This case report describes an alternative surgical approach which can avoid the need for secondary regenerative techniques for ridge augmentation when planning treatment for dental implants. Our patient had a hopeless maxillary left central incisor, which was subsequently extracted in preparation for implant restoration. The site had a significant defect, which was treated at the time of extraction with a combination of a xenograft and a cortical chin graft. The goal was to preserve the residual ridge contour to avoid a compromise in implant fixture placement and maximize function and esthetics.