I went to a plastic surgeon for a facelift consolation and he wants to remove part of my glands under my jawline. Have you ever heard of this, I am a little nervous about doing this, but I do want a good result. I am 68 years old.
Answer: Facelift Question. Is it normal to have part of my glands under my jawline removed? A partial removal of a bulging salivary gland under the jawline, the submandibular gland, is an option that can be performed with a facelift in the appropriate patient to improve the contour of the neck. Although there are some excellent plastic surgeons who do this on a regular basis, most well trained experienced plastic surgeons feel that the cosmetic benefits of this procedure are well out weighed by the potential complications and would rarely if ever remove any portion of this gland in conjunction with a facelift.Robert Singer, MD FACSLa Jolla, California
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Answer: Facelift Question. Is it normal to have part of my glands under my jawline removed? A partial removal of a bulging salivary gland under the jawline, the submandibular gland, is an option that can be performed with a facelift in the appropriate patient to improve the contour of the neck. Although there are some excellent plastic surgeons who do this on a regular basis, most well trained experienced plastic surgeons feel that the cosmetic benefits of this procedure are well out weighed by the potential complications and would rarely if ever remove any portion of this gland in conjunction with a facelift.Robert Singer, MD FACSLa Jolla, California
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Answer: Submandibular glands look like symmetric bumps in the neck Submandibular glands are salivary glands that lie on either side of the neck, just under the mandible. As we age, these glands can become more prominent, and sometimes are made more obvious by facelift (necklift) surgery. While some physicians decide to resect part of these glands, the risk of injuring a branch of the facial nerve that innervates the corner of the mouth is increased. For this reason, many surgeons feel it is better to have a little bump than to risk permanent nerve damage. Another option for large glands may be to inject Botox into the gland to shrink it.
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Answer: Submandibular glands look like symmetric bumps in the neck Submandibular glands are salivary glands that lie on either side of the neck, just under the mandible. As we age, these glands can become more prominent, and sometimes are made more obvious by facelift (necklift) surgery. While some physicians decide to resect part of these glands, the risk of injuring a branch of the facial nerve that innervates the corner of the mouth is increased. For this reason, many surgeons feel it is better to have a little bump than to risk permanent nerve damage. Another option for large glands may be to inject Botox into the gland to shrink it.
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December 1, 2016
Answer: Salivary Gland Removal Thank you for your question.In some patients, the submandibular gland is quite large and can contribute to abnormal contours in the neck near the jawline. In these patients, some surgeons will recommend removing a portion of the gland to create a more refined contour. In experienced hands, this can be done safely. Patients may have a dry mouth for a couple of weeks, but this almost always goes away.Best,Dr. Michael EpsteinMAE Plastic SurgeryNorthbrook, IL
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December 1, 2016
Answer: Salivary Gland Removal Thank you for your question.In some patients, the submandibular gland is quite large and can contribute to abnormal contours in the neck near the jawline. In these patients, some surgeons will recommend removing a portion of the gland to create a more refined contour. In experienced hands, this can be done safely. Patients may have a dry mouth for a couple of weeks, but this almost always goes away.Best,Dr. Michael EpsteinMAE Plastic SurgeryNorthbrook, IL
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February 2, 2016
Answer: Do your homework Hi BlufftongalThank you for your question. It will certainly help others who are concerned about this procedure. This is a recognised procedure but has a high risk of complications and if successfully performed by surgeons who have experience in this kind of surgery. it creates a more defined neck and jaw line, but for most this is an overkill as you can achieve a very good result without having to resect any glands.Be sure to ask and see whether it is actually you want or whether it's the surgeon who wants to perform this to increase his numbers of these cases.Ask your surgeon to put you in touch with other patients of his who have had this procedure and find out how satisfied they were and if they had any complications.
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February 2, 2016
Answer: Do your homework Hi BlufftongalThank you for your question. It will certainly help others who are concerned about this procedure. This is a recognised procedure but has a high risk of complications and if successfully performed by surgeons who have experience in this kind of surgery. it creates a more defined neck and jaw line, but for most this is an overkill as you can achieve a very good result without having to resect any glands.Be sure to ask and see whether it is actually you want or whether it's the surgeon who wants to perform this to increase his numbers of these cases.Ask your surgeon to put you in touch with other patients of his who have had this procedure and find out how satisfied they were and if they had any complications.
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May 22, 2015
Answer: 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.
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May 22, 2015
Answer: 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.
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December 27, 2018
Answer: Large submandibular glands after facelift Submandibular glands are playing a major role in producingsaliva for oral hygiene and food digestion. Removing these glands can be arisky and compromise salivary function. Older plastic surgeons commonlyremove parts of these large glands to achieve a more angular jawlines. I haveperformed well over 2500 facelifts and occasionally there are patients withlarger submandibular glands that protrude post operatively. To reduce the sizeof these glands I have injected Botox into the glands and there have beensignificant reduction in their size.
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December 27, 2018
Answer: Large submandibular glands after facelift Submandibular glands are playing a major role in producingsaliva for oral hygiene and food digestion. Removing these glands can be arisky and compromise salivary function. Older plastic surgeons commonlyremove parts of these large glands to achieve a more angular jawlines. I haveperformed well over 2500 facelifts and occasionally there are patients withlarger submandibular glands that protrude post operatively. To reduce the sizeof these glands I have injected Botox into the glands and there have beensignificant reduction in their size.
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