BACKGROUND: Stensen's megaduct secondary to distal stenosis presents recurrent swelling and requires surgical management when minimally invasive approaches fail. METHOD: We described a novel technique, based in the use of a combined sialodochoplasty, incorporating duct size reduction with hemoclips. CONCLUSION: This approach could be considered an effective technique that resolves symptoms, minimizes recurrence, and preserves gland function improving the cosmetic results.