Dimple creation surgery (dimpleplasty) provides permanent results by creating a surgical attachment between the cheek muscle and skin via internal sutures. While natural aging and skin elasticity changes can soften the appearance over time, the structural change to the facial muscle remains lifelong in approximately 90% of cases.
- Formation process: Surgeons create a permanent scar tissue bond between cheek skin and underlying muscle.
- Settling phase: Dimples appear constantly for 1–3 months before transitioning to smile-only visibility.
- Longevity factors: Younger patients typically maintain sharper definition due to higher skin elasticity levels.
- Reversibility potential: Surgeons can potentially reverse the procedure through secondary surgery before full scarring.
Bookimed Expert Insight: While many general plastic surgeons offer this, choosing specialists like Dr. Phatcharasak Kraisornphongsakul, who has performed 20,000 procedures, is vital. High-volume Thai clinics maintain lower complication rates by ensuring the internal anchoring reaches the fascia, preventing the dimple from fading within the first 18 months.
Patient Consensus: Most patients report lasting results for 5–10 years, though many notice dimples become naturally shallower over time. A small minority experienced fading within the first year, emphasizing the need for deep muscle anchoring during the initial surgery.