Alvaro Rodriguez, DDS

Hi there,

Your concerns are absolutely valid, and you’re asking a great question.

Standard chin implants — whether anatomical, extended, or button-style like the Hanson Style 5 — each create different effects. A button-style implant without tapered wings generally adds central projection but doesn’t influence the jawline width or shape along the sides. This can be great for subtle enhancement but won’t create a tapered or V-shaped lower face on its own. In some cases, it can even make the chin appear more prominent or isolated if the surrounding jawline isn’t addressed.

That’s why I always emphasize that there’s no one-size-fits-all implant. Every face is unique, and the ideal result comes from designing a shape that complements your individual anatomy and goals.

Custom implants allow us to control not only the projection, but also the width, taper, vertical height, and blending with your natural bone structure. They also reduce risks of movement and asymmetry, especially when using materials like PEEK, which are stable and excellent for long-term results and revisions.

Ultimately, the best implant is the one that fits your face, your goals, and your vision, not just what's trending. If you're aiming for a tapered, more sculpted look, a custom approach may give you far more control and satisfaction.

Thank you for your thoughtful message — you've clearly done your research and you're asking all the right questions.

Both genioplasty and custom chin implants can be used to reshape and refine the chin, but each has distinct advantages depending on your goals.

A sliding genioplasty allows us to move your chin forward and/or downward, which can improve projection and vertical height. However, you’re absolutely right — if done without aesthetic planning, this can sometimes create a more angular or masculine effect, especially in patients seeking softer, more refined contours. That said, with careful vector planning, it is possible to achieve a longer, more delicate "V-line" shape using genioplasty alone, particularly when combined with contouring of the surrounding bone or jawline.

On the other hand, a custom chin implant (like the PEEK implants I use) offers complete control over the width, projection, pointiness, and vertical height, with a softer transition and natural appearance when designed properly. Unlike off-the-shelf implants, custom designs are fitted precisely to your anatomy, reducing the risk of movement or asymmetry. When placed correctly, these implants are stable and long-lasting, and shifting is extremely rare.

V-line surgery is more common in East Asian aesthetic surgery and typically involves narrowing the jaw angle and reducing chin width. While it can contribute to a more heart-shaped face, it may not offer the same control over vertical length as genioplasty or implants.

In many cases, a combination approach — such as a small genioplasty for structure and a custom implant for finesse — can provide the most balanced and feminine result.

I'd love to learn more about your case and goals in detail to guide you toward the best option. Your vision is clear, and with the right plan, it’s absolutely achievable.

Warmly,
Dr. Alvaro Rodriguez