Is Chin lipo or FaceTite for double chin more likely cause nerve damage?

Hello, hope you are well. Both procedures have a very low rate of neuropraxia (nerve damage), and it seems the majority of reported cases resolve spontaneously (they are not permanent). Having said that, the reported rate of neuropraxia is slightly higher with FaceTite/NeckTite (~1%), and liposuction is often performed as part of that procedure. Knowing the true incidence is difficult, because the majority of these cases are not being reported anywhere. Liposuction alone has reported rates of marginal nerve injury less than 1%. In summary, they are both safe procedures with very low incidence of nerve injury, and the odds of recovery when it does happen are very good.

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Submental or chin liposuction has very low risk for permanent nerve damage. The most common areas to have nerve weakness after facial liposuction surgery is the jowl region above the buccal branch of the facial nerve but it returns within a few days. Skin tight / face tight yields very minor results, if you have skin laxity in your neck and you are 40+, you should consider a face and neck lift to address the skin as well as the fat.

A full set of facial photographs including your neck are going to be required to make a determination about the best procedure for your current anatomy. Minimally invasive procedures only give minimal results. Liposuction can only accomplish removing fat deposits above the platysma muscle. A surgical neck lift is required to remove fat deposits that are located below the muscle which also includes a platysma – plasty to significantly improve the jawline.

Nerve damage from Liposuction on the chin and neck happens when the marginal mandibular branch is injured as a crosses, the edge of the mandible into the Jowell area. Nerve injury is extremely rare if the surgeon stays below the mandible. The risk increases substantially when plastic surgeons do liposuction of the face in particular through the jowls. Any surgical treatment could cause nerve damage if the treatment is done anatomically on the nerve. All plastic surgeons are familiar with facial anatomy, and all of them should know to take sufficient caution to stay away from that branch of the facial nerve.
Nerve injury when it happens is inevitably temporary with their function coming back to normal given enough time. From my experience, the chance of ending up with an undesirable aesthetic outcome is far more likely than having nerve injury from this procedure.
Understanding your own candidacy for the procedure, and choosing someone who has a proven track record to have mastered the procedure is going to increase the likelihood of having a quality outcome that meets your expectations, leave you understanding what the procedure can, and cannot accomplish at the same time, minimizing the chance of undesirable medical complications.
There’s no correct number of consultations needed to find the right provider. I suggest patient start by having five in person consultations with local board-certified plastic surgeons. They seem to have skill when it comes to Liposuction.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of the previous patients who have similar facial characteristics to your own. And experience provider should have no difficulty showing you the before and after pictures of at least 50 previous patients
Best,
Mats Hagstrom, MD