Austin Chin Liposuction doctors

	Louis W. Apostolakis, MD Austin Facial Plastic Surgeon 5656 Bee Caves Road Suite E-201, Austin		1 answer
	Suresh Koneru, MD San Antonio Plastic Surgeon 423 Treeline Park Ste 300, San Antonio		1 answer
	Randy J. Buckspan, MD Austin Plastic Surgeon 630 W. 34th Street Ste 201, Austin		1 answer
	Wilberto Cortes, MD Houston Plastic Surgeon 5000 Westheimer Suite #602, Houston
	Mario Diana, MD San Antonio Plastic Surgeon 19234 Stonehue Suite 101, San Antonio

Recent Answers

Am I a Candidate for Chin Liposuction (Male)? I am attaching two profile photos of me with my head in its normal position. I am an actor, and so having a tight chin/neck area is important to me. Right now, it is sagging and I want to deal with this, but I am not sure if this can be dealt with via lipo. If I am not a candidate for lipo, what other options do I have to deal with this?

A: How to best fix a sagging neck

From the photos, it does not look like you have a lot of fat to suction. I would recommend that you consider a skin lifting procedure. Look into Ulthera, I have been seeing good results in cases like yours. One of the main advantages would be no downtime and nobody would know that you had anything done, just a nice subtle lift. Post back to let us know how things go.

Suresh Koneru, MD

San Antonio Plastic Surgeon

General Anesthesia During Submentoplasty for People with Mild Cardiac Issues? Is it safe to use general anesthesia during submentoplasty for someone with mild cardiac issues (mild arrhythmias and mild to moderate hypertension), but well-controlled with medication?

This patient had an EKG that was normal and has clearance to have the procedure from her PCP. She's just scared of general anesthesia. Her plastic surgeon (facial plastic surgeon/otolaryngologsit from a well-known teaching hospital) does most of his surgeries under general anesthesia, and insists that it's the best way for this patient. The main concern is the effects of the epinephrine used as the local anesthetic (high HR etc), in addition to the gases that are used under general anesthetic, that may exacerbate arrhythmias or heart issues. Can someone help us understand this better?

A: General Anesthesia For Neck Liposuction Not Necessary

As the other physicians have mentioned, general anesthesia is not necessary. Properly done IV sedation combined with local anesthesia is capable of providing a surgical experience that is completely painless and not remembered at all. In addition to avoiding the potential cardiac complications, you will almost certainly avoid the nausea and cognitive impairment that many patients experience with general anesthesia. In fact, the effects of IV sedation plus local anesthesia are sufficient to do all facial plastic surgeries including facelifts and rhinoplasties.

Local anesthesia by itself is also quite sufficient but you would need to endure a few minutes of pain as the shots are completed. I rarely do surgeries without some IV sedation but on occasion have patients who really want to avoid all mind altering drugs and I will oblige them if it is clear that they understand the process.

Louis W. Apostolakis, MD

Austin Facial Plastic Surgeon

For Just Fat Under the Chin - Lipo or Face Lift? I have excess fat hanging beneath my chin and I want it removed. Is liposuction superior to a facelift for this purpose?

A: Fat under the chin may be helped with liposuction

If the fat is just under skin, and not onto the neck, liposuction is perfect. Sometimes, as little as a tablespoon of fat can make a difference. If the fat is onto the neck and the skin is taut, liposuction alone may be effective. If the fat is onto the neck and the skin/muscle over it is loose, a necklift or facelift may indeed be required to treat the skin/muscle after the fat is treated by liposuction.

Randy J. Buckspan, MD

Austin Plastic Surgeon