The modern use of the cervicofacial flap is based off modifications made by Juri and Juri in 1979, with the original flap first described by Esser in 1918. The arterial and venous supply of the flap is largely derived from the subdermal plexus. Vascular perforators from the facial and submental arteries are often incorporated in the harvest and the anterior and external jugular veins reliably contribute to venous drainage. This flap is an ideal option for large cutaneous defects of the head and neck that do not require free tissue transfer and has excellent color match with pliable, thin skin. It can be modified to include deeper tissues including the superficial musculoaponeurotic system and platysma to augment vascular supply, fill thicker defects, and optimize cosmetic outcome.