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Dimpleplasty is a fairly new plastic surgery procedure which is done to alter the cheeks in order to create facial dimples. Not every person is born with this physical characteristic; therefore, they must undergo surgery to acquire this desired look. This is a minimally invasive procedure that is permanent and is typically done using the same noninvasive procedure.

History
Dimples have been associated with beauty in some cultures, as well as good fortune and luck. This beauty standard lead to the first procedure of dimpleplasty that took place in the year 1962. Over the years this surgery has grown in popularity due to celebrities inspiring this aesthetic among society. Some of the celebrities that have influenced this procedure by having natural dimples have been the artist Ariana Grande and the actress Miranda Kerr. This procedure is most popular among women, and especially millennials.

Surgical Procedure
As the years go on, the procedure has evolved. However, they all follow the same techniques and lead to identical results. The first step of the procedure is done by placing a mark on the desired spot of the dimple. The patient either approves the position and the procedure can commence or disapproves and the location of the marking is changed. This is an outpatient procedure that requires local anesthesia. Lidocaine is the drug that is typically used to numb the area of the incision which takes about 10 minutes to come into affect. A small incision is then made on the interior part of the cheek where the mark was placed. The skin is then scraped off on the inside of the cheek with a No. 15 blade. The size of the scrape depends on the size of the desired dimple. A No. 3 ethilon, a nylon suture, is then inserted and exerted from the skin to create the dimple. This procedure usually lasts 20-30 minutes.

Post-surgical Recovery
A dimpleplasty is a minimally invasive surgery; therefore, the patient is released as soon as the procedure is completed. This plastic surgery only leaves internal scarring and the results appear shortly and are permanent. The recovery period is typically 1-2 weeks, in which redness and swelling may occur, but it is safe to return to work or school the next day. It is also important to maintain a liquid diet during the first two weeks to ensure a safe period of recovery.

Risks
Like every surgery, there are risks that come along with the procedure. Some on-site complications such as excessive bleeding, facial nerve damage, and immediate redness and swelling may occur. It is possible that several off-site complications may occur as well, such as extreme bruising painful swelling, throbbing, excessive scarring, and bilateral cheek abscesses, which restricts patients from opening their mouth. However, these complications are rare since it is such a minimal procedure.

Expenses
The price for a dimpleplasty ranges from $1,500 to $4,000, depending on whether the patient wants one or two cheek dimples created. The price is also based on the experience of the surgeon. However, in other countries, such as Korea, the starting price for a dimpleplasty is $500.