Chin Liposuction Q&A
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How Risky is Jowl Liposuction?

asked 2 years ago by Ella1 in Switzerland
Latest answer by M. Christine Lee, MD
Question viewed 4,370 times
Tags: chin, jowls, female, fat, nerve damage, risk

I had Chin Liposuction in August. Fat was removed under my chin, not the jaw line. My face looks larger now as my jowls are still round, while my chin is more defined.

My surgeon didn’t touch the jowls because of too small amount of fat and risk of nerve damage. I have found another surgeon who says she can remove the jowl fat with P.A.L. (Power Assisted Liposuction).

She said nerve damage is extremely rare; potentially a nerve can get squeezed and temporary affect the face, but since the cannula is round, it is impossible to cut a nerve. Is this true?

8 answers to How Risky is Jowl Liposuction?

+2

Facial nerve injury is a risk of jowl liposuction

While standard or laser Assisted liposuction is safe in the neck area, great care must be exercised when attempting liposuction in the jowl area. The Marginal Mandibular Branch of the Facial Nerve runs near the surface of the skin unprotected by the SMAS or Platysma Muscle just below the corner of the mouth in the Pre-Jowl Sulchus just in front of the jowl. If the Margiunal Mandibular Nerve is injured muscles which hold the corner of the mouth in position are paralyzed creating a very... more
Brooke R. Seckel, MD

Boston Plastic Surgeon
+1

Risks associated with jowl liposuction

It is not impossible to cut the nerve during liposuction of the jowl area but in the hands of an experienced surgeon the risk is relatively low. I have been seeing an increasing number of complications due to laser-assisted liposuction probably due to the surgeon not moving the laser fiber fast enough and letting it dwell in a certain area too long which causes burns to the skin. It's important to know that any procedure is only as good as the surgeon performing it so... more
M. Christine Lee, MD

Walnut Creek Dermatologic Surgeon
+1

Liposuction of the jowel

Liposuction in the jowel area is definitely higher risk for nerve injury - especially PAL.  Sometimes there is temporary nerve injury from inflammation or stretching of the nerve. However, if you have a lot of hanging tissue or fullness in the jowel area, you may need a facelift to pull and tighten this area - it's impossible to say what procedure you need without examining you.  In general, I recommend you go to an experienced surgeon who has performed liposuction in this... more
Catherine Huang-Begovic, MD

Beverly Hills Facial Plastic Surgeon
+1

Jowl Liposuction safety

Nothing is impossible. There are risks with anything and everything. However, when carefully performed, in good hands, complications from jowl Liposuction are extremely rare. It is important that the liposuction be superficial to the underlying musculature. In general, I performed jowl liposuction in conjunction with liposuction of the neck when appropriately indicated. I may also perform this liposuction in conjunction with a face/neck lift procedure.
Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon
+1

Jowl Liposuction

Hello, When done properly by a highly skilled surgeon, risks will be minimized when performing jowl liposuction. But there is still risk of nerve damagae with any liposuction of the face. And I would not recommend power assisted liposuction to the face. I would really need to see photos to give you the best advice. If you wish, you may send me any photos and I would be happy to give you my opinion on whether or not you would be a candidate for liposuction of the jowls. My contact... more
Paul S. Nassif, MD

Beverly Hills Facial Plastic Surgeon
+1

Neck and jowls liposuction

Hello, Liposuction of the chin and Jowls can be done fairly safe. Temporary nerve problems can occur due to swelling, bleeding around the nerve cheek chin interface but usually this subsides fairly soon. On the other hand if your cheeks and jowls have extra skin (not just fat!) you may need a face lift to correct the "square appearance" of your face. As mentioned by the other surgeons ask for an experienced Plastic Surgeon and than ask him/her the question if liposuction alone... more
Guido P. Gutter MD

Evansville Plastic Surgeon
+1

Safety and Effectiveness of Chin or Jowl Liposuction

I perform the chin and jowl area all the time. There is always risks with any form of surgery but it really depends on the physicians experience. Do your homework. How long has the physician been doing these procedures? How many were the chin/jowl area? Can you see some before and after photos?
Bruce Katz, MD

New York Dermatologic Surgeon
+1

Jowl liposuction is effective and safe

Liposuction of the jowl is a safe and effective procedure that can be performed under local anesthesia in an office setting, with or without minimal oral sedation. The scars are well concealed and minimized by placing them just behind the base of the earlobe. Regardless of the technique utilized (traditional, VASER, laser-lipolysis, power-assisted), I found that with efficient superwet local anesthesia, patients experience minimal bruising and tenderness. However, patients should expect... more
Jeffrey D. Hoefflin, MD

Los Angeles Plastic Surgeon

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