Deep vertical facelift, that we have developed over the last eight years, presented certain weak points in the central facial zone and lower two-thirds of the neck. Ageing of the central facial zone is associated with two main sings: skeletization of the orbit and accentuation of the nasolabial fold. These two elements are due to ptosis of the submalar fat. The obvious solution is to restore the position of this fat. We present a rapid and effective solution. In the lower two-thirds of the neck, in the presence of marked ptosis, we now opt for extensive deep vertical facelift with retroauricular dissection. The skin of the neck in front of the sterno-cleido-mastoid muscle is not dissected, but the SMAS is extensively dissected over the mandibular angle continuous with the facial dissection as fat as the lower part of the neck.