Dimpleplasty is performed to create dimples on the cheeks. Not every person is born with dimples so doctors can create the appearance of dimples for patients. The doctor applies a topical anesthetic to the treated area. The surgeon then uses a small biopsy instrument to create a hole in the skin where the dimples will be created. Depending on the size of the dimples desired by the patient, an amount of fat and muscle is removed in the designated area (about 2 or 3 millimeters in length). A suture is put into position from one side of the cheek muscle to the other side. The sling is then tied in order to create the effect of having dimples.