Is There a Specialist Who Can Correct Visible Salivary Glands Post Facelift?

Salivary glands can descent with age in some patients; others are predisposed to the problem because they have a small chin or jaw 'pushing' the glands downward.  Tightening the platysma muscle at the time of facelift can sometimes help with this but not always.  If you have had the facelift already, trying Botox in the glands to shrink them slightly can help.  Botox will not make them go over but can be a nonsurgical option that you can explore if you would be happy with an improvement.  

At my practice in Los Angeles, I work closely with salivary gland specialist Babak Larian, MD, FACS, and we often perform cosmetic and reconstructive procedures together to bring our patients optimal results. As a board certified facial plastic surgeon, it seems that what you are describing can be corrected through revision facelift surgery with specific attention focused near the submandibular glands. You could be suffering from ptosis of the submandibular glands, which can be corrected through muscle and skin tightening.

 

You likely have submandibular gland ptosis. It was likely present before but was camouflaged by the excess and loose skin. There are potential solutions. pexy of the gland or excision of the external 1/3 to 1/2 can be done via a submental incision. I’m in Austin, where are you?

assuming nothing else in your facelift required attention, it would not take very long 1 -2 hrs max

 

According to your description you are referring to submandibular glands. These glands can be reduced in size  during the neck lift part of the procedure. A physical examination is a requisite before determining the most appropriate course of action. 

The submandibular salivary glands commonly enlarge and descend with age. When the more-noticeable aging changes of loose/excess fat, muscle, and skin are addressed in a neck lift, these glands are sometimes unmasked. Critical nerves exist immediately "over" and "under" these glands, so they are often not addressed with face/neck lifting surgery.A few expert neck lift surgeons are comfortable safely treating these glands. Seek one out.In my experience, when I return to a neck to remove such glands, patient satisfaction is high.