This review article analyses the evolution of soft tissue sculpting in implantology, emphasizing the synergy of biological knowledge, biomaterials, and aesthetics to enhance peri-implant health and appearance. Assessing modern methods such as connective tissue grafts, creative flap designs, soft tissue augmentation using autogenous and alternative biomaterials, and digital planning for accurate tissue replication were among the goals. The review shows that immediate implantation with less invasive tissue handling produces the best stability and aesthetics, outlining the impact of surgical timing, digital processes, and emergence profile management. The multidisciplinary nature of contemporary soft tissue sculpting in implant dentistry is ultimately confirmed by the conclusion that tailored, evidence-based approaches incorporating biological principles and material selection are crucial for predictable, aesthetically pleasing, and long-lasting results.