A chin implant can be placed orally or externally. The intraoral approach has the advantage of avoiding an external scar. However, the implant can become infected due to traversing the oral cavity which is laden with bacteria. Several studies have not shown a difference in rates of infection between implants placed externally and intraorally. Intraoral implants tend to rise superiorly due to the difficulty in creating a pocket laterally and fixating the implant in the midline. The external approach has the advantage of placing the implant through a sterile technique. The implant is more readily fixed in the midline and shift of the implant is decreased. The main disadvantage is that an external scar is made. However, the meticulous closure will often time minimize the visibility of this scar. In addition, the location of the scar is a place where very few people will be able to see. Dr. Shah’s approach is to tailor the approach to the patient. Some patients request an intraoral approach and I will typically comply unless they have significant chin asymmetry or require a large chin implant.