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A natural dimple tends to occur where a line drawn from the corner of the mouth to the ear lobule and a line down from the outer canthus of the eye would meet. Generally, they are between 3cm and 4cm away from the corner of the mouth. The procedure costs around £ 1,000 and £1,500, if performed under local anesthetic. Patients are seen one week and six weeks after surgery.
During the initial consultation, I would ensure that the patient is free of any infection or disease in the mouth which would prevent me from carrying out the procedure. Most patients are young, healthy adults. However, I always undertake pre-operative screening to ensure that patients do not have any kind of systemic or local contra-indications to this type of aesthetic procedure, even it is considered minor and is being done under local anaesthetic.
After the procedure, I normally prescribe a 5-day course of broad-spectrum antibiotics as well as advise the patient to keep the mouth clean by using an antiseptic mouthwash. I advise the patient to take paracetamol if they are feeling uncomfortable.
The complications following the dimple creation procedure are generally very rare. The scar forms inside the cheek. The patient will be able to feel the scar by very gently pressing and feeling their cheek between fingers and thumb. This is called bimanual palpation. Infection is very rare.
Undercorrection is uncommon, with 7% of my patients requiring deepening of the dimple.
Overcorrection, too, is very rare but can be dealt with by releasing the scar and injecting absorbable dermal filler. Asymmetry can occur but is very rare. I do not personally charge for any revision surgery if required. However, patients are asked to pay hospital fees and an administration charge.