Secrets of a Beverly Hills Cosmetic Surgeon

A recent article in the New York Daily News describes “dimpleplasty,” a new technique of creating dimples where they did not exist on the face. A doctor was quoted as saying that “… this procedure can be done anywhere on the body.” That’s interesting. I am not sure where one might want to have dimples other than on the face, but if that is the case, so be it.

Frankly, I agreed with some of the comments that were posted on the article’s website. The commentaries were in responses to a photograph that showed a before-and-after shot of a male patient who underwent dimpleplasty.

Here are a couple of select responses:

“For this man pictured it is like a bullet went through both cheeks. If you are not born with these things, you can never make them natural. Sorry for this guy, but he looks more like a victim of a crime. So, thumbs down, doesn’t look good at all.”

“This guy doesn’t look like he has dimples. He looks like he has holes in his cheeks.  Bizarre looking!”

Many times in my career I have been asked if I could create a dimple, or a cleft in the chin. I always decline with the following explanation to the patient: While we can try to attempt to replicate what nature has delivered, the reality is that we never succeed in making these architectural changes that appear natural.

There is nothing worse than a bad knock-off.

I think patients need to be very circumspect before deciding to have these procedures since often it is not easy to undo them. I am never the first kid on the block to perform a procedure because typically, with time, the complications, problems and dissatisfaction arise. For those who have had it early in the history of the new technique, it is too late.

- Robert Kotler, MD, FACS

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