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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451807723
DOI: 10.1055/s-0045-1807723
Artigo Original

Analysis of the Relationship Involving the Resected Submandibular Gland Weight and the Age and Sex of Patients Undergoing Deep Neck Lifting

Article in several languages: português | English
Lincoln Graça Neto 
1   Cirurgia Plástica, Clínica Privada, Curitiba, PR, Brasil
,
Susana Puga Ribeiro 
2   Comite de Ética em Pesquisa, Curso de Medicina, Faculdade Evangélica Mackenzie do Paraná, Curitiba, PR, Brasil
,
Ana Clara Minguetti Graça 
3   Escola de Medicina e Ciências da Vida, Pontifícia Universidade Católica do Paraná,Curitiba, PR, Brasil
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Financial Support The authors declare that they did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study.
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Abstract

Introduction

Neck aging is characterized by excessive skin, fat accumulation, and muscle flaccidity. The deep neck plane has four anatomical structures that must be addressed: the platysma muscle (PM), the subplatysmal fat, the anterior belly of the digastric muscle (DGM), and the submandibular gland (SMG).

Objective

To measure the weight of the resected SMG and determine its relationship with the patients' age and sex.

Materials and Methods

We prospectively evaluated 44 patients undergoing partial SMG resection at a private clinic in the city of Curitiba, state of Paraná, Brazil, from January to December 2023. We measured the weight of each patient's resected SMG, bilaterally, using a high-precision digital scale.

Results

The sample was composed of 44 patients, 4 male and 40 female subjects, aged 41 to 79, who were evaluated for 12 months. The weight of the bilaterally-resected SMG ranged from 6 g to 24 g among women and from 14 g to 16 g among men. There were 2 cases of sialoma and 2 cases of hematoma, 1 in men and 1 in women. There were no cases of nerve injury with paresis of the facial nerve branches.

Conclusion

Neck aging treatment must address superficial and deep structures, including the PM, the subplatysmal fat, the anterior belly of the DGM, and the SMG. The treatment results in good esthetic outcomes and low morbidity. There was no relationship between age and SMG size, but men present larger SMGs than women.

Keywords

beauty and aesthetics centers - neck - neck muscles - submandibular gland - surgery, plastic

Authors' Contributions

LGN: final manuscript approval, funding acquisition, investigation, methodology, and performance of surgeries and/or experiments; SPR: validation; and ACMG: data analysis and/or interpretation and validation.


Study performed at a private practice in Curitiba, PR, Brazil.




Publication History

Received: 03 December 2024

Accepted: 06 February 2025

Article published online:
14 May 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Lincoln Graça Neto, Susana Puga Ribeiro, Ana Clara Minguetti Graça. Análise da relação entre o peso da glândula submandibular ressecada e a idade e sexo de pacientes submetidos a lifting cervical profundo. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2025; 40: s00451807723.
DOI: 10.1055/s-0045-1807723
 

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