Definition & Philosophy
What is Deep Neck
Structural cervical rejuvenation with preservation philosophy. The submandibular gland is NEVER removed.
⚠️ Non-Negotiable Principle: The submandibular gland is NEVER removed in Face Moderna protocol
Face Moderna Deep Neck is a cervical rejuvenation technique that addresses deep neck structures — subplatysmal fat, digastric muscle, and cervical fascia — without removing the submandibular gland. This preservation philosophy represents a paradigm shift.
The Preservation Philosophy
Traditionally, the submandibular gland was considered the "villain" of the heavy neck. Dr. Robério Brandão proposes: "Instead of exposing and resecting, we bypass and camouflage."
What Deep Neck Actually Treats
Deep Fat
Interplatysmal and subplatysmal fat removal under direct vision.
Digastric Muscle
Selective shaving of hypertrophied anterior belly.
Pre-hyoid Fascia
Mandatory horizontal fasciotomy. Lengthens the neck.
Traditional vs. Face Moderna
| Aspect | Traditional | Face Moderna |
|---|---|---|
| Submandibular Gland | Routine removal | NEVER removed |
| Main Focus | Gland treatment | Fat + digastric + fasciotomy |
| Digastric Tendon | Plication to expose gland | No plication — prevents anteriorization |
| Risk Level | High when removing gland | Minimized |
"In many heavy necks, the true villain is the hypertrophied anterior belly of the digastric, with finger-width thickness, while the platysma is thin as cardboard."