Dr Zide’s reflections on his vast experience with chin augmentation provides valuable insights to the successful execution of alloplastic mentoplasty.1 Foremost, these include the advantages of a submental approach to place the implant; appreciation of the aesthetic implications of the labiomental fold; material preference; and implant positioning. This discussion attempts to embellish these points and provide personal nuance on the technical aspects of this procedure.

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The submental approach for chin implant placement trades many technical advantages for the hidden scar of the intraoral approach. First and foremost, it provides optimal exposure for implant positioning—fundamental to operative success. Accurate implant positioning is more difficult from the intraoral approach, particularly with implants which have lateral extensions. A minor imperfection in the midline position of the implant is magnified in its lateral position as demonstrated in Figure 1...

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