A small chin (microgenia) can have a dramatic impact on one’s appearance and put one’s face out of balance. Chin implants are a simple, quick procedure that can result in big benefits for the appearance of a patient. Microgenia can be congenital or can occur with bone loss with age. This needs to be differentiated from an overbite and other issues of malocclusion which are more oral surgical issues. Besides an implant microgenia can be improved with injectables although these are temporary. But sometimes this can give a patient an idea if a more permanent implant would help them. Chin implants can be placed either in the office or if combined with other procedures such as rhinoplasty or neck lift, under general anesthesia.