{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T08:15:21Z","timestamp":1771229721645,"version":"3.50.1"},"reference-count":7,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Dimple creation surgery, or dimpleplasty, recreates the dynamic cheek indentations found in approximately 30% of faces. This review highlights current evidence and provides surgical insights for predictable, natural outcomes.<\/jats:p><jats:p>Since 1962, successive refinements of the technique have focused on smaller incisions and precise dermomuscular fixation.<\/jats:p><jats:p>Awareness of zygomaticus major variants, orbicularis oculi bands, Stenson's duct, and buccal branches of the facial nerve underpins safe practice.<\/jats:p><jats:p>Bipolar cautery may assist with hemostasis.<\/jats:p><jats:p>Healthy adults with realistic expectations benefit most. Those with keloid tendency warrant caution.<\/jats:p><jats:p>A 5-mm intraoral incision, selective muscle fenestration, and dermomuscular plication produce an immediate dimple that softens with healing.<\/jats:p><jats:p>Brief oral antibiotics support recovery.<\/jats:p><jats:p>AI-assisted 3D smile simulation is being conducted and refined to boost dimple creation precision and predictability.<\/jats:p><jats:p>With surgical precision and careful patient selection, dimpleplasty remains a low-risk procedure that can deliver high patient satisfaction.<\/jats:p>","DOI":"10.1055\/a-2626-9299","type":"journal-article","created":{"date-parts":[[2025,6,24]],"date-time":"2025-06-24T19:03:51Z","timestamp":1750791831000},"page":"628-631","source":"Crossref","is-referenced-by-count":1,"title":["Dimple Creation Surgery"],"prefix":"10.1055","volume":"41","author":[{"given":"Kimberly J.","family":"Lee","sequence":"additional","affiliation":[{"name":"Beverly Hills Facial Plastic Surgery Center, Beverly Hills, California"},{"name":"Division of Otolaryngology, Head and Neck Surgery, Cedars Sinai Medical Center, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raffaello M.","family":"Cutri","sequence":"additional","affiliation":[{"name":"Division of Otolaryngology, Head and Neck Surgery, Cedars Sinai Medical Center, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,6,24]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1002\/(SICI)1098-2353(1998)11:5<310::AID-CA3>3.0.CO;2-T","article-title":"Double or bifid zygomaticus major muscle: Anatomy, incidence, and clinical correlation","volume":"11","author":"J E Pessa","year":"1998","journal-title":"Clin Anat"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"1888","DOI":"10.1097\/00006534-199811000-00013","article-title":"Variability of the midfacial muscles: Analysis of 50 hemifacial cadaver dissections","volume":"102","author":"J E Pessa","year":"1998","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1097\/SCS.0000000000005261","article-title":"Prevalence of bifid zygomaticus major muscle","volume":"30","author":"K Phan","year":"2019","journal-title":"J Craniofac Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/SCS.0b013e318207f2d0","article-title":"Malaris muscle, the lateral muscular band of orbicularis oculi muscle","volume":"22","author":"J T Park","year":"2011","journal-title":"J Craniofac Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/00006534-196208000-00008","article-title":"The facial dimple\u2013clinical study and operative technique","volume":"30","author":"K Boo-Chai","year":"1962","journal-title":"Plast Reconstr Surg Transplant Bull"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"282","DOI":"10.4103\/IJDS.IJDS_62_17","article-title":"Facial dimple creation surgery: A review of literature","volume":"9","author":"K M Kumar","year":"2017","journal-title":"Indian Journal of Dental Sciences"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"NP80","DOI":"10.1177\/1090820X14536727","article-title":"Actinomycotic sinus of the buccal mucosa: a rare complication of cheek dimple creation","volume":"34","author":"B AbdullGaffar","year":"2014","journal-title":"Aesthet Surg J"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2626-9299.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T23:09:02Z","timestamp":1758064142000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2626-9299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,24]]},"references-count":7,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2025,9,16]]},"published-print":{"date-parts":[[2025,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2626-9299","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,24]]}}}