Do you have to have dimples to get your dimples pierced?

Yes. getting your cheeks pierced DOES LEAVE PERMANENT DIMPLES. You are warned of this before getting them done. I have had mine pierced for about 6 years, and I went an entire year without anything in them, and I had dimples even without the jewelry in. When you puncture the muscle in your cheeks, and put something in the way of that muscle mending completely (in this case a Lebret Stud) They cheek compensates for the jewelry, and heals around it, INDEED leaving permanent dimples. That's just what happens. These piercings are also one of the hardest to heal and up keep. You must always be careful when caring for oral piercings. ALWAYS LISTEN TO THE PIERCERS ADVICE!