Peri-implant soft tissue augmentation focuses on harmonizing peri-implant structures by means of hard tissue engineering and soft tissue engineering, and includes: Bone structure enhancement; soft tissue enhancement; precision in implant placement; and quality of the prosthetic restoration. The rationale for the peri-implant plastic surgery approach goes well beyond pure esthetics to address issues of quality-of-life and the psychosocial wellbeing of patients. Peri-implant plastic surgery is also important for creating peri-implant keratinized mucosa and interimplant soft tissue height in order to avoid food impaction, interimplant airflow and speech problems. This presentation appraises pre-implant anatomic features those influence the outcome of dental implant therapy and presents a range of surgical modalities aimed at enhancing the appearance of peri-implant soft tissue.