Submandibular Glands - What Can I Do?

I agree that it looks like the fullness you're experiencing is due to more than the submandibular glands. An examination would help determine this for sure. You are a bit earlier in the healing process and would benefit from more time to see what the final result is in the 6-12 month postoperative time frame.

Although your submandibular glands are prolapsed and enlarged, this is only a part of the problem.  The central mid-line concavity is known a cobra deformity, generally related to over-resection of submental fat and soft tissue.  This can be corrected with a revision platysmaplasty combined with a collagen graft known as Enduragen.  Submandibular gland prolapse is more difficult to treat because a neck-lift approach offers indirect access to the gland, and because of its proximity to a variety of sensitive structures (branches of the facial artery, vein, and marginal mandibular branch of the facial nerve).  The gland can be temporarily reduced in size chemically with Botox or Dysport.

 I would agree with Dr. Mayer, in that the area of fullness looks too extensive to be attributed to prominent of ptotic submandibular glands only. I am reluctant to manipulate these glands due to the proximity to vessels and nerves of concern. I also am aware of salivary fistulas and xerostomia (dry mouth) as undesireable consequences of salivary gland manipulation.