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This patient is a powerful example of why proper evaluation and technique matter when performing a facelift and neck lift. She had a facelift performed elsewhere years ago, but the results fell short because one critical structure was overlooked, the submandibular glands. In her case, a neck lift was performed, but the sagging glands were left untreated, which led to a visible bulge that looked like residual fat. This is a common mistake in poorly executed facelifts and neck lifts. When patients see this bulge in their neck after surgery, they often assume it’s fat that wasn’t removed, but in reality, it’s usually the submandibular gland descending below the jawline. In our revision facelift cases, especially those involving a preservation deep plane facelift or deep plane neck lift, we pay close attention to these deeper anatomical features to ensure the final contour is smooth, youthful, and natural-looking. In this patient’s revision facelift and neck lift, we made a small incision under the chin to safely reduce the bulk of the submandibular gland using advanced tools like the LigaSure. This allows us to trim only the excess tissue, preserving normal gland function while eliminating the visible bulge. The result is a dramatic yet natural-looking improvement in her neckline, restoring the elegant jaw-to-neck transition that defines a youthful appearance. When considering a deep plane facelift, or undergoing a revision facelift after unsatisfactory results, it’s critical to choose a surgeon with expertise in submandibular gland reduction. This advanced technique can make all the difference in achieving a smooth, contoured, and rejuvenated neck, especially when performed alongside a preservation deep plane facelift. #DeepPlaneFacelift #NeckLift #RevisionFacelift #FaceliftRecovery #PlasticSurgery #BeforeAndAfter #FacialRejuvenation ----- BALIKIAN FACIAL PLASTIC SURGERY https://DrBalikianSanDiego.com TEMECULA VALLEY https://www.drbalikian.com/contact-fa... 951-719-2950 25220 Hancock Ave STE 115, Murrieta, CA 92562 SAN DIEGO https://www.drbalikiansandiego.com/co... 858-230-8938 1431 Camino Del Mar, Del Mar, CA 92014 ----- LEARN MORE ABOUT THE ARTISTE LIFT™ PRESERVATION DEEP PLANE FACELIFT SURGERY https://www.drbalikiansandiego.com/fa... LEARN MORE ABOUT DEEP PLANE FACELIFT SURGERY https://www.drbalikiansandiego.com/fa... LEARN MORE ABOUT TH DEEP VERTICAL NECK LIFT https://www.drbalikiansandiego.com/fa... SEE MORE BEFORE AND AFTER RESULTS FOLLOWING FACELIFT SURGERY https://www.drbalikiansandiego.com/be... LEARN WHY OUR FACELIFT PATIENTS RECOVERY FASTER https://www.drbalikiansandiego.com/ed... LEARN MORE ABOUT DOUBLE BOARD CERTIFIED FACIAL PLASTIC SURGEON DR. RICHARD V. BALIKIAN https://www.drbalikiansandiego.com/ab...