Can ptotic submandibular glands be fixed with Basket submandibular gland suspension after Neck Lift?

It is difficult yo leave a comment after Dr. Mendelson's note which I am a big fan of his articles specially his anatomical studies. Suspension of the submandibular glad although it is effective but is a challenging and difficult surgery, if you are considering it , needs to be done by a really experienced surgeon who has done multiple of these surgeries. 

In my honest opinion, only partial surgical resection will give a good result the circumstance. Consult with an expert surgeon who routinely removes portions of the submandibular gland during 

Suspension is an alternative for management of submandibular gland ptosis, as is resection. Each has its benefits and risks. Discuss your concerns with your surgeon, explore his or her’s experience with each.

There is only one way to reduce
submandibular gland prominence when it is contributing to fullness of the neck.
Unfortunately, suspension of the gland, while appealing as a concept, is not
proven to give a significant and predictable benefit. Nor would you expect that
it would, as the enlarged gland takes up more space than is available, the very
reason it bulges and pushes the overlying tissues out of correct position.

Surgical reduction of the
prominent part of the submandibular gland is highly effective in people who
need glandular reduction to obtain a nice neck.

You specifically asked about
having a correction without resection. This presumably reflects concern
about reduction of saliva leading to a ‘dry mouth’ as a result of the removal
of glandular tissue. There has not been a published series of cases to give an
answer on this. However, Dr Tutino and I are about to publish our series of 112
consecutive cases of Submandibular gland reduction. The answer is that not one
of the patients ended up with a permanent dry mouth.

With this information you
should be able to change your thinking. The best neck result must include
partial resection of the submandibular glands. However, you should be aware
that this is advanced plastic surgery and only certain experienced surgeons
perform this type of surgery. Others, who are not comfortable with this
operation may discourage you from wanting this surgery by emphasizing the
risks.