Facial piercings have surged in popularity over the last decade or so, specifically the dimple piercing. However, it isn't a piercing choice to take lightly. Dimple piercings come with a protracted and involved aftercare process, as well as possible complications. Scarring will likely occur, which for some, is the purpose of the piercing, as the indentation in the cheek from this piercing gives the illusion of dimples or will add more definition to existing ones.

Ahead, board-certified cosmetic dermatologist Dendy Engelman MD, certified piercer, Janeese Brooks, and marketing manager of online jewelry retailer, jewellerybox, Daena Borrowman, offer everything you need to know before getting a dimple piercing.

What Is a Dimple Piercing?

Simply put, a dimple piercing is performed in the cheek area proximate to the parotid duct and gives "the illusion of dimples," says Engelman. "I have also seen these piercings in the lower back at the indentations that are in the skin." Borrowman notes that in many cultures, dimples are a sign of beauty. "This piercing allows you to uniquely emulate the look of dimples," she says, "and add an extra sparkle."

Brooks says that over time, the piercings actually create skin divots, "once the piercing has healed and the jewelry is removed."

"Some people get the piercing because they want the scar," adds Borrowman. You can also choose to keep the jewelry in place. If you ever decide to remove the piercing, the scar will most likely remain, even if you've only had jewelry in a couple of months.

What makes the dimple piercing risky is its location. Not only can it make for a difficult healing time, but its proximity to the parotid duct can make it "super difficult to pierce," explains Borrowman. The parotid duct is responsible for draining saliva in the mouth, and, if damaged, can lead to dehydration, difficulty chewing and swallowing, and an increased risk of cavities, as well as possible infection.

Preparing for a Dimple Piercing

In preparing for your dimple piercing, "avoid blood thinners for two weeks prior to the procedure," advises Engelman. She also says to make sure the skin is extremely clean, without a trace of makeup or skincare product during the procedure itself.

Brooks adds that right before the procedure, give your mouth a "good tooth brushing and rinse with mouthwash." She also suggests eating something beforehand, as the swelling post-procedure will make chewing uncomfortable for several hours. If your teeth have been bothering you or you are due for a filling, a visit to the dentist might be a good idea before getting your piercing.

To avoid rupturing the parotid duct, your piercer will examine your mouth prior to the procedure and mark the duct as well as the spot where you will be pierced. A note about symmetry: your piercer should attempt symmetry by using rulers and a level to gauge, however, perfect symmetry is most likely out of the question. This should definitely be discussed as your piercer marks your face before getting started, especially to see if you are a good candidate for the area being pierced.

Piercings are typically done with a needle. Expect to taste blood, as the piercing is being done on the flesh of your cheek.