The Extended SMAS Controls Submandibular Gland Ptosis

The extended SMAS facelift technique effectively controls SMGP, nearly eliminating submandibular gland visibility on postoperative photographic analysis while enhancing neck angularity. This improvement may result from the thorough release of the cervical and parotid retaining ligaments as well as the platysma-auricular ligament. This level of SMAS-platysma flap mobilization may have a more effective sling-like effect on the contents of the digastric triangle, potentially obviating the need for submandibular gland resection.