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As the demand for autogenous connective tissue grafts (CTGs) continues to grow, this clinical report introduces a “donor-friendly” and “graft-efficient” soft tissue harvesting technique. Designed to accommodate a broad range of clinicians, this approach streamlines and simplifies the retrieval of connective tissue grafts from the maxillary tuberosity region. A step-by-step illustrated guide provides surgeons a practical roadmap for the seamless execution of the HOT technique (short for ‘Harvesting Oblique Tuberosity’), which is further divided into HOT 1 (regular shape) and HOT 2 (extended shape), depending on the required graft length. By breaking the overall procedure into clearly defined steps, the technique enhances both the predictability and reproducibility of graft outcomes. Additionally, this case series underscores the clinical versatility of the tuberosity replacement graft. Due to the site’s typically volume-rich and collagen-dense characteristics, it supports a wide range of applications in soft tissue phenotype modification therapies. Keywords: Connective tissue graft, esthetics, maxillary tuberosity, periodontal plastic surgery, soft tissue augmentation

The aim of this report is to describe a new sling suturing method with papillary anchorage that is clinically applicable within the available conventional root-coverage tunneling procedures. Although caution is advised to not increase excessive tension on the fragile papilla tips, as they provide coronal and palatal suspension, the tension used with this method ascertains a firm and stable connection for the entire buccogingival graft complex into the horizontal and vertical dimensions of both single and multiple recession defects. This technical note describes the “trapezoidal sling suture” technique, which allows fixation and stabilization for the graft and flap around both natural teeth and implants. Keywords: suturing, gingival recessions, dental aesthetics