Surgical and traumatic defects of the face present a reconstructive challenge to restore facial symmetry. The cervicofacial flap is a rotational and advancement flap with random blood supply utilized to close moderate- to large-sized defects of the cheek. Subcutaneous dissection of the cervical region allows for a large amount of tissue mobilization. Depending on the location of the cheek defect, the flap can be pedicled either anteriorly or posteriorly. This article presents the authors’ preferred surgical technique as well as reported surgical variations. Routine postoperative care and management of potential complications are discussed.