The cervico-facial lift remains the gold standard for facial rejuvenation, outperforming nonsurgical alternatives in achieving long-lasting, natural results through precise tissue repositioning. Advances in anatomical knowledge—particularly regarding facial spaces, ligaments, and nerve preservation—have refined surgical techniques, improving outcomes and minimizing complications. This chapter details a comprehensive, step-by-step protocol for performing a cervico-facial lift, emphasizing preoperative planning, flap dissection, SMAS-platysma manipulation, and deep tissue repositioning. A personal technique, the vertical improvement platysma suspension (VIPS) facelift, is presented as a safe, versatile method of addressing both facial and cervical aging. The importance of respecting anatomical planes to avoid nerve injury, ensuring tension-free skin closure to prevent deformities such as pixie ear, and managing postoperative care to reduce hematomas and scarring is highlighted. Complications are addressed, with preventive strategies based on meticulous technique and patient selection. This modern approach integrates functional anatomy with aesthetic goals, ensuring reproducible and natural results in cervico-facial rejuvenation.