Neck
Cervical Region
Deep neck anatomy. Foundation for safe and effective Deep Neck.
Main Structures
Superficial
Platysma
Superficial neck muscle. Medial bands visible with aging.
Deep
Submandibular Gland
Major salivary gland. NEVER removed in Face Moderna.
Deep
Anterior Digastric Belly
Floor of mouth muscle. Can be shaved 50-60%.
Superficial
Superficial Cervical Fascia
Platysma envelope.
Deep
Deep Cervical Fascia
Contains vital structures - carotid, jugular, nerves.
The 4 Pillars of Deep Neck
Anatomical correlation with technique
1
Deep Fat
Deep pre-platysmal fat. Accessed below platysma.
2
Digastric Shaving
50-60% reduction of anterior belly. Never 100%.
3
Fasciotomy
Pre-hyoid fascia incision. Mandatory in 100% of cases.
4
Platysmorraphy
Midline platysma plication + Crevassi.
⚠️ Inviolable Principles
warning Never remove submandibular gland
warning Maximum 60% digastric shaving
warning Fasciotomy mandatory for optimal result
warning Identify marginal nerve before dissecting