Main Technique • Cervical Region

Modern Face Deep Neck

Complete neck treatment with total submandibular gland preservation. Maximum safety without compromising results.

Non-Negotiable Principle: The submandibular gland is NEVER removed in Modern Face. Safety over aesthetic millimeters.

The neck is often neglected in facial surgeries, but it's impossible to have a harmonious result without treating it adequately. Modern Face Deep Neck addresses the neck comprehensively — platysmal bands, submental fat, hypertrophied digastric — but always within well-defined safety limits.

The fundamental difference in our approach: we never remove the submandibular gland. While some schools advocate removal to "clean" the mandible, we consider the risk unacceptable. The proximity to the marginal mandibular nerve, facial artery and vein, and hypoglossal nerve makes this maneuver unnecessarily dangerous.

The Four Pillars of Deep Neck

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Non-Negotiable Principle

Total Gland Preservation

NEVER remove the submandibular gland. The risk of injury to vital structures does not justify the marginal aesthetic benefit.

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Preservation Technique

Controlled Digastric Shaving

Reduction of hypertrophied anterior digastric belly by shaving, not complete excision. Maintains function, reduces volume.

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Structural Definition

Layered Platysma Plication

Platysma plication with layered technique. Starts at the mentum, descends to the angle, returns. Creates cervical definition.

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Durable Support

Lateral Crevassi

Platysma plication to the SCM fascia. Lateral support that prevents recurrence and maintains the cervical angle.

Indications

Modern Face Deep Neck is indicated for patients presenting:

Heavy neck with submental fat excess

Platysmal bands visible at rest or dynamic

Hypertrophied digastric (belly like 'a finger')

Loss of cervicomental angle

Moderate to severe cervical skin ptosis

Secondary cases with unsatisfactory prior results

When NOT to do isolated Deep Neck

If the midface is also compromised (malar ptosis, deep nasolabial fold), isolated Deep Neck will create disharmony. In these cases, combination with Endomidface is essential for a harmonious result.

"Removing the submandibular gland to gain millimeters of definition is trading safety for technical vanity. Modern Face doesn't accept this trade-off."

— Dr. Robério Brandão

Deep Neck Mastery Course

Complete training in Modern Face cervical treatment technique. From anatomy to execution, with real cases and mentorship.

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