The goal to create a harmonious “esthetic” outcome around dental implants that mimics the surrounding dentition and soft-tissue condition as well as morphology is indeed difficult to create and maintain long term. The subepithelial connective tissue graft (CTG) is a favored option to treat and prevent gingival and peri-implant soft-tissue recessions. It is usually placed in combination with a coronally advanced flap or with an envelope flap or pouch. This lecture will focus on the difference on protocols when it comes to surgical and prosthetic criteria to treat anterior implants using as a volume maintainer only soft tissue grafting procedures. Techniques and tools will be discussed in order to reach the best consistent results around anterior implant treatments.