Practical Application
Clinical Cases
Representative scenarios illustrating Deep Neck Face Moderna principles application.
Classic Heavy Neck
Presentation
Patient with deep fat, hypertrophied digastric and platysmal bands
Procedure
Digastric shaving + deep fat + fasciotomy + Crevassi
Result
Defined contour, negative neck
Heavy Neck + Complete Face
Presentation
Jowls, bulky neck and midface descent
Procedure
Frontoplasty + Endomidface + complete Deep Neck + lip fat grafting
Result
Complete rejuvenation of all thirds
Isolated Deep Neck (Young)
Presentation
Patient ~40 years, neck with volume but good skin
Procedure
Anterior access + deep fat + shaving + fasciotomy + chin implant
Result
Smooth contour, well-defined angle
Young with Little Fat
Presentation
Little subcutaneous fat, normal (flat) digastric
Procedure
Selective subplatysmal fat + fasciotomy + Crevassi (no shaving)
Result
Refined contour without skeletonization
Post-lipo Skeletonized
Presentation
Previous lipo flattened surface but preserved subplatysmal fat
Procedure
Submental opening + subplatysmal fat + digastric evaluation + fasciotomy
Result
Refined contour with adequate relief
No Anterior Access
Presentation
Patient doesn't accept submental incision
Procedure
Retroauricular access only + lateral skin/platysma + Crevassi
Result
Limited but possible improvement without anterior scar
Universal Principle
Regardless of the case, the principle remains: the submandibular gland is never removed. The result is obtained through treatment of neighboring structures — deep fat, digastric, and fascia.
Each case illustrates how the 4 pillars adapt to the patient's specific anatomy, keeping safety as a non-negotiable priority.