Removal a sub mandibular glandsIs rarely necessary for neck rejuvenation of the facelift
Occasionally the sub mandibular glands can be large.. When this is the case These salivary glands are often chronically obstructed. Rarely is indicated to remove them to rejuvenate the neck.
Neck bulges from salivary gland prominence.
In some patients the salivary glands under the jawline (submandibular glands) are either drooping or enlarged. The majority of surgeons (IMO) prefer to leave them untouched due to some of the risks of surgery (including dry mouth and dental decay) while others feel comfortable removing portions of them. It's generally good advice to discuss the issue with your plastic surgeon and decide how necessary the procedure is and what the risks are. Be certain that your doctor has a-a good reputation b-experience in resecting the glands (partially) and c-really thinks that it is important to perform the procedure. After hearing the risks you may choose to leave the glands in place and have a less than perfect submandibular area with less risk of complications.
Sub-mandibular gland removal with a face lift
On a few occasions, patients have very large submandibular glands and it creates a bulge in the neck, so a portion of the gland is resected to give a better profile. This has no bearing or function on the saliva production in mouth. It really depends if the gland is excessively enlarged and ptotic and creating an issue pre-operatively
Not necessary to routinely remove submandibular glands as part of a facelift
In cases of a very large and/or low lying gland, a portion or the entire submandibular gland can be removed in order to improve neck contour as part of a facelift or neck lift. However, this is not a routinely perfomed procedure anymore due to the associated risks (such as nerve injury and salivary leak). It is important to speak with your surgeon regarding the risks and benefits associated with this component of the surgery.
Large submandibular glands after facelift
Submandibular glands are playing a major role in producing
saliva for oral hygiene and food digestion. Removing these glands can be a
risky and compromise salivary function. Older plastic surgeons commonly
remove parts of these large glands to achieve a more angular jawlines. I have
performed well over 2500 facelifts and occasionally there are patients with
larger submandibular glands that protrude post operatively. To reduce the size
of these glands I have injected Botox into the glands and there have been
significant reduction in their size.
Facelift Question. Is it normal to have part of my glands under my jawline removed?
Thank you for the question. The submandibular gland is a salivary gland located below the jaw line in the neck. With ageing this gland can enlarge and protrude contributing to loss of definition of the jaw line and neck. Although removal of part of the submandibular gland can accentuate the jaw line and improve neck definition it would not be considered a common component of a facelift, rather an additional procedure in a select group of patients. It is something that you should discuss in detail with your surgeon and balance out the risks and benefits before proceeding with the surgery.
Best of luck!
Dr Guy Watts
Removal of the submandibular and submaxillary salivary glands
salivary glands are located under your jaw line (termed submandibular and
submaxillary salivary glands), and are usually hidden behind your natural jaw
and soft tissue of your neck. In some people the glands can be lower down and
create bulging in the neck, this can create a more bulbous or irregular shape
and contour of your neck. Most people who undergo facial rejuvenation with face
and neck lift surgery do not require surgery on their salivary glands. In some
people as a consequence of their natural anatomy and facial ageing the position
of the glands could effect the final surgical result. In these patients partial
removal of the salivary glands as part of the face and neck lift surgery may be
beneficial and improve the result of the surgery. The anatomy of the salivary
glands include a very powerful blood supply, hence surgery on the glands needs
to be both cautious and reserved for when necessary to avoid unnecessary issue
from surgery. If your salivary glands are more prominent in your neck, then
partial removal of the salivary glands at the same time as facial rejuvenation
surgery may improve the results of your surgery, an assessment is required to
determine your individual needs and suitability for this surgery.
Removal of submandibular glands as part of facelift
While this is a recognized procedure it is not routinely done in most facelifts. There are risks relating to this procedure and it should only be performed in situations where the submandibular glands are large, low lying and significantly affecting neck contour. I have performed 100s of facelift procedures and have done this procedure on very few patients over the past 15 years. I dont believe it should be done routinely nor by a surgeon who does not routinely perform head and neck surgery.
Submaxillary gland removal
Submandibular or submaxillary glands can be removed as a procedure with facelifting. Most surgeons who remove these glands remove only a portion of the gland and not the entire submaxillary gland. If the gland is especially large, their presence can sometimes provide less impact to a rejuvenated face. On the other hand, their are more risks with submandibular gland removal as well as potential functional issues (dry mouth) which can result. Weigh the risks and benefits to help determine if this additional procedure is beneficial in this case for you.
Many plastic surgeons would not remove these glands
while there are facelift surgeons who do this, i think it's safe to say that the majority of plastic surgeons would avoid this practice because the risks outweigh the potential benfits of doing so.