What can be done with those salivary glands 1 year post face lift and neck lift? (Photo)

I really don't think the aesthetic problem of the neck is related to enlarged salivary glands.I think a surgical revision should give you an excellent result.  Facelifts almost always leave an excellent neck.

Thanks for the question. First 24-48 hours after the operation face will be swelling. After 48 hours swelling will be decreases. Scalp area stitches are taken from the day 10. Final results may take 1 month. Patients can return to work after 1 week. The effect of gravity varies according to the aging speed and lifestyle but it provides an average permanent effect of 10 years. I wish you all the best.

Large submandibular glands poses achallenge post face and neck lift. It can protrude and cause irregular shapeunder the jawlines. In the past surgeons removed part of this gland to reducethe size of it. Injection of Botox can reduce the size of these glands afterfacelift surgery.
I concur with my colleagues;I am not persuaded all these excess tissues are salivary glands. There appearexcess fat and skin as well as well as large submandibular glands. Your surgeonshould be able to give you a better assessment. A second opinion with a facialsurgeon is also recommended.

First off, a thorough examination is necessary to determine the exact origin of these prominent pouches. Treatment needs to be based on the diagnosis from this exam but would require re-sculpting the neck region, most likely including fat excess and possibly gland reduction if they are involved.

I am not at all convinced that those are your salivary glands.  I'm going to attach a link below to one of my own cases where you can see the submandibular glands - just so you know the difference.  Now, your neck position in the photos is not helping the situation, but I do think that you need to have a frank conversation with your doctor.  There are some solutions.And, oh by the way, I just returned from Chicago where the ASPS is having it's annual meeting.  Every one of the plastic surgeons on Sundays panel said that when they see submandibular salivary glands, they point them out to the patient, and then REFUSE to touch them.  I tend to agree and have been doing just that for the last 14 years.Good Luck!

Thank you for your picture and question.In your case, the submandibular salivary glands were probably camouflaged by the jowls and excess skin. After surgery and after the swelling came down, the glands "revealedl" themselves.A lot of the answers on this thread had recommended that you direct your question back to your plastic surgeon.I have found that botox injections can help to atrophy the gland and make it less prominent, thereby helping to further define the jaw-line.I hope this helps.- Dr. Bryson G. Richards, MD

Good Question.  Your photos help, however, more views of your face would be beneficial.It appears from your photographs your neck area is not smooth and flat.  I do feel there can be improvement with a proper face and neck lift.  The face and neck are treated as one unit in rejuvenation surgery.  In this manner, a good result is possible in both areas.  The skin and deep layers must be treated differently and re draped properly and a better result can be obtained.  The anatomy of the neck can be restored to a youthful with the proper surgical procedures.  I would recommend a revision facelift with a surgeon who feels competent.  I perform revision surgery in both the neck and the face.  it is possible to improve your result.  I hope this helps.  Good luck 

Fullness under your neck can be a combination of fat, soft tissues, loose skin skin, enlarged neck muscles and salivary glands. Although the salivary glands can be reduced with further neck lift surgery, it is likely to be in combination with addressing other parts of the anatomy at the same time. It may be in your best interest to have a further clinical assessment of your neck to review your options.The salivary glands are located under your jaw line (termed submandibular and submaxillary salivary glands), and are usually hidden behind your natural jaw and soft tissue of your neck. In some people the glands can be lower down and create bulging in the neck, this can create a more bulbous or irregular shape and contour of your neck. Most people who undergo facial rejuvenation with face and neck lift surgery do not require surgery on their salivary glands. In some people as a consequence of their natural anatomy and facial ageing the position of the glands could effect the final surgical result. In these patients partial removal of the salivary glands as part of the face and neck lift surgery may be beneficial and improve the result of the surgery. The anatomy of the salivary glands include a very powerful blood supply, hence surgery on the glands needs to be both cautious and reserved for when necessary to avoid unnecessary issue from surgery. If your salivary glands are more prominent in your neck, then partial removal of the salivary glands at the same time as facial rejuvenation surgery may improve the results of your surgery, an assessment is required to determine your individual needs and suitability for this surgery.

There are likely multiple factors contributing to the unsatisfactory contour if your neck. I do believe gland hypertrophy is part- but not all- of the issue. I do not know of an easy way to achieve significant further improvement. If you are up to the risk and recovery, a revision face/neck lift, this time with gland excision (controversial but achievable) could help. 

It is really speculation as to what is causing your concerns without a in-depth analysis of what your anatomy was prior to surgery and what was specifically done during surgery, as well as your post-op recovery course. A careful physical exam should be able to determine if ptotic glands are a contributing factor. If your surgeon hasn't answered your questions to your satisfaction, you might seek a second opinion or ask your surgeon for a referral. If your surgeon is reputable and experienced, in general, it is best that any revision is done by him/her.Robin T.W. Yuan, M.D.