In ancient times and among various tribes, the cheeks were known to be pierced and a disk placed into them. In some festivals, such as the Vegetarian Festival in Thailand and Indonesia, large objects are often forced through the cheeks such a spikes, metal bars and even parts of pushbikes.
In the late 1980s, these were one of the less common and more extreme facial piercings. But like many other piercings, they have climbed the ranks of popularity, and while first done by hard core piercing enthusiasts and mainly among men, in 2019 we are seeing a mixture of people getting this piercing, often to enhance their natural dimples. Due to the dimple left by the scar tissue formed, some people will even get this piercing with the intent to take them out once healed in order to create cheek dimple scars.