Genioplasty plays a pivotal role in orthognathic and aesthetic facial surgery by addressing deformities of the chin that affect facial balance, projection, symmetry, and lower facial height. Conventional sliding genioplasty with titanium plate fixation has long been regarded as the gold standard due to its predictable biological integration and long-term stability. However, the emergence of patient-specific implants (PSIs), facilitated by computer-aided design (CAD), virtual surgical planning (VSP), and additive manufacturing, has introduced a customized alternative aimed at improving precision and aesthetic predictability.