Facial dimples are often considered an attractive facial feature. They are thought of as sign of good fortune and prosperity. Natural dimples appear only upon smiling and perhaps because of that, dimples are generally associated with cheerfulness. As the awareness about and willingness to undergo cosmetic surgery has increased, so recently has the demand for surgical creation of dimples on the face. Dermocutaneous insertion of the fibers on the inferior bundle of the bifid zygomaticus major muscle are responsible for the dynamic nature of dimples. Anatomically, a dimple is only an abnormal insertion of the facial mimetic muscle, rather than a soft tissue defect. All dimple techniques depend on fashioning an adherence of the mimetic muscle to the dermis with sutures or through myodermal scar induction.