Cheek dimples are considered as attractive features among various facial features. Recently, there has been an increased demand for creation of facial dimples, and lots of people seek expertise of cosmetic and dermatologic surgeons to get facial dimple creation done. This chapter will explain technique of dimple creation and this can be easily done by a dermatologic surgeon. The surgery is aimed at creating a scar in the dermis which then adheres to underlying buccinator muscle, becoming a natural dynamic dimple. This can be achieved with either transcutaneous sutures or by open technique that is performed intraorally, which would not show scarring. Good knowledge of anatomy (especially vascularity and shape of face) is important to deliver a good outcome. The procedure is safe and gives good cosmetic satisfaction to the recipient. The surgical technique is explained in the chapter with postoperative instructions to maintain a good oral hygiene with frequent mouthwash and oral rinsing in immediate postoperative period.