The purpose of this case series was to evaluate secondary soft tissue level changes of a single-stage surgical protocol combining immediate implant placement and connective tissue grafting in maxillary incisors associated with gingival recession defects. Ten patients underwent the proposed combined treatment consisting of 11 single-tooth implant restorations. Peri-implant soft tissue level and the width of keratinized gingiva were evaluated at baseline, the time of implant restoration connection, and 2 years postrestoration. All parameters used to assess esthetic outcomes showed improvements. The proposed clinical procedure can be considered an alternative approach to achieving an ideal esthetic anterior restoration.