Patient Selection
Indications & Contraindications
When to indicate Deep Neck and when to prefer other approaches.
Main Indications
Heavy Neck
Significant deep fat, hypertrophied digastric, platysmal bands
Double Chin
Submental fat accumulation and loss of cervical definition
Lost Cervico-mandibular Angle
Undefined face-neck transition
Short Neck
'Locked' pre-hyoid fascia, reduced mento-hyoid distance
Heavy Neck vs. Thin Neck
Heavy Neck → Complete Deep Neck
- → Fat + digastric + fasciotomy
- → Anterior belly shaving
- → All 4 pillars
Thin Neck → Minimal Approach
- → Platysmorraphy + Crevassi
- → No digastric shaving
- → Focus on skin and platysma
Contraindications
- ✕ Thin/hollow neck without deep content
- ✕ Incompatible expectations
- ✕ Uncontrolled coagulopathies
- ✕ Decompensated comorbidities
"Heavy neck → complete Deep Neck. Thin/hollow neck → focus on platysma and skin, no unnecessary deep aggression."