Tooth extraction inevitably implies significant alterations to the hard and soft tissues with a loss of the preexisting tissue morphology. The re-establishment of the normal tissue architecture is the greatest challenge that the dental professional must overcome in order to obtain pleasing aesthetic results. The following case presentations depict single-tooth immediate implant restoration in aesthetic regions using a flapless approach with immediate loading. This technique is relatively simple, can be used in a variety of clinical situations, and can provide excellent results.