Creating natural-looking cheek dimples requires a careful balance of facial anatomy, symmetry, and individual preference. Unlike naturally occurring dimples, surgically created dimples must be placed with precision to ensure they appear harmonious with facial movement and expression. Understanding how surgeons evaluate dimple placement can help patients make informed decisions during consultation.
Facial Anatomy and Dimple Location
Natural dimples typically form due to a tethering effect between the skin and the underlying buccinator muscle. In surgical dimple creation, placement is commonly considered within the malar (cheek) region, several centimeters lateral to the corner of the mouth, where facial contours allow for a subtle and natural indentation.
Common Reference Lines Used by Surgeons
Surgeons often use facial reference lines to guide placement. One common method involves a vertical line dropped from the outer corner of the eye combined with a horizontal line extending from the corner of the mouth. Others reference the intersection of a vertical line from the outer edge of the iris with a diagonal line from the mouth, adjusting placement based on facial proportions.
Facial Expression and Movement
Because dimples are most noticeable when smiling, facial movement plays an important role in placement assessment. Surgeons may ask patients to smile or contract their cheeks to identify areas where a dimple would appear most naturally. Slightly higher placement is sometimes chosen to create a softer and more youthful appearance.
Symmetry and Individual Preference
Some patients prefer symmetrical dimples, while others choose a single dimple on one side. Skin thickness, cheek volume, muscle tone, and overall facial balance are all considered during planning. There is no universal “correct” location — optimal placement is individualized.
Educational Note
This page focuses on the anatomical and aesthetic considerations involved in dimple placement. Patients interested in learning more about the surgical procedure itself can visit our
👉 Dimpleplasty service page
About Dr. Sean Yuan
Dr. Sean Yuan specializes in cosmetic surgery and facial aesthetics, including eyelid surgery, liposuction, tummy tucks, breast augmentation, and Brazilian Butt Lift (BBL) surgery. With a strong foundation in both plastic and craniofacial surgery, he brings a broad and diverse surgical background to his practice. Dr. Yuan completed surgical training in both China and Pennsylvania, and he is fellowship-trained in minimally invasive and bariatric surgery. He is a board-certified surgeon, a Fellow of the American College of Surgeons (FACS), and a member of the American Academy of Cosmetic Surgery. Dr. Yuan is passionate about helping patients achieve their goals through personalized, expert care. He has lived in the West Philadelphia area with his family for over 20 years and is proud to serve the local community.