Aesthetic Resection of the Submandibular Salivary Gland

Pina, Dalton Pompêo de; Quinta, Waldyr Castro

doi:10.1097/00006534-199111000-00005

Cited by 36 publications

(9 citation statements)

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“…However, controversy exists surrounding gland resection due to the potential for nerve injury and bleeding. In the studies performed by Singer and de Pina, no reported complications or salivary fistulas were encountered 4 7 . Nonetheless, hesitation regarding resection of a healthy gland exists, and resection is not commonly practiced in aesthetic surgery.…”

Section: Discussionmentioning

confidence: 91%

“…In a study carried out by Singer and Sullivan 4 , submandibular gland resection for facial rejuvenation was proposed as a safe alternative to suspension techniques when plication alone does not provide a satisfactory outcome. Another study by de Pina and Quinta 7 further supported submandibular gland resection for patients undergoing secondary rhytidoplasty with a history of persistent gland enlargement or as a complementary procedure for patients who do not respond favorably to classic treatment with muscular plication. However, controversy exists surrounding gland resection due to the potential for nerve injury and bleeding.…”

Section: Discussionmentioning

confidence: 96%

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A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

2016

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Submandibular gland ptosis is a common impediment to obtaining superior surgical aesthetic results in neck lift surgery. Techniques for suspending the submandibular gland have been proposed, but these procedures have the drawbacks of disturbing the floor of the mouth mucosa and periosteum. We present an approach of submandibular gland suspension for the treatment of gland ptosis by employing a platysma and hyoid bone fascia cradle. Our technique was performed on cadaveric models. The platysma muscle and hyoid bone cradle for submandibular gland ptosis was created on the left side of the neck in two cadavers. A submental incision with sharp dissection was performed to raise a supraplatysmal flap. A subplatysmal plane was developed until the submandibular gland was identified. Sutures were used to pexy the platysma to the hyoid bone periosteum and deep cervical fascia, tightening the overlying muscle and in turn elevating the submandibular gland. Submandibular gland ptosis must be corrected in order to achieve exemplary aesthetic results. Our approach of creating a cradle with the platysma and hyoid bone avoids the potential complications of previously described sling procedures, while still maintaining the integrity of the gland and surrounding tissues.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 96%

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

2016

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“…17 The prevalence of partial submandibular gland reduction, as reported in current literature, ranges from 16 to 76%, underscoring its critical role in neck lift surgeries. [4][5][6]14,18,19 Various theories for their prominence include glandular descent or hypertrophy due to fatty and fibrous deposits. 9,10,[20][21][22][23][24][25]…”

Section: Indications and Strategiesmentioning

confidence: 99%

Deep Neck Contouring: Indications and Techniques

Bogari,

Cakmak

2023

Facial Plast Surg

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A deep comprehension of key anatomical issues, along with the targeted application of suitable therapies, is vital for attaining exceptional neck contours. Traditional surgical approaches often focus solely on modifying subcutaneous fat and, occasionally, the platysma muscle, neglecting subplatysmal structures. This narrow focus may yield less-than-ideal results and potentially exacerbate existing issues, leading to additional contour abnormalities that prove challenging to correct. In fact, in most cases, there are additional factors deep to the platysma—such as subplatysmal fat, the anterior bellies of the digastric muscles, perihyoid fascia, and the submandibular glands—that contribute to obtuse neck contours. For these patients, accessing the neck through a submental incision allows for precise management of these deep neck structures as required. Unfamiliarity with deep anatomical structures can deter surgeons from performing subplatysmal procedures due to unwarranted concerns about increased complication risks. However, both published clinical series and our clinical experience indicate favorable long-term outcomes with natural, refined, harmonious neck contours and a minimal rate of complications. This paper serves as a comprehensive guide, describing indications, strategies and providing a step-by-step description of the senior author's techniques for mastering deep neck contouring.

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“…If prominent submandibular glands are revealed after liposuction of the neck, resection of the glands, or a less invasive submental–mastoid suspension suture, has been described as potential treatments (3,29).…”

Section: Technical Aspects Of the Proceduresmentioning

confidence: 99%

“…Do not drive if dizziness is present 10. If you experience any symptoms beyond what is described here, or if you have any concerns, please call our office immediately glands, or a less invasive submental-mastoid suspension suture, has been described as potential treatments (3,29). Postoperative photographs should be taken at each follow-up visit, as they are often an important method of objectively assessing the result as well as a useful tool to address any concerns a patient may have.…”

Section: Prevention and Management Of Complications And Suboptimal Oumentioning

confidence: 99%

Rejuvenation of the neck with liposuction and ancillary techniques

Stebbins

Hanke

2011

Dermatologic Therapy

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An aesthetically pleasing neck is an important component of physical appearance and a frequently targeted area for a variety of rejuvenative procedures. In appropriately selected patients, liposuction of the neck using tumescent local anesthesia can effectively render a more youthful appearance to the anterior and lateral neck by removing superficial adipose tissue and redraping the skin. This article will review all aspects of neck liposuction, including neck and lower face anatomy, proper patient selection and evaluation, necessary equipment, as well as all peri-procedural management. An in-depth discussion of administration of tumescent local anesthesia and proper liposuction technique is also included. Lastly, a number of ancillary techniques to further enhance the appearance of the neck including laser lipolysis, fractional ablative CO(2) resurfacing, and treatment of platysmal banding will be briefly discussed.

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Aesthetic Resection of the Submandibular Salivary Gland

Cited by 36 publications

References 0 publications

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

A Novel Approach to Submandibular Gland Ptosis: Creation of a Platysma Muscle and Hyoid Bone Cradle

Deep Neck Contouring: Indications and Techniques

Rejuvenation of the neck with liposuction and ancillary techniques

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