Dear Ray,There is no way to create dimples withOUT surgery, but there is absolutely a surgical procedure to create dimples! While many doctors may not have learned how to perform this surgery, it doesn't mean that the surgical procedure doesn't exist! A dimple is actually a defect from birth, or one created from a trauma: soft tissue is missing between the skin and mucous membrane of the mouth, creating an indentation. A dimple can be created through a surgical incision made inside the cheek. Some soft tissue between the mucous membrane and skin is removed and sutures are placed to attach the mucous membrane to the skin. A surgical defect is created, and as a result, so is a dimple. The procedure is safe when done by a capable and experienced surgeon. The ultimate shape, size and depth of the dimple are not predictable; ultimately, the body's healing process will play a role in the end result---as with any incision. All the best,Dr. Michelle Yagoda