This article describes a method for harvesting intramembranous bone from the paranasal bone around the piriform aperture for lateral alveolar ridge augmentation and simultaneous implant placement in the anterior maxilla. In particular, the technique is recommended for situations where a maxillary incisal implant is being placed and ridge augmentation is needed to cover exposed threads. Surgical access is simple and can be accomplished by the same incision, and bone harvesting can be accomplished under local anesthesia. Postoperative morbidity is not yet known.