I had a facelift 9 months ago, specifically to address ptosis of the submandibular glands and a double chin. My PS said that he 'scooped out' fat rather than lipo and suspended my SMGs. The underside of my jaw appears to have residual fat on each side with a depression down the center. I'm not entirely sure what went wrong, but even my PS said on my third day of healing that I wasn't going to be satisfied. He offered no explanation so I'm asking this community... why does it look like this?
January 14, 2022
Answer: Submandibular Glands versus Fat and Skin Laxity It is hard to tell from the photograph whether the fullness on either side of the anterior neck is caused by the submandibular glands or just residual fat and skin laxity, but this appears to be the submandibular glands. If you can feel a firm, rubbery, round nodule deep under the skin when you massage these areas that would be your submandibular glands. These can be partially removed with additional surgery but this is a very specialized procedure so you would need to find a surgeon with extensive experience in submandibular gland resection. The submandibular gland rest in a deep area of the neck and the surgical dissection into this area can be very vascular and hazardous. For this reason many surgeons do not perform this operation and it would be paramount that you find a highly experienced surgeon for this specialized procedure. On the other hand, if this fullness is just laxity of the skin or residual fat then additional fat removal and skin tightening procedures could be considered. In either case you need to discuss this with your surgeon first to determine the cause of the residual fullness and then a treatment plan can be created for you.
Helpful 2 people found this helpful
January 14, 2022
Answer: Submandibular Glands versus Fat and Skin Laxity It is hard to tell from the photograph whether the fullness on either side of the anterior neck is caused by the submandibular glands or just residual fat and skin laxity, but this appears to be the submandibular glands. If you can feel a firm, rubbery, round nodule deep under the skin when you massage these areas that would be your submandibular glands. These can be partially removed with additional surgery but this is a very specialized procedure so you would need to find a surgeon with extensive experience in submandibular gland resection. The submandibular gland rest in a deep area of the neck and the surgical dissection into this area can be very vascular and hazardous. For this reason many surgeons do not perform this operation and it would be paramount that you find a highly experienced surgeon for this specialized procedure. On the other hand, if this fullness is just laxity of the skin or residual fat then additional fat removal and skin tightening procedures could be considered. In either case you need to discuss this with your surgeon first to determine the cause of the residual fullness and then a treatment plan can be created for you.
Helpful 2 people found this helpful
