Abstract The alteration of the chin through either osseous manipulation or implant augmentation, is an integral component of aesthetic surgery of the face. The chin (mentum) is vital to the human facial morphology as it contributes to the facial aesthetics and harmony both on frontal and lateral views.Genioplasty is an extremely versatile instrument of change of human chin morphology - it offers the surgeon the ability to mould the native chin into the desired and near ideal form with commensurate ease, irrespective of the pre-operative deformity, with excellent and sustained long-term results.When performed with proper preoperative assessment and technical execution, the results can harmonize and restore balance between skeletal, soft tissue, and dental components of the lower face. This study presents pertinent points on preoperative assessment, a description of the surgical technique, postoperative and discusses advanced procedures and optimizes outcome.