Non Surgical Dimple Creation Technique using Ellanse

In 2010, Dr Ayham Al-Ayoubi has invented and pioneered a new non-surgical, non-invasive dimple creation technique using Ellanse (Poly-caprolactone  PCl) a well-known totally bioresorbable soft medical polymer.

Ellanse offers the maximum potential for modeling due to the combination of optimum viscosity, unique elasticity and uniform homogeneity. Hence, the Ellanse Family can be used in a variety of beautifying indications including dimple creation.

Dimples are visible indentations of the skin, caused by underlying flesh, that form on some people's cheeks, especially when they smile. They are usually found on both cheeks.

Dimples occur naturally due to a defect in the muscle of the cheek (typically the buccinator muscle). The under surface of the skin is therefore attached to the deeper soft tissue of the cheek which causes an indentation with smiling or other facial expressions. Many people are born with one dimple on each side of the face. Others, however, may have one dimple or none at all.

Dimples may appear and disappear over an extended period. Dimples may play a role in sexual selection. Some cultures, for example Asian and Indo-ethnic sub-groups, prefer dimples as a sign of attractiveness and veracity.

Dimples may be genetically inherited and have been called a simple dominant trait, but there is no scientific evidence for this.

Dimples may be caused by variations in the structure of the facial muscle known as zygomaticus major. Specifically, the presence of a double or bifid zygomaticus major muscle may explain the formation of cheek dimples.

This bifid variation of the muscle originates as a single structure from the zygomatic bone. zygomatic bone. As it travels anteriorly, it then divides with a superior bundle that inserts in the typical position above the corner of the mouth. An inferior bundle inserts below the corner of the mouth.

A natural dimple is usually formed when there is a small defect in the cheek musculature (most often the buccinator muscle). The skin overlying this small defect is stuck down to the underlying connective tissue and creates a dimple in the skin with facial animation (smiling).

In some cultures dimples are considered a sign of good luck and prosperity. Also, dimples help brighten a smile and add character. Many patients state that one of their siblings or close friends have a dimple and they are happy to know that dimple surgery is available to give them that option as well. Many celebrities, such as Mario Lopez and Cheryl Cole, are well-known for their dimples.

Dimple creation with Ellanse is an exciting technique to create natural-appearing dimples in a safe and predictable manner

An Alternative to surgical Creating Dimples using Ellanse, an invention of Dr Ayham Al-Ayoubi:

We pride ourselves in being the first clinic to offer an alternative to surgical dimple creation.

In 2010, Dr Ayham Al-Ayoubi has invented and pioneered a new non-surgical, non-invasive dimple creation technique using Ellanse (Poly-caprolactone  PCl) a well-known totally bioresorbable soft medical polymer.

Ellanse offers the maximum potential for modeling due to the combination of optimum viscosity, unique elasticity and uniform homogeneity. Hence, the Ellanse Family can be used in a variety of beautifying indications including dimple creation.

Ellanse developed by AQTIS Medica, is the first dermal filler which offers a safe unique Tunable Longevity specifically designed for the field of aesthetic medicine and surgery with the result lasting from 3-5 years.

To create a dimple, a small painless injection of Ellanse using a  needle to introduce Ellanse deep into the dermis where the dimple is desired.

This filler injection causes a dimpling in the overlying skin. At first there is a dimple present even without smiling, but in most cases after 2 days, the dimple is only present will smiling or moving the face. However some of the patients still had a dimple present for more than 3 weeks.

The minimum scarring between the inner skin and muscle will cause a permanent dimple even after the Ellanse product is fully absorbed.

DCTE can be done in outpatients clinic under local anaesthesia. Patients are awake and comfortable during the entire procedure.

The procedure is done under local anaesthesia in outpatient clinic and there is no need for incision, cut or suture and relatively painless and very effective procedure using a very safe product 

Patients can resume going to work in the same day after the procedure. And just to compare the DCTE with the traditional dimple creation surgery Dr Ayham Al-Ayoubi explains in a brief the surgical technique

Patients travel from all over the UK and from around the world to have Dr Ayham Al-Ayoubi perform non-surgical dimple creation treatment at the London Medical and Aesthetic Clinic.