematoma lasts for more than 30 days, then this is considered a complication.

The number of bruises is influenced by the doctor’s professionalism and the patient’s skin type. On day 1 of rehabilitation, take aspirin and other medications with acetylsalicylic acid to avoid thinning the blood and increasing the size of bruises. You can hide the marks of a dimplectomy with cosmetics.

For up to 1 week, you should eat only soft and easily chewable foods. Before breakfast, lunch and dinner, treat the oral cavity with an antiseptic to avoid the penetration of pathogenic microorganisms into the wound. In the morning, brush your teeth with care, trying not to touch the damaged areas of your cheeks.

You can take a shower after surgery after 4-6 days. After 2.5 weeks, you can take a hot bath. For 30 days, cancel trips to the sauna and bathhouse. Avoid exposing the damaged area to sunlight; it can cause pigmentation, which will make the seams more noticeable.

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Rehabilitation

The rehabilitation period lasts from 2 weeks to 1 month.

After surgery, you may experience some discomfort and pain during the first week. To relieve this condition, you can take painkillers, such as paracetamol or ibuprofen.

You need to rinse your mouth with antiseptic solutions and/or herbal infusions of chamomile, sage, oak bark throughout the day and always after eating.

You need to brush your teeth carefully so as not to injure the wound surface. Preference should be given to soft, warm, grated food. For the first 2-3 days, you can eat food from baby jars or make yourself liquid porridge.

Your doctor may prescribe antibiotics to prevent the wound from becoming infected.

When should you see a doctor?

All suture material used in the operation is self-absorbing, so there is no need to remove the sutures. You will need to visit your doctor for follow-up 3 days, 1 week and 3 months after surgery.

How long will the results last?

The result of the operation is visible immediately after the procedure. In this case, the dimples will be visible for 1-2 weeks both when smiling and in a relaxed state. After complete muscle recovery, they will appear only when a person laughs.

Dimples on the cheeks - photos before and after surgery. The result is visible immediately.

Over time, the effect may disappear as the skin loses its elasticity and sags. If you want to remove dimples, reconstructive surgery will help you do this.

How to make dimples on the cheeks: creating a smile from childhood

Cameron Diaz, Kirsten Dunst, Irina Shayk, Liza Boyarskaya - do you know what unites these star divas besides beauty, fame and popular love? They all have one distinctive feature - dimples . Who knows, maybe they achieved such dizzying success precisely because of this zest, which gives a smile a special charm, makes it sincere, open and youthfully perky - it is no coincidence that it is sometimes called the “kiss of an angel” or the “mark of happiness.”

Alas, not every person is given these playful grooves by nature. They often become an object of envy and raise a logical question - how to make the same pits for yourself? There are several popular methods for this, from makeup tricks to plastic surgery. But which option is the most effective? And why do some people have this feature from birth, is it good or bad? What is a dimpleectomy and what are its pros and cons? TecRussia.ru tells in order:

↑ Where do dimples come from?

You will be surprised, but from the point of view of doctors, the “mark of happiness”, which causes so much delight and tenderness, is a genetic defect that is inherited.

• The zygomaticus major muscle, which regulates the position of the corners of the lips and is responsible for the formation of a smile, is to blame for everything. This so-called “laughing muscle” has a V-shaped structure. In some cases (about every fourth), one of its bundles behaves abnormally: it branches off, passes through the gap between the fibers and grows into the dermis of the cheek. With active facial expressions, including smiling, the “soldered” area is pulled inward - and a characteristic depression is formed.
• Genetically, dimples are a dominant trait, that is, if at least one of the parents has them, then there is a very high probability that the feature will be passed on to the child. At the same time, this is not a disease or atavism. Currently, no connection has been established between the presence of pits and any health problems.
• The subcutaneous fat located around the dimple further raises the surface of the cheek, which makes the dimple even deeper. In young children with their chubby cheeks, the “happy marks” are especially noticeable. With age, when the fat layer on the cheekbones thins, the indentations may become less pronounced or disappear altogether. But if this does not happen, they, on the contrary, increase in size and look like real wrinkles.
• The pits can be round or oblong, on one side or on both cheeks, they can be located symmetrically or at different distances from the corners of the mouth - depending on how Mother Nature pleases. But if we are talking about their artificial creation, then the location and configuration can be chosen at your discretion.

