Aesthetic Resection of the Submandibular Salivary Gland

Radiologic Measurement of Submandibular Gland Ptosis

“…1,5,6 In the presence of severe glandular hypertrophy, aesthetic submandibular gland excision may be considered as a final surgical option. 3 Though a well-recognized clinical phenomenon, the agerelated descent of the submandibular gland has not been quantified in the literature. The aim of the current study was to determine the rate of descent of the submandibular gland and to identify the normative position of the gland with respect to patient age.…”

“…In addition to gland descent, an increase in gland volume has also been implicated as a contributing factor to the prominent appearance of the submandibular gland. 3,6 Histologically, the aged submandibular gland demonstrates replacement of parenchymal tissue with fibrous connective and adipose tissue. 7 These morphological changes have been thought to manifest clinically as an increase in gland size and volume.…”

“…Additionally, glandular hypertrophy has been implicated as a contributing factor in the increasingly prominent appearance of the submandibular glands with advancing age. 2,3 If not recognized and addressed preoperatively, submandibular gland prominence may result in persistent fullness of the upper neck following facial and cervical rejuvenation surgery, as ptosis of the submandibular gland is not routinely addressed during rhytidectomy and submentoplasty procedures.…”

Neck Rejuvenation—Anatomy and Clinical Correlation

“…Concerning the submandibular gland, some techniques advocated for partial removal of the submandibular gland. Resection may be indicated, for example, for the diagnosis of ptosis or gland enlargement, which could potentially compromise the rhytidoplasty result, 73 or for prominence of the gland after submental lipectomy. Furthermore, full-width platysma transection may lead to descent and protrusion of the glands.…”

Basket Submandibular Gland Suspension

“…6,13 Glandular resection has been advocated for secondary rhytidoplasty patients with persistent enlargement or in whom primary plications have been unsuccessful. 5,6 Despite the efficacy of this procedure, it carries the perceived risk of considerable postoperative morbidities, although the unsafe nature of this procedure has never been documented.…”