What’s the hottest trend in plastic surgery? Instant dimples, creating a little pucker in the cheek or chin. The dimple fabrication procedure is called “dimple-plasty.” According to MSNBC, they’re now being mentioned on consumer websites, and Internet beauty forums, and even appeared in an episode of the daytime TV medical show, “The Doctors.”

Dimples have long been seen as a sign of youth and beauty, because most dimples appear only when you smile. Dimples are usually inherited – and are caused by a defect in the cheek muscle, a small adhesion where the skin is attached to the muscle. Dr. Gal Aharonov is a board certified facial plastic surgeon in Beverly Hills. He says that people have been asking surgeons to create dimples since at least 1900 – with tiny knives and even tinier needles. In 1936, a New York woman named Isabella Gilbert even created a dimple machine – a wire frame that people strapped onto their face at night so they’d wake up with a pair of dazzling dents. Of course, it didn’t work. However, with modern surgical techniques, creating dimples is easier than ever.

Dr. Aharonov says dimples cost anywhere from $2,000 to $5,000, depending on how many you want, and whether they’re in your cheek or chin. The procedure takes about 10 minutes under local anesthetic, with all incisions done on the inside of your mouth. Once it’s healed, it’ll only show when you smile – just like the real thing. Not everybody likes dimples. A 32-year-old legal assistant in Seattle mentioned in the article hated her dimples. She felt like she wasn’t being taken seriously because the dimples made her look too young, and they also hurt. She often had to hold her face when she laughed or smiled to keep from hurting herself. So, she got a dimple-ectomy, where a plastic surgeon broke the connection that made the dimple, and injected fat into that spot so the cheek stayed smooth when she smiled.