↑ Dimpleectomy: dimples on the cheeks quickly and forever

This plastic surgery is considered simple to perform, does not require general anesthesia, and is incredibly popular in the EU and the USA. It is also done in our country, in many clinics, although a similar rush has not yet been observed.

The name dimple-ectomy is derived from the English “dimple-ectomy”, which literally means “cutting out dimples”. In fact, everything is not as scary as it sounds. No one carves anything in the literal sense of the word. The surgeon works from the inside of the cheek: he makes an incision in the designated place and removes a small part of the fat layer, and then sews the layers of tissue together with several stitches. The scar formed from the inside tightens the skin from the outside and forms a depression that looks natural.

The specific size, shape of the dimple, its depth and location are discussed with the patient at a preliminary consultation. Surgeons guarantee a lasting result and, moreover, advise you to think carefully about its necessity, since the result will remain for life . In the future, you can smooth out the skin a little, but you won’t be able to return everything completely “as it was,” and this is perhaps the only disadvantage of such an operation. There are many more advantages:

• All manipulations are performed under local anesthesia, which significantly reduces the number of contraindications. As a rule, a simple injection of lidocaine is sufficient to minimize discomfort. Those who do not like to watch the surgeon work may request intravenous or oral sedation, but doctors themselves do not consider it necessary.
• A dimpleectomy lasts on average only half an hour, after which you can immediately go home - no sick leave, no scars, severe swelling, bruises and other unpleasant consequences. Restrictions on the recovery period are minimal.
• The operation is suitable for both thin and plump cheeks.
• The result is noticeable immediately. At first, the dimples will be constantly visible, even with calm facial expressions. After the surgical thread dissolves, the skin will gradually level out, and the indentations will appear, as expected, only when you smile. This period usually takes about 2 weeks.

Rehabilitation after a dimpleectomy is relatively easy. Basic advice from doctors for this period:

• for several days you need to take antibiotics and, possibly, painkillers - they are prescribed by the surgeon;
• do not eat hard or chewy foods;
• after eating, rinse your mouth with antiseptic solutions (Stomatidin, Peridex, etc.) to prevent infection from getting into the wounds.

↑ Contraindications, possible complications and side effects

Dimpleectomy is low-traumatic and does not require general anesthesia, so there are few factors excluding the possibility of its implementation. These are mainly general surgical issues: acute diseases, infections, problems with blood clotting, etc.

This operation has practically no serious negative consequences - except that at some point you may not like the result, and, as we remember, once created “marks of happiness” cannot be completely erased. But besides this, there are several risks that you should be aware of in advance:

• Due to a surgeon’s error or individual characteristics of scarring, the dimples may not be entirely symmetrical in depth and/or relative position. Sometimes this can be corrected with a small additional correction: making one of the dimples deeper or vice versa - smoothing it out a little, but sometimes you have to put up with what is there.
• As we age, our skin inevitably ages and loses its elasticity, as a result of which the artificial indentation often becomes much more noticeable and looks like a “full” wrinkle on the cheek (in addition to the existing nasolabial folds). This cannot be avoided, but, in fairness, similar changes often occur in those who inherited dimples from their parents.
• Some people believe that the results of a dimpleectomy do not look entirely natural and look more like a skin defect than a cute highlight of appearance. This is a matter of taste: in order to form your own opinion, it is advisable to study as many “before and after” photos as possible, and it is better if this is the portfolio of the very surgeon you plan to turn to for help.

↑ “Marks of Happiness” without surgery

The Internet, when asked “how to make dimples on the cheeks at home,” will give dozens of tips, although not all of them are adequate. We have made a selection of life hacks that are especially popular, and analyzed their pros and cons:

1. Makeup. Well, why not, if we are talking about achieving a short-term effect - in particular, for a photo shoot? Makeup gurus have entire instructions on the topic “how to draw dimples on your cheeks” using cosmetics. True, you will have to practice a lot before you get a more or less natural result. And remember - this method is only suitable for posing in front of the camera. In all other cases, there is a risk of hearing: “You seem to have gotten dirty with something.”

