Reconstruction and long-term maintenance of esthetically satisfactory papillalike soft tissue between two adjacent implants in the esthetic zone is generally regarded as very difficult. There are few reports on papilla reconstruction for immediate implants in fresh extraction sockets; however, postsurgical soft tissue management plays a crucial role in treatment outcomes. This article describes two case reports in which two immediate implants were placed after tooth extraction, with concurrent soft tissue management aimed to preserve the original soft tissue contour. Both cases showed low probability for long-term success at posttreatment evaluations. Further efforts should be made to better understand the behavior of the periimplant hard and soft tissue specific to the esthetic zone.