Dr Francisco Riba — Madrid, Spain

Custom chin implants

Personalised chin implant surgery planned with advanced 3D technology to improve chin projection, lower-face definition and selected cases of chin asymmetry.

A custom chin implant is designed from the patient’s own anatomy. The objective is to achieve a precise structural change, improve facial balance and avoid an artificial or standardised appearance.

3D custom planning Facial balance Chin asymmetry Madrid, Spain Video consultation
Custom chin implants and facial implants by Dr Riba in Madrid Spain
Custom chin implant surgery

What are custom chin implants?

Custom chin implants are personalised facial implants designed to improve the shape, projection and definition of the chin. They are created according to the patient’s anatomy, rather than using a standard implant shape.

This treatment may be considered when the chin is receding, poorly projected, asymmetric, short, narrow or structurally unbalanced in relation to the jawline, lips, nose and neck.

The goal is not simply to make the chin larger. The aim is to improve lower-face balance with a controlled, anatomical and medically planned result.

Every case requires an individual assessment. The implant design, surgical approach and expected outcome depend on the patient’s facial structure, clinical diagnosis and realistic aesthetic objectives.

Indications

What can a personalised chin implant help improve?

A custom chin implant may be considered when the main concern is structural and affects the balance of the lower third of the face. The following points are not separate diagnoses, but common reasons why a patient may request assessment.

01 Chin projection

The chin lacks forward support and the profile appears less balanced in relation to the nose, lips, jawline and neck.

02 Lower-face structure

The lower face appears soft or poorly defined because the chin and mandibular contour have limited structural presence.

03 Chin asymmetry

The chin contour, projection or position differs between both sides of the face, creating an unbalanced lower third.

04 Chin height or size

The chin has reduced vertical height, reduced volume or limited definition compared with the rest of the facial skeleton.

05 Profile harmony

The side view does not appear proportionate because the chin does not provide enough support to the lower face.

06 Revision planning

Previous chin surgery, a previous implant or previous filler treatment has produced an unsatisfactory shape, volume or symmetry.

Clinical assessment

How Dr Riba assesses your facial structure

A custom chin implant is not indicated simply because the chin appears small or the profile could be more defined. The decision should be based on facial analysis, bone structure, occlusion, soft tissue behaviour and the patient’s objectives.

In some cases, a chin implant may be the most suitable option. In others, a different treatment pathway may be safer or more accurate, such as genioplasty, orthognathic surgery, jawline implants or a combined facial structure plan.

Skeletal structure The chin is assessed in relation to the mandible, facial profile, lower third and overall facial proportions.
Bite and jaw relationship If there is a relevant maxillomandibular discrepancy, an implant alone may not be the correct treatment.
Soft tissue and skin thickness The expected result depends not only on the implant, but also on how the tissues adapt to the new contour.
Realistic surgical objective The aim is facial balance and a controlled structural change, not an exaggerated or standardised result.
Clinical assessment for custom chin implants with Dr Riba
Advanced 3D planning

3D planning for custom chin implant surgery

In selected cases, advanced 3D planning allows the chin implant to be designed according to the patient’s facial skeleton, asymmetry, projection needs and surgical objectives.

This approach is particularly useful when the case requires precision, correction of asymmetry or a more refined adaptation than a standard implant can provide.

Anatomical study The facial structure is assessed to understand projection, asymmetry and lower-face proportions.
Digital implant design The implant can be planned digitally to adapt to the bone surface and the correction required.
Surgical planning The surgical approach is defined according to the design, anatomy and safety criteria.
Before & after

Custom chin implant before and after cases

A selection of visual cases related to custom chin implants and facial structure treatment. Each image already includes its own case presentation.

Custom chin implant before and after case 1 by Dr Riba
Custom chin implant before and after case 2 by Dr Riba
Custom chin implant before and after case 3 by Dr Riba
Custom chin implant before and after case 4 by Dr Riba
Custom chin implant before and after case 5 by Dr Riba
Custom chin implant before and after case 6 by Dr Riba

Clinical images should only be published with consent. Before and after cases are informative and should not be interpreted as a guaranteed result.

Medical explanation

How custom 3D facial prostheses are designed

In this video, Dr Francisco Riba explains how custom 3D facial prostheses are designed from the patient’s own anatomy, using medical imaging, digital planning and patient-specific surgical design.

This type of planning helps assess the bone structure, facial proportions, symmetry, projection and fixation points before surgery. The objective is to design a prosthesis that adapts precisely to the patient’s facial skeleton and clinical needs.

