Neck lift surgery, or platysmaplasty, plays a pivotal role in rejuvenating the neck area by addressing aging-related issues such as skin laxity, muscle banding, and fat deposits. This chapter delves into the anatomical foundation, preoperative preparation, surgical techniques, postoperative care, and future advancements in neck contouring. We also discuss the challenges in maintaining a natural cervicomental angle while minimizing complications, offering a comprehensive overview of this transformative procedure.