In some cultures dimples are considered a sign of good luck and prosperity. Also, dimples help brighten a smile and add character. A natural dimple is usually formed when there is a small defect in the Buccinator muscle of the cheek. The skin overlying this small defect is stuck down to the underlying connective tissue and creates a dimple in the skin with smiling. Dimple creation surgery can replicate this naturally occurring process. It is possible to surgically create permanent dimples. Dimple creation surgery can be done on any type or sized cheek. You can decide where the dimples will be, or our cosmetic surgeon will suggest you the most optimal place for the dimples on your face.