In The Eisemann Plastic Surgery Center’s five part series on neck contouring procedures, we have discussed the various surgical techniques for creating an improved and more youthful look for the patient’s neck, which is often a telltale sign of aging even when the face and rest of the body appear in tip top shape. Salivary gland resection is another approach to neck contouring, but it is used almost exclusively for patients having had a facelift or neck lift in the past. For some of these patients, the salivary glands (a/k/a submandibular glands) begin to bulge over time despite the fact that the skin in the neck has tightened. Dr. Eisemann educates his patients (prior to any procedure) that this may occur post-operatively. In some cases, this can be anticipated in an initial examination before surgery; however, not all such issues can be spotted beforehand. Through very careful procedures the glands can be visualized surgically and addressed. However, only very experienced surgeons with board certification in head and neck surgery should perform such an operation. Michael Eisemann, M.D., is board certification by the American Board of Plastic Surgeons in three areas, including: plastic surgery, facial plastic and reconstructive surgery, and otolaryngology (head and neck surgery).