Dimple creation surgery can simulate this naturally occurring process. To
create a dimple, a small painless incision is made in the inside of your cheek.
There is no incision or scar on the outside skin. A small absorbable suture is
passed through the inside of the cheek and catches the undersurface of the skin
where the dimple is desired. When this suture is tied it causes a dimpling in the
overlying skin. At first there is a dimple present even without smiling, but after
several days, or sometimes a few weeks, the dimple is only present will smiling
or moving the face. The scarring between the inner skin and muscle will cause
a permanent dimple even after the suture is absorbed.