Needle subcision: a conservative treatment for facial dimpling after elimination of odontogenic infection source: a technical note.

AIM: Extraoral skin fistula after resolution of odontogenic infection often resolves spontaneously, but in some cases, facial dimpling occur which needs revision surgery. This article evaluates the result of needle subcision for treatment of this condition, with or without dermal filler injection.

METHODS

Five patients with facial dimpling that was remained after elimination of odontogenic infection origin were evaluated. Subcision alone was used in four patients, and needle subcision followed by dermal filler was done in a patient.

RESULTS

Facial dimpling in the chin (a case), mandibular lower border (two cases) as well as cheek skin (two cases) were treated by this method. All patients were satisfied with the cosmetic results. Six month after surgery, treatment outcomes were stable.

CONCLUSION

Needle subcision is a simple and conservative method for correction of facial dimpling after elimination of odontogenic infection source.