Every case requires an individual medical assessment. Dr Riba offers in-person consultations and videoconsultations for patients in Spain and international patients considering custom facial implants.

Benefits

Potential benefits of chin implant surgery

The potential benefits depend on the indication and must be assessed individually. In appropriate cases, the treatment can improve facial structure and lower-face harmony.

01 Precise projection The implant can be designed to improve forward, vertical or lateral chin projection according to the case.
02 Improved profile It may help balance the relationship between the chin, nose, lips, jawline and neck.
03 Asymmetry management Custom design can be useful when both sides of the chin require different volumes or contours.
04 Structural approach The correction is planned at skeletal level, rather than relying only on soft-tissue volume.
Treatment process

How the custom chin implant process is planned

The process may vary depending on the clinical indication, facial anatomy, previous treatments and whether advanced 3D planning is required.

Step 01 Specialist assessment Facial analysis, clinical history and definition of the patient’s main concern and realistic objectives.
Step 02 Imaging and planning When indicated, imaging and digital planning are used to assess the facial skeleton and chin structure.
Step 03 Custom implant design The implant is designed according to the required correction, bone surface and facial proportions.
Step 04 Surgery and follow-up The surgical procedure and postoperative follow-up are adapted to the case and treatment plan.
Custom chin implant treatment process with Dr Riba
Clinical judgement

When a chin implant may not be the right option

Some patients may benefit from a custom implant, while others may require a different approach, such as orthognathic surgery, jawline implants, facial fat grafting, facial plastic surgery or a combined treatment plan.

For this reason, the chin should not be analysed in isolation. It must be assessed in relation to the jaw, bite, facial profile, neck, nose, lips and overall skeletal structure.

A safe and realistic indication is essential. The aim is to recommend the most appropriate treatment pathway, not simply the most visible procedure.

Materials and custom design

Standard or custom chin implant

A chin implant may be planned using a standard implant or a custom design, depending on the patient’s anatomy, projection needs, asymmetry and surgical objectives.

Standard implants have a predefined shape and may be suitable in selected cases. However, when the case requires a more precise adaptation to the bone contour, a smoother transition with the jawline or specific asymmetry correction, a custom chin implant may offer more accurate planning.

The choice of material —medical-grade silicone, titanium, PEEK or other options— should not be considered in isolation. The key factors are the indication, implant design, stability, surgical planning and follow-up.

Dr Riba will explain which type of implant, material and surgical approach may be most appropriate after assessing the facial structure, bite relationship, soft tissues and overall facial proportions.

Custom chin implant materials and personalised surgical planning by Dr Riba
Recovery

Recovery after chin implant surgery

Recovery varies depending on the surgical plan, implant design, patient anatomy and whether other procedures are performed at the same time.

First days Swelling and tightness

Swelling, tightness, bruising or moderate discomfort can appear during the first phase. Medication and postoperative instructions should be followed carefully.

First weeks Progressive improvement

The area usually improves gradually, although residual swelling may persist. The final contour should not be judged too early.

Follow-up Clinical reviews

Follow-up appointments are important to assess healing, sensitivity, implant stability and the evolution of the result.

Patients travelling from outside Madrid or Spain should receive personalised guidance about travel timing, postoperative care and follow-up. An in-person consultation or video consultation with Dr Riba can be requested before organising the trip.

Medical information

Risks and limitations of chin implant surgery

Custom chin implant surgery can be useful in selected cases, but it is still a surgical procedure and must be approached with realistic expectations.

Possible risks include infection, bleeding, haematoma, asymmetry, implant displacement, changes in sensitivity, persistent swelling, contour irregularities, scarring, dissatisfaction with the result, anaesthesia-related risks and the possible need for revision surgery.

A detailed assessment is required to determine whether a custom chin implant, genioplasty, orthognathic surgery, jawline implant or another treatment pathway is more appropriate.

This page provides general information and does not replace a medical consultation. The indication, expected result, surgical risks and recovery plan must be assessed individually by Dr Riba.

Patient experience

Patient experience and verified reviews

Verified patient reviews related to Dr Francisco Riba, custom facial implants, chin implants and facial surgery planning. These reviews have been translated from Spanish while preserving their original meaning.

