An osteotomy through the distobuccal socket (with gauze in place) would seem too buccal for immediate implant.  The palatal gingiva feels too tough to be stretched.  An incision is made (Fig.3 dashed line); with elevation, the thick flap is transferred buccodistally (curved arrow).

Flap Transfer Last Next Xin Wei, DDS, PhD, MS 1st edition 07/05/2017, last revision 08/04/2018