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Consultation review: Asheville Here I Come! - Asheville, NC

UPDATED FROM Almost50yay

Question for "Harley Honey's"

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Almost50yay
Just wondering if any of Dr Hartley's neck lift patients had any issues with prominant submandibular glands? If so, were you happy with your result post op? I really had my heart set on him, but he doesn't shave glands. I am so impressed with Dr. Hartley I may go with him anyway and hope for the best.

Almost50yay's provider

David H. Harley, MD

David H. Harley, MD

Board Certified Facial Plastic Surgeon

4.9 | 336 Reviews
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Replies (4)

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June 2, 2016
Sorry...typo, Harley not Hartley!
June 10, 2016
Yes last year. Very unhappy with the looks of my after due to the low hanging submandibular glands becoming more prominent after surgery with dr. Harley
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June 10, 2016
Good to hear from you, Gilly. Were you happy immediately following the procedure, but the glands stuck out later? Would you be willing to share any post-op pics? Did Dr Harley try to do anything differently during your procedure to address the glands?
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October 10, 2016
I'm not sure what those are? I am interested to know though what you find!
UPDATED FROM Almost50yay

Bump in the road to Asheville

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Almost50yay
So Juanita left me a message letting me know that Dr. Harley can schedule me for June. Unfortunately, now I am hesitant to move forward without doing some further research. My issue is prominent sub-mandibular glands, which can become even more noticeable after a neck lift if not reduced in size. Dr. Harley, like many other docs, doesn't do this since there can be complications and must be done under general not local. There are doctors out there that have experience doing this, but they are hard to find. The best one in Boston has retired....just my luck! If anyone has had this procedure done, I would love to hear from you. If I decide after getting some other opinions that I should leave the glands alone then I will ringing up Dr. Harley again since I had my heart set on him. Feeling disappointed. :-(

Replies (5)

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May 11, 2016
Oh no!!! Ughhh. I had to look that up & feel my neck. I don't know what I would do. How bad are they? It seems the reviews are mixed with many doctors saying to leave them alone..one suggested botox to shrink them some what. YIKES. Please let us know what you plan to do!! HUGS
May 12, 2016
I'm having a procedure this Mon called a sialadenoscopy that will check to see if my gland (which is very prominent ) is blocked by tiny stones. This requires general anesthesia. The next day I'm having a face and neck lift, also a general. The ps will tack up the gland and said there is a risk of nerve damage. I'm very nervous but am going through with it.
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May 12, 2016
Thanks for the information, Beauty. Is the sialadenoscopy required before getting them tacked up? I hope it goes well for you!
May 13, 2016
No the scope isn't required. It's possible that the gland could shrink if he's able to find stones and remove them, then I wouldn't have to do the risky tacking procedure.
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May 12, 2016
Hi Kat1963, yes, I'm surprised how few doctors are able to treat these glands. Certainly not the end of the world, just kind of a bummer. :--/
May 13, 2016
Frank Fechner in the Worcester area does this. However, I was told I had prominent glands of this type, and so far (2 weeks out), I don't see any issues. My neck is much better than it was. An important facial nerve runs right along the glands, and I was unwilling to take the risk for facial paralysis. Of course, this decision is individual. When I sat with Dr. Harley in person, he felt my glands and told me he thought I would be pleased with my results, which I am. Hope this helps.
UPDATED FROM Almost50yay

Had my phone consult

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Almost50yay
Spoke to Dr Harley this week. He patiently answered all my many questions. I did learn that he doesn't do gland resection which I thought would be necessary. That has to be done under general anyway and sounds risky as far as possible complications. Still don't have surgery date scheduled, but Juanita is working with me to get on his calendar for June.

One question for those of you that have already gone through this...is it difficult getting used to the tightness in your neck until the platysma softens up? I kind of freak out when I think about feeling like I can't breathe. Any feedback would be most appreciated!

Replies (2)

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May 6, 2016
This seems to be a very individual experience. I haven't heard anyone talk about difficulty breathing but certainly some people experience an uncomfortable tightness. I know if one person who had severe job pain that lasted about 10 days. Her seem to be an unusual experience, but everyone seems to be different. My main issue was that I was afraid I was going to screw it up because I had a sneezing incident but I was reassured by Dr. Harley that wasn't going to happen.
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May 6, 2016
That was supposed to be Jaw pain
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May 7, 2016
Yes, it's very individual. Mine was quite easy. I even didn't loose my appetite as I was able to chew soft food on my second day. the first 24 hours I slept. I am just over 3 week post op, still feel some tension under my neck and some numbness in front of my ears, but very minimum of discomfort. I can turn my head in all directions except fully extending my neck up…95% approx. Recovering after a bleph surgery is more complicated. I still have some bruises left. I hope by the next Friday, our son's graduation, it will be gone. Don't worry it's much easier than you think. Good luck!