Abstract: This document discusses, among other things, systems and methods for robotically assisted positioning of an implant in a patient to alter position and shape of a soft tissue. A soft-tissue manipulator system includes an implantable positioning unit (IPU) to engage a soft-tissue implant, and an external control console to dynamically control the IPU to position the implant to interface with the target soft tissue. A user may use the external control console to remotely and transcutaneously control the position and motion of the implant, and to adjust shape and contour of the implant via a micro-actuator array on the implant. The system may be used in a thyroplasty surgery to position and manipulate a thyroplasty implant to modify a vocal cord, such as to medialize or lateralize the vocal cord to restore or improve voice quality.