30, thin, what decreases the risk of nerve damage during submental chin lipo?

Question

I’m considering chin lipo. I had a consult today he said I’m a good candidate. I’m 30, thin just have a bit of fat that doesn’t allow as much jaw definition. He stated there’s a risk of nerve damage. He also stated he stays away from smart lipo and he puts his patients under. I’ve seen many get this under local. Does getting put under increase the risk of nerve damage? I know it resolves. I have a wedding end of Dec. I’d like to know I can smile. What decreases the risk of nerve damage?

Cem Berkay Sinaci, MD · Answer

the risk of nerve damage in liposuction is technically a neuropraxia, and expected to heal in 3 months. However, we dont expect a direct injury to nerve as the liposuction is done right under the skin and over the platysma muscle of neck, and the nerve courses deep to the platysma. Doing that under local anesthesia doesnt change the risk, there will be only nerve block for a couple of hours.

Tanveer Janjua, MD · Answer

With Liposuction in the chin/neck area there is always a risk of temporary or permanent paralysis of the nerve leading to the lower lip. This causes a crooked smile. In majority of the cases it comes back in 3 months. 
Going under anesthesia does not increase the risk. It mostly depends on the surgeon's experience. 
Regards
Dr. J

William Portuese, MD · Answer

It would be best to post set of facial photographs including your neck to make a determination about the right procedure for you. Liposuction can only accomplish removing fat deposits above the platysma muscle, while a surgical neck lift with a platysma plasty is required if  your fat deposits are located below the muscle. Liposuction alone will be ineffective if you're fat deposits below the muscle. Liposuction can be done under local anesthesia as an outpatient procedure. As long as the cannula is kept above the platysma muscle, you should not have any issues with nerve damage

Mats Hagstrom, MD (license on probation) · Answer

The nerve were concerned about when doing this procedure is the marginal mandibular nerve, which is a branch of the facial nerve.
This nerve is deep to the muscle layer below the jawline and becomes superficial as the nerve crosses the mandible.
If the surgeon stays below the jawline, then the chance of nerve damage is low.
If the surgeon does liposuction in the jowl then they are working right where the nerve sits.
I do this procedure on a regular basis and generally never put patience to sleep for Liposuction.Delivering consistent quality Liposuction results is more difficult than most people realize.
The number of plastic surgeons who approach mastery of this procedure is quite small.
I cannot emphasize enough the importance of provider selection.
If not done well, this procedure can leave people disfigured.
Liposuction results should be viewed as permanent and irreversible. 
Insist on providers showing you an impressive collection of before, and after pictures of previous patient who had very similar facial characteristics to your own(same age, degree of skin laxity, amount of subcutaneous fat, and mandibular size and shape).
I generally always recommend patients have multiple in person consultations before selecting a provider.
Best,
Mats Hagstrom MD

30, thin, what decreases the risk of nerve damage during submental chin lipo?

Answers (4)

Answer: Nerve damage from chin and neck, Liposuction

Answer: Nerve damage from chin and neck, Liposuction

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.

30, thin, what decreases the risk of nerve damage during submental chin lipo?

Answers (4)

Answer: Nerve damage from chin and neck, Liposuction

Answer: Nerve damage from chin and neck, Liposuction

Browse related questions

Recommended reading

Everything you need to know about Chin Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.