It is possible to surgically create permanent dimples, and the surgical dimple creation treatment procedure is very simple and straightforward when it is done in the right way. A natural dimple is usually formed when there is a small defect in the cheek musculature. The skin overlying this small defect is stuck down to the underlying connective tissue and creates a dimple in the skin with facial animation. Dimple surgery is a quick, relatively painless, outpatient procedure. A dimple creation procedure takes approximately 30 minutes to complete. The procedure is performed under local anaesthesia with or without sedation. To create dimples, the surgery is performed on the inside of the cheek and there are no scars or incisions on the outside skin. A cosmetologist is defined as a person who gives beauty treatments to skin and hair etc. Cosmetologists can be expanded into multiple fields including cutting and chemically treating hair, chemical hair removal without a sharp blade, fashion trends, wigs, nails and skin care, skin and hair analysis, relaxation techniques including head, neck, scalp, hand and feet basic massage and aroma therapies, plus ability to expertly apply makeup applications to cover or promote and can expand into further specialties such as reflexology, theatrical applications, cosmetics and others. Therefore dimple plastic surgery has a high demand for surgically creating dimples. This is a safe and effective surgery and is done under local anaesthesia as a day care procedure. The results of it are permanent. It is equally effective in both men and women. Under local anaesthesia, a small depression is created in the muscle of cheek region. This is done through the inside of the mouth without leaving any external scars.