Multiple adjunctive procedures are performed with orthognathic surgery to enhance aesthetic facial results, especially in those cases where skeletal movements alone do not satisfy the aesthetic demands of the patient. The objective of this study is demonstrate the benefits and outcomes of performing orthognathic surgery and cervicofacial rhytidectomy simultaneously to achieve extreme facial rejuvenation. Two clinical cases with a diagnosis of cervicofacial rhytidosis and dentoskeletal anomalies are shown, the first case with retrogeny and superior dermatocalasia and the second case with class III dentofacial anomaly and retrogeny, which were treated with the combination of orthognathic surgery and cervicofacial rhytidectomy in the same operative act. Facial aesthetic surgery has evolved by recognizing that changes in hard tissues affect soft tissues, however its isolated resolution does not meet the final aesthetic expectations of the patient in soft tissues. That is why there is a need to combine simultaneous procedures to meet the needs for which the patient comes and maintain the results over time. All patients who decide to undergo surgery for aesthetic reasons must also improve function. And due to the increase in operative time that carries out both surgeries simultaneously must be performed by a well-trained maxillofacial surgeon.