Should I be concerned about potential complications associated with chin liposuction and implant?

Question

Hello, I have finally the chance to fix a problem that bothered me my whole life. I will undergo a chin smartlipo and implant under local. However, upon reading some articles online I’m getting scared for potential complications. I read that lidocaine toxicity is very dangerous and in the tumescent fluid it's usually much higher than the safety threshold (40-80 mcg vs 4 mcg). I also read about inexplicable deaths happening hours or days after the procedure. Could you please reassure me about it?

Michael P. Morrissette, DDS, FACS · Answer

I would not worry about lidocaine toxicity with chin and neck liposuction. The amount of tumescent anesthesia that is used is minimal for the chin and neck. This problem occurs with body liposuction. The main concern should be the type of technique that the surgeon will use to secure the implant. The most common problem with chin implants is migration and malposition. I prefer to secure them with screws.

Mats Hagstrom, MD (license on probation) · Answer

Safety is relative.
All surgeries have potential for serious complications, including fade outcomes.
There is no purely 100% procedure in life.
Risk should always be assessed in context to incidents.
Lyne toxicity is very unusual for Liposuction when small areas are involved.
It is unlikely that you would have lidocaine toxicity from treating a small single area.
 The real risk and what patient should be concerned about is the Aesthetic outcome.
In terms of real problems that happen frequently, it’s almost always related to the outcome, and this intern is related to each unique patients candidacy for the procedure and provider selection.
These are the two most important variables, and this is where most patients should be focusing their attention.
Not everybody seeking liposuction, or a chin implant are good candidates for these procedures.
In my practice only 10% to 20% of patients seeking liposuction or infect close to being ideal candidates.
Typically 20% or non-candidates and 60% fall somewhere in the middle.
Individuals who are excellent candidates for Liposuction have the potential of having excellent outcomes if they choose an excellent provider.
That same patient can also have disfigured poor outcomes if provider selection is done poorly. a patient who is not good candidate does not have the potential forgetting an outcome regardless of who does the procedure. a patient who is not a good candidate does not have the potential forgetting a quality outcome regardless of who does the procedure.
Wanting to have liposuction does not mean that you’re a good candidate for having Liposuction.
To understand your candidacy you need assessments done by providers who have sufficient skill and experience. To find the right provider I suggest patients start the process by first, making a list of plastic surgeons in their community who seem to have extensive experience with the procedure you’re interested in.
Next schedule in person consultations with each of those providers.
I do not recommend patience schedule virtual consultations And generally recommend you meet your providers in person.
Bring pictures of yourself the same way plastic surgeons take before and after pictures and use those pictures as reference during the consultation.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had similar characteristics to your own.
 Being shown a handful of pre-selected images is representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider.
It’s also important that you see results of previous patients who had similar Levels of patient candidacy as your own.
If somebody’s not a good candidate, then they shouldn’t be reviewing results of patients who were exceptional candidates.
Candidacy for Liposuction is a fairly complex topic, but generally speaking variables that improve someone’s candidacy, for Liposuction include being young, having tight skin, and sufficient amounts of subcutaneous fat to work with.
Sometimes I summarize ideal Liposuction candidates as someone who is “young tight and chubby”.
There’s no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider.
The biggest mistake I see patients make is having only one consultation and then scheduling surgery.
The second biggest mistake is assuming that somebody who’s board-certified in plastic surgery with years of experience, and some good reviews has mastered most plastic surgical procedures.
 Mastering Liposuction is much more difficult than most people realize, and the number of providers who approach a mastering this procedure is quite small.
Most plastic surgeons think they’re better at Liposuction than they actually are.
The outcome of this procedure should be considered permanent and irreversible.
Poorly done Liposuction can leave people disfigured and correcting poorly done. Liposuction is extremely difficult And sometimes not possible.
These are the things patients should be worried about.
These things actually happen and happen all too frequently, and on top of that are completely avoidable.
When, in doubt, slow down and scheduled more consultations.
And the hands of the right provider, your chance of having medical complications will also be significantly reduced.
In the end, understanding your own candidacy and provider selection are the two most important variables.
There isn’t much you can do about your own candidacy, but understanding your candidacy goes along ways and accepting outcomes, especially for those who may not be ideal candidates.
In the end provider selection is the one single most important variable because it’s the variable patients have control over.
Finding the right provider requires a significant amount of effort and patience should probably consider having four or five consultations before considering choosing a provider.
Sometimes it’s simply a matter of luck.
There are substantial differences in skill and experience among well intended board, certified plastic surgeons with years of experience.Best,
Mats Hagstrom, MD

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