Fig. 3

a Elliptical incision made and a portion of skin containing the previous FNAC tract was removed en-bloc with the tumour. This portion of skin is used to manipulate the tumor without handling the tumor itself besides providing better cosmesis by reducing excess skin. b Enucleation of the lesion with its capsule by creating a lower flap. An ultrasonic dissection device was used to seal and divide the peritumoral vessels and achieve haemostasis. c Creation of an upper flap and dissection of the engorged peritumoral vessels is demonstrated here. d Macroscopic appearance of the lesion showing a lipomatous tumour with intact capsule measuring 10 × 12 cm in size. The right submandibular gland was excised en bloc (black arrow)