Is there a likely chance that Vaser liposuction for double chin treatment will cause necrosis?

Question

I'm interested in removing my genetic double chin with vaser liposuction. However, I've been reading up on the potentiality for necrosis to occur with liposuction. What's the likelihood or such a thing occurring? I'm young (24), don't smoke or drink and I try to eat a whole foods plant based diet as much as possible. Any insight would be much appreciated - thank you.

Brady Harris, MD · Answer

Skin necrosis is always a possibility with any type of liposuction, VASER is no exception. With that being said, skin necrosis is a very rare complication of liposuction. Anytime a section of skin is undermined and the blood flow potentially disrupted, there is a chance for skin necrosis. The neck has a robust blood supply and the likely hood of skin necrosis occurring is exceedingly low.

Jason Emer, MD · Answer

facetite + liposuction is better than vaser. ive been doing vaser and other energy based devices for 13+ years. never had a necrosis and the chance is minimal if this is done right that Is why you see an expert (see link provided).
With significant neck sagging you would need a neck/face lift with muscle tightening (platysmaplasty). at the same time lasers (fraxel,  co2 or erbium( or microneedling RF (fractora, intensif) can be . performed to improve the crepe skin or wrinkles.  You need a formal consultation, as the neck can be treated with a combination approach:
1. micro needling and lasers for texture
2. botox, disport or xeomin to help platysmal bands
3. intensif or fractora RF microneedling for crepe skin and lifting
4. fillers like belotero, restylane silk, juvederm volbella to improve lines and folds
5. neck/face lifting if sagging is prominent or early starting +/- platysmaplasty (muscle tightening)
6. J plasma/Renuvion, thermiRF, inmode facetite for internal tightening
7. ultherapy and thermage for external tightening
8. regular Venus legacy, exilis ultra, or inmode forma treatments with facials to maintain tightness
9. PDO novathreads or silhouette instalift cone threads for lifting and long-term collagen production
see an expert for a full evaluation and treatment plan based on your individual situation and goals.
Best, Dr. Emer.

Harry T. Haramis, MD, FACS · Answer

In my experience over 12 years of thousands of Vaser ultrasound liposuction cases, it is extremely safe.Tumescent solution and proper surgeon‘s technique protects the skin and tissues from injury.Vaser is very effective for chin/neck area and can even be performed under local.An exam and consultation with a plastic surgeon who regularly performs Vaser procedures is recommended to confirm you are a candidate as well as discuss your concerns, options and expectations. We are also offering virtual consultations.

Kenneth Brito, MD · Answer

Skin necrosis can occur with over use of vaser liposuction. Vaser creates thermal energy which is essential in skin tightening. However, overuse of the device and over suctioning can deprive the overlying skin of tissue oxygenation and hence skin necrosis.
Adequate but judicious use of the device can provide great results with minimal risk of skin necrosis especially in young healthy patients.

Jacobus A Vlok, MBChB · Answer

The chin is probably the most delicate area that we treat with liposuction and we therefore use low energy settings and thin cannulas. The more fat in the double chin that can be removed, the more significant the change in the person's profile. It can be rather dramatic and satisfying to both patient and clinician. Your age and lifestyle also contribute to a good outcome. Regarding your question about necrosis: This extremely rare phenomenon would occur with extensive burns as caused by over zealous superficial vaser at high energy and/or the liposuction stage is performed too aggressive and too superficial. Simply find a liposuctionist with experience and who had treated many chins and you will be fine. It can be a life changing experience and the result is visible to the patient every day being an exposed part of the human anatomy, the face&neck region.

Arian Mowlavi, MD, FACS (license on probation) · Answer

Hello and thank you for the question! The chance that skin necrosis will occur is very low. The only way this could occur is if the surgeon is inept or completely new to VASER equipment. This is why it is imperative to research your plastic surgeon thoroughly before continuing with surgery. My suggestion is to research multiple board certified plastic surgeons and look for someone who specifically specializes in VASER liposuction to obtain your desired results.Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

Skin necrosis is probably not something you need to be too worried about.It’s unlikely to happen but it could happen unless someone was completely clueless or inapt at working with high power equipment like VASER,That form of liposuction has zero advantages in the chin and neck region and can potentially lead to devastating disfigurement.It can definitely be used correctly and surgeons who have sufficient experience may prefer to use the VASER  because it’s the equipment you’re used to.If you want to minimize the chance of having devastating consequences then as a general statement steer away from high power liposuction equipment such as ultrasound assistant Liposuction namely VASER.Traditional gentle Liposuction with a small cannula is more than sufficient to get all the results you need.The only variable that matters is the skill and experience of the board-certified plastic surgeon you choose.Liposuction is not a technology procedure it is a skill procedure.Find a local board certified plastic surgeon who’s been doing this for at least 10 years I can show you 50 sets of impressive before and after pictures and you’re all set.I suggest scheduling five consultations and continue having more if you’re not sure.Read each providers negative reviews on each of the websites such as real self, yelp, vitals, health grades, rate MD.Positive reviews may be reassuring but the negative reviews tell the truth.Providers with excessive numbers of posetive reviews on one or two websites show evidence of review manipulation.This can be done as an office-based procedure with you awake using local anesthesia with or without sedation.Skin necrosis is highly unlikely but undesirable bad outcomes that can’t be corrected do happen. When they do almost always too much fat was removed. Often using VASER.I may come across as being biased against this machine. It’s a great piece of equipment but the results speak for themselves.  consistently the worst botched Liposuction cases were done using the a VASER.It’s a bit like putting a 15-year-old with a learners permit in a Porsche turbo.It’s a good way to wreck a  car.Don’t wreck your chin.Start interviewing experienced board-certified plastic surgeons.Best, Mats Hagstrom MD

Kristine Brecht, MD (license suspended) · Answer

Dear Sydney,Neck and jawline definition can be enhanced by removing the fat with Vaser liposuction, to enhance the skin tightening make sure to do j plasma/ Renuvion at the same, for the best results.Choose a surgeon who has done a lot of these types of surgeries, to minimize the potential side effects, and maximize your results!Best. Dr Brecht

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