Management of the Submandibular Gland in Neck Lifts: Indications, Techniques, Pearls, and Pitfalls

Clin Plast Surg. 2018 Oct;45(4):507-525. doi: 10.1016/j.cps.2018.06.001. Epub 2018 Aug 10.


Neck contour deformities are common among patients who present for facial rejuvenation. A thorough physical examination and photographic analysis, including an upward view of the flexed neck, enable the surgeon to determine which structures should be treated. Common causes of neck concerns include hypertrophy of the subplatysmal fat, the anterior belly of the digastric muscle, and/or the submandibular salivary glands. Partial removal of the submandibular salivary glands requires advanced knowledge of subplatysmal anatomy and surgical expertise but can be performed safely and reliably to yield favorable results of neck rejuvenation.

Keywords: Bleeding; Face lift; Mandibular nerve; Neck; Neck lift; Neck rejuvenation; Submandibular gland; Subplatysma.

Publication types

  • Review

MeSH terms

  • Humans
  • Neck / anatomy & histology*
  • Neck / surgery*
  • Neck Muscles / anatomy & histology*
  • Neck Muscles / surgery
  • Parotid Gland / anatomy & histology*
  • Parotid Gland / surgery
  • Patient Selection
  • Photography
  • Plastic Surgery Procedures / adverse effects
  • Plastic Surgery Procedures / methods*
  • Submandibular Gland / anatomy & histology*
  • Submandibular Gland / surgery