★★★★★

“If you are looking for the best in personalised facial surgery, Dr Riba is the answer. I had 3D planning for cheekbones and chin, and the result has a level of precision that you do not achieve with conventional implants. He is a true pioneer in this field and having him here is a privilege. The digital planning he performs is on another level. I felt very safe in his hands and in his operating theatre. He also has a great supporting medical team.”

A.G. Verified patient · Translated from Spanish · Top Doctors · 26 December 2025
★★★★★

“My name is Roberto Arias, I am a Mexican citizen, and I visited Dr Riba for a cheekbone and chin implant procedure last December. My experience at the clinic with Dr Riba and his team was incredible. I received humane, kind, professional, technical and specialised care. Dr Riba and his entire team made me feel confident and safe. The results of my surgery are better than I had dreamed. I will return this year, this time for rhinoplasty.”

Roberto Arias Google review · Translated from Spanish
★★★★★

“Six months ago I had a bichectomy, a chin implant with a titanium prosthesis and TMJ infiltration with Dr Riba, and I could not be happier with the results. I went to his consultation because of a slight asymmetry that bothered me, and because I had always had noticeable cheeks despite being slim. Now my face looks more harmonious and balanced. I saw several doctors before deciding on Dr Riba, and I certainly do not regret choosing him. From the first minute I felt very comfortable, and I would not hesitate to put myself in his hands again. Thank you, Doctor, and the whole Face Clinic team. I felt at home.”

Elisiane Braganca Google review · Translated from Spanish
Frequently asked questions

Questions about custom chin implants

These answers provide general information only. The final indication depends on an individual assessment with Dr Riba.

01 How are chin implants done?

Chin implants are usually placed through a planned surgical approach to create a precise pocket over the chin bone. In custom cases, the implant is designed before surgery according to the patient’s anatomy and the correction required.

02 Are custom chin implants different from standard implants?

Yes. A standard implant has a predefined shape, while a custom chin implant is designed according to the patient’s bone structure, asymmetry, projection needs and facial proportions.

03 Can a chin implant improve the jawline?

In selected cases, improving chin projection can help define the lower face and the transition between the chin, jawline and neck. If the main concern is the whole mandibular contour, jaw implants may also need to be assessed.

04 Is a chin implant the same as genioplasty?

No. A chin implant adds structure with an implant, while genioplasty repositions the patient’s own chin bone. Both can improve chin projection, but the indication, planning and surgical technique are different.

05 Are silicone chin implants safe?

Medical-grade silicone chin implants may be used in selected cases, but safety depends on correct indication, implant design, surgical technique, positioning and follow-up. This is not the same as injectable silicone.

06 Can international patients request a video consultation?

Yes. Patients from outside Madrid or Spain can request an in-person consultation or a video consultation with Dr Riba. A final treatment plan may still require clinical assessment and imaging.

The cost of custom chin implants depends on the complexity of the case, diagnostic planning, implant design, surgical setting and whether other treatments are combined. A personalised quotation is provided after assessment.

Specialist expertise

Why choose Dr Francisco Riba for custom chin implants?

Dr Francisco Riba is an oral and maxillofacial surgeon with experience in custom 3D facial implants, facial skeletal surgery and advanced digital planning. His approach is based on structural precision, natural-looking results and careful case selection.

The objective is not to create a different face or follow temporary aesthetic trends. In custom chin implant surgery, the aim is to restore or improve bone support, facial proportion and lower-face balance while preserving the patient’s identity.

Bone-first facial analysis. Dr Riba assesses the chin in relation to the facial skeleton, jawline, bite, soft tissues and global facial harmony before deciding whether a custom implant is the most appropriate option.

01 Bone-first facial analysis

Custom chin implant planning starts with the facial skeleton. The chin is assessed in relation to the mandible, jawline, lips, nose, neck and overall facial architecture.

02 Natural structural correction

The goal is not simply to add volume. A custom implant is planned to improve projection, symmetry and definition with a result that remains coherent with the patient’s own anatomy.

03 In-person or video consultation

Patients in Spain and international patients can request an initial consultation pathway before deciding whether to travel to Madrid for assessment or treatment.

Custom chin implant consultation with Dr Riba in Madrid Spain
Request assessment

Request your personalised assessment

Send your initial information and Dr Riba’s team will help guide you towards the most appropriate consultation pathway.

Patients can request an in-person consultation in Madrid or, when appropriate, a video consultation with Dr Riba before travelling to Spain.

    Please include your international prefix, e.g. +34, +44, +1.

    Choose whether you prefer an in-person consultation in Madrid, Aravaca-Pozuelo or an online consultation.