Will removal of both submandibular glands effect saliva production?

Question

You still have the parotid and sublingual gland left but will they make up for the loss as if you would remove a kidney? I'm looking for deep neck surgery to improve jawline and i heard removal of this may be included.

Zoran Potparic, MD · Answer

There is no doubt that removal of salivary glands that produce about 20% of saliva, would create some difference; as we get older, saliva production further decreases. For that reason, some surgeons do not remove submandibular salivary glands in the course of neck lift. Only on the basis of in person evaluation, an experienced board certified plastic surgeon, expert in face/neck lifts, would be able to decide whether gland excision is needed at all. Good luck.

Brian K. Machida, MD, FACS · Answer

Because of the other salivary glands, the removal of submandibular glands will not affect your salivation.  However, this procedure is performed by only a few surgeons in conjunction with a facelift.  I know the amount of access that can be obtained via a SMAS flap and submental approach and also via a deep plane approach.  I believe a deep plane approach will better visualize the gland, but I still would not do this.  The best visualization of anatomy comes from a direct incision over the gland to avoid the mandibular nerve and tie off the facial artery, especially if you want to excise the gland.  The obvious scar would never be done with a facelift.  I believe another surgeon who has done this multiple times would feel comfortable, so it's best to interview multiple surgeons until you are satisfied.

Will removal of both submandibular glands effect saliva production?

Answers (2)

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