Implant restorations may be challenging when attempting to satisfy patients even with the recent advances in materials and techniques. In this case report, the patient had fractured implant at the #8 site that was removed and healed for 3 months. This resulted in a class II Siebert bone defect. The patient followed the treatment suggested by the dentist and achieved soft tissue esthetics but decided to choose the restoration according to his esthetic perceptions. This report shows that the esthetic is subjective based on a patients desire. Objective esthetic evaluation is supported by science and research. However, the final decision concerning esthetics is determined according to a patient’s perception. For patient’s satisfaction the clinician, most respect the patient’s decision.