My deep plane neck lift has failed. Can the submandibular gland be removed to get a better result? (Photo)

Thank you for your question and sharing your photographs.

To start with, I would say it is too early to conclude about your result. If your surgeon has carried out a deep plane neck lift, the work under the platysma leads to substantial swelling which unfortunately can take some months to settle down.

The end result will appear improved compared to the appearance at one month from surgery and I suspect you will be pleasantly surprised .

Unlike surgical interventions for the neck that rely on tension, the surgery that reduces volume is associated with an interval of recovery and shows its full benefits later on. The outcome is also longer lasting as the sub-platysma structures have relatively stable shape over time.

I suggest that you discuss your concerns with your surgeon and allow at least six months of recovery before you draw conclusions about the outcome of your treatment.

First, you are really too young to get much improvement with a facelift, especially with a deep plane lift. Second, removing the gland may leave you with a dry mouth. Third, you might get good benefit with non or minimally invasive micro-needling with radiofrequency treatments like Morpheus or Secret, or even Renuvion.

Thank you for your question regarding a 36-year-old man with neck laxity, particularly noticeable when looking down, and seeking advice on available treatment options. Your provided history and pictures have been helpful in assessing your situation. Most plastic surgeons would concur that you have three primary options:
Neck Lift: Given your skin laxity, a neck lift would be highly beneficial. The size and position of your larynx will not affect the results of a neck lift. This procedure can be combined with a facelift for enhanced results.
VASER Neck Liposuction: Many surgeons would also suggest considering VASER neck liposuction. The VASER technique is advantageous as it melts fat and heats the skin for maximal skin contraction, providing excellent results even in cases of loose neck skin. Post-procedure, it is crucial to wear a neck garment continuously for two weeks.
Morpheus 8 Treatment: If you prefer a non-surgical route, Morpheus 8 is a viable option. This treatment merges two technologies: microneedling for collagen synthesis and electrical stimulation for muscle contraction. These methods work synergistically to tighten the skin. Typically, three or more sessions of Morpheus 8 are recommended for optimal results.
In summary, while a neck lift is generally suggested for the best outcome, options like VASER neck liposuction and Morpheus 8 also present viable alternatives depending on your preferences.
I hope this answers your questions regarding the treatment options for a 36-year-old man with neck laxity.
Good luck.
Sincerely,
Dr. Katzen