According to the Apple-Head Trio illustration shown above from the Dolls from the Index of American Design Collection at The National Gallery of Art: This apple-head trio was designed and made in North Carolina about 1892. Apple-head dolls probably originated with the Iroquois Indians. The expression on the face was produced by pinching the surface of the apple when it began to shrink.
Jane Iverson (artist), American, active c. 1935, Mrs. Almira Smith (object maker), Wenham Historical Society (object owner), American Dolls, c. 1936, watercolor, graphite, and pen and ink on paper, Index of American Design, 1943.8.15576
Viewing this illustration got me to thinking about apple head dolls and their history. So, of course, I had to do a little research.

While doing my research on the "History of Faceless Dolls" I ran across the Wisconsin Historical Society website that had an amazing collection of 23 apple head dolls, including the beautiful apple head doll shown in the screenshot above.
She is described as, "Applehead doll, woman, black dress, white apron, USA, 1952-1956." I loved all the dolls in the collections and think it is well worth seeing. If you would like to see all 23 of the apple head dolls in their collection please click here.
According to Wikipedia.org, "An apple doll is a North American cultural phenomenon where the doll's head is made from dried apples. The apple is peeled, then carved with the facial features of the doll. Next the apple is left to dry for several days or weeks. When completely dry, the apple is positioned on the top of a wire frame which is shaped into the rest of the doll's body. The rest of the wire frame is covered up by the doll's clothing, which is usually sewn by hand. In modern times, apple dolls are mostly used as decorations or to display craftsmanship, rather than as children's toys. Because of the different effects drying produces, no two dolls are alike."
That latter statement is definitely true and all you have to do is look at the 23 apple head dolls in the Wisconsin collection above to see that no two dolls are alike.

According to the Encyclopedia of American Folk Art, "Unlike corn hisk dolls, which have dual origins in the European and Native American cultures, nuts and apple dolls were largely indigenous to American soil."
"Americans made the first apple-head dolls. As pioneers came into contact with various tribes, they began to copy their dolls. Traders persuaded Native Americans to dress their apple-head dolls in bright costumes with elaborate ornamentation, for sale to tourists. Their apple faces were either carved or pinched in, to create the features before they shrunk as they dried."
The Springfield-Greene County Library District Springfield, Missouri website had a Bittersweet article in 1974, Volume II, No. 2, Winter 1974 by Verna Lucas entitled APPLEHEAD DOLLS.