Dimple creation surgery is done under local anesthesia and the procedure time is about 40 minutes. A small painless incision is made in the inside of the cheek so there will be no scar on the outside of the . A small absorbable suture is passed through the inside of the cheek and catches the undersurfaces of the so when it is tied it causes a dimpling on the overlying . The scarring between the inner and the muscle will cause a permanent dimple even after the suture is absorbed. Cheek dimples will last permanently.