2. Exercises. Some are sure that that same “laughter muscle” can be trained and forced to behave in the desired way. The method is very dubious, especially if you remember under what circumstances the pits actually form. Little depends on the degree of “pumping” of the muscle. But if you don’t have a lot of patience, and the prospect of not achieving a result in the end doesn’t upset you, then you can try. At least training your facial muscles has never hurt anyone.

3. Cheek piercing. Imitation using earrings is a completely accessible and inexpensive way to achieve the goal. True, metal jewelry on the face is not suitable for every person, and, to be honest, the effect of this option is not quite the same as that given by natural indentations when smiling. The next step is usually to remove the earring a few months after the piercing, then the connective tissue that has formed around it will slightly tighten the cheek, creating the illusion of a dimple. But these marks will be constantly visible, even when the face does not express any emotions. In addition, piercing is an unpredictable business, and one of its frequent complications is rough keloid scars. So, under no circumstances do this procedure yourself at home, contact a professional.

In any case, first you can “try on” the dimples with makeup and make sure that they really suit your face. And then - either waste time on exercises that may not give any effect, or pierce your cheeks at your own risk... Or skip these ineffective steps and immediately turn to the most reliable and proven option - plastic surgery.

↑ How much does it cost to make dimples on the cheeks? Current prices for dimpleectomy and other procedures

Costs will depend primarily on which method is chosen. With non-surgical ones everything is simple:

Surgery is a little more complicated: here the cost will be affected by the status requests of the specialist or clinic and the city of the operation (more expensive in the capital). At the same time, there are practically no additional costs such as compression garments or hospital stay:

Possible complications

You can make dimples on your cheeks quickly and inexpensively. Cosmetologists claim that the risk of complications is negligible.

Only if the recommendations are not followed may the following appear:

• long-lasting swelling;
• volumetric hematomas and bruises;
• infection by pathogenic microorganisms;
• numbness in the cheek area;
• the appearance of asymmetry of the depressions or their different depths;
• formation of wrinkles;
• formation of an unnatural depression.

Due to the individual characteristics of scar formation, dimples may be placed asymmetrically, and their shape will not be similar to the desired one. This can easily be corrected with additional surgery.

The operation, which makes it possible to create dimples on women's cheeks, is extremely popular. Nowadays there are many plastic surgery clinics. It is important to approach the selection of a cosmetology center and a doctor responsibly so that the result always pleases the patient.

Article design: Oleg Lozinsky

Cosmetic techniques

How to get the “mark of happiness” without exhausting yourself with training and without resorting to the services of a plastic surgeon? Decorative cosmetics are a quick and gentle way to achieve your goal. With the help of makeup, it is easy to create artificial dimples or highlight the small depressions on the cheeks given by nature.

Instructions for applying makeup:

• smile and determine where to draw cosmetic dimples;
• draw a small comma with a thin tail lowered down 1–1.5 cm. An elegant design is applied with eye shadow or eyeliner with a matte effect. It is better to avoid glossy and shiny products in this case in order to get a more natural result;
• use cosmetics in natural light brown and beige shades. If the purpose of creating a cosmetic effect is to create an original photograph, then darker tones will do;
• disguise the drawing with shadows. Shading is done in a circular motion with a small brush along the trajectory of a comma;

• use a large brush to lighten the edges;
• powder your face, smile and check whether the desired result has been achieved.

Technique using a cosmetic pencil and brush:

• determine the location of future dimples;
• use a brown pencil to place volumetric dots symmetrically on each cheek;
• at a distance of no more than 2 cm from the points, draw arcs above and below;
• Having relaxed the facial muscles, shade the pattern with a brush.

Reception "contouring":

• Use a bronzer with dark dye to place dots at the expected location of the dimples;
• cover the area around the dots with highlighter;
• To highlight existing dimples, only a highlighter is used. Using a product for highlighting individual areas of the face, the area near the natural depressions is highlighted, thereby creating a beautiful relief pattern.

Powder helps highlight natural hollows. The choice of color for a powdered cosmetic product depends on your skin tone. The powder should be 1-2 shades darker than the natural shade. The powder is applied with a brush to the borders of the dimples, thoroughly shaded and covered with foundation on top.