The esthetic outcome of implant-supported restorations has become increasingly important, especially for single-tooth implants in the esthetic zone. Because of the morphologic alterations that occur following tooth extraction, augmentation procedures are often necessary before, during, or after implan tation to achieve an esthetically pleasing result. There are many periodontal plastic surgery procedures available to esthetically reconstruct deficiencies in both hard and soft tissues; however each technique has its own limitation. A newer technique, vascularized interpositional periosteal connective tissue flap has been introduced as an alternative to these techniques which allows the clinician to perform large volume soft tissue augmentation in esthetic sites with a single procedure. In the present case report, long-term result of soft tissue augmentation with VIP-CT flap is presented were in peri-implant recession was noted as a complication.