Anatomical Skin Dimpless

RATIONALE Dimples are beautiful and most appreciated defect that arises on the surface of the skin (Razzaq, Rabia; Kanwal, Safoora; Shandana; Tariq, Nabeela and Sajjad, Naheed, 2015). It serves as an indication of beauty. Most of the time, it is correlated with cuteness and babies. Cheek dimples are usually accounted as an appealing characteristic of facial beauty (Lari & Panse, 2012). Dimples are one of the facial traits that are inherited from one generation to another and it does not skip a single generation. Usually, dimples are found on both cheeks of the face but there are also rare cases where it only shows on only one side of the cheek, either right cheek or left cheek. There are also dimples in the chin. This study is conducted to

Rengin Kosif of the University, BOLU, TURKEY defined dimple in his article Anatomical Skin Dimples as gelasin or a dimple in the cheek that appears when an individual smiles and laughs (Garg, 2013). Anatomically speaking, the bifid zygomaticus major muscle causes the dimple. Its facial strands inserts in a thick inner layer of skin called dermis and produce dimple (Kosıf, 2015, p. 15). It is a genetically inherited defect that is caused by a shortened face muscle. He stated that dimples are one of the most dominant facial traits. This kind of trait has an inheritance pattern of autosomal dominance. It is a dominant trait and takes only one gene to inherit it. The probability of a child of both parents with dimples to inherit the trait is 50-100%. The chance of a child with only one of the parents affected is 25-50%. The transfer of dimples from parents to children occurs due to just one gene, a gene of a dimple. The gene of dimple can be found on chromosome 5. From the survey of his study, it was observed that 25% of the subjects inherited the facial dimples from both of their parents who also expressed the phenotype. Females have higher rates of inheriting the trait than the males. Dimples also have a clinical significance as it is not a good indicator of good health because some other types of dimples coexists with pathophysiology like the sacral dimples which presence is associated with hidden spinal dysraphism. The result of his study suggests that the occurrence

Asian people, specifically Chinese people, they perceive the dimples as a valuable part or feature of a smiling happy face. According to Shiwei Bao, Chuande Zhou, Senkai Li, Muxin Zhao in their ‘A New Simple Technique for Making Facial Dimples’ that there is a growing demand for Chinese woman for dimple creation or dimplant. They used a simple technique, easy to duplicate, and has short period of recovery (Bao, Zhou, Li, & Zhao, 2007).

According to Jayashree Nandi, Indians are also opting for dimples. According to her, a plastic surgeon of Manipal Hospital, Dr. Ashok B C that the demand for cosmetic surgery has definitely risen up to around 50% to 60%. She said in this article that the process of creating a dimple takes almost three months and the dimples becomes visible only when the person smiles or during a movement of muscles. (Nandi, 2011)

Another technique was used by Abdel Nasser M. Khallaf1 and Mostafa Hassan of Plastic & Reconstructive surgery Department – Al-Azhar University1 and Almatria Hospital2 , Cairo, Egypt. In their ‘Check Dimple Creation - A New Technique: Our Experience of 100 Cases’, they used a simple technique for dimple creation. Their procedure is done with local anaesthesia. They said that the result of the procedure is “safe, reliable and easily reproducible”. Excision like cutting is not done in this process, therefore no bleeding or cases of hematoma. The patients of this kind of technique are satisfied with