Anesthesia options for chin and neck liposuction? (photos)

Question

Hello, I am a 29 year old female considering chin and neck liposuction. I have no allergies to medication. I have been told that I have the option of choosing IV sedation or local anesthesia for the chin liposuction procedure. What is the preferred method and what are the risks associated with both? I would like to choose the option that will be easiest on my body that will lead to a faster recovery. Thank you.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Both options that you have mentioned for chin liposuction are very reasonable for a healthy patient.  IV sedation will provide the most comfort for you and decrease a patient's anxiety during the procedure.  I have perform chin liposuction using both methods of anesthesia.  I typically, prefer IV sedation for the patients.

Larry S. Nichter, MD, MS, FACS · Answer

Most often isolated chin and neck liposuction is performed in my office under local anesthesia and oral sedation. This  is the easiest method as it dose not require IV or general anesthesia and is also most cost effective.

Jason Emer, MD · Answer

I treat this everyday in my practice.  You do not need surgery and can do this awake without pain. Properly performed liposuction with an energy based device and physical fat removal will do fantastic to remove the fat, lift the skin, and contour the jawline.  I pretreat everyone with Botox 1-2 weeks before surgery to relax the neck muscles, allowing for better retraction of the skin after surgery.  Then after treatment we do skin tightening with Venus Legacy to improve the results and decrease the neck swelling.  I suggest you only see an expert for treatment of this area as a meticulous surgeon is required to get great results and complications in this area can be devastating both medically and cosmetically.  Best, Dr. Emer.

Vincent N. Zubowicz, MD · Answer

You can have full general anesthesia if you wish for treatment of your chin and neck but that is really unnecessary. This procedure is easily done with local anesthesia alone.

Larry Lickstein, MD · Answer

You are a young, healthy woman contemplating a short minimally invasive procedure.  Consequently there are a number of options that could be considered, anything from local anesthesia alone, to local with oral sedatives, to MAC (IV sedation), to general anesthesia, and each approach has assets and liabilities.  I would recommend a conversation with the treating surgeon.  Be honest about your concerns, and don't hesitate to ask the reasons behind their preferences.  Be confident though that a plan can be developed to ensure your comfort and safety.Decisions about the type of anesthesia are critically important, and influenced by many things:  the nature of the procedure, a patient's health, anatomy, and preference, and the surgeon's preference, just to name a few.  With any procedure, you want to make certain that the staff is experienced and certified, that you are appropriately monitored, and the procedure is being performed in an accredited facility.  Best of luck!

William Portuese, MD · Answer

Placement of a chin implant with neck liposuction can be accomplished under local anesthesia, IV sedation, or general anesthesia with an anesthesiologist present. It really depends upon the surgeon's and patient's preference. When performing this type of surgery under local anesthesia, you will be aware of the injections in the neck and the chin to make it numb to undergo the surgery. Plan on at least 2 weeks of visible bruising and swelling after the procedure no matter what type of anesthesia that you have chosen.

Robert Shenker, MD · Answer

Liposuction of the neck is a quick, simple and effective technique. While it can be done with local anesthesia and oral sedation, it can be a bit uncomfortable and nerve-wracking to do it this way. In our clinic, a very short TIVA (total intra-venous anesthetic) is used. It is safe, comfortable and very well controlled by our anesthetist.   This type of anesthesia is our preferred technique for most short procedures like liposuction of the neck.I hope this helps! Dr. Robert Shenker MD FRCSC

Sonny O, MD · Answer

HiAnesthesia options for chin and liposuction is much a surgeon preference as it is a patient preference.  Some surgeons prefer to utilize IV sedation or general anesthesia, whereas some prefer local anesthesia.  Clearly cost are increased when utilizing IV sedation or general anesthesia.  Another option to consider is utilizing light oral sedation in combination with local anesthesia for the procedure.  All of these methods should not significantly impact the recovery process.  I would advise discussing these options with your surgeon during the consultation.  Thanks and best of luck to you.

Mats Hagstrom, MD (license on probation) · Answer

My practice is almost exclusively devoted to body contouring using liposuction and fat transfer. I perform 95% of my surgeries avoiding the use of general anesthesia. Mild sedation and local anesthesia are by far preferable, in my opinion. The advantages to avoiding general anesthesia include minimizing the chance of postoperative nausea and vomiting, decreased cost, elimination of risks involved with general anesthesia, the ability for the surgeon to have a patient move their face into the correct position during the procedure and a few other technical aspects. General anesthesia is simply not necessary for this procedure. Mild sedation is helpful, but the procedure can easily be done with no sedation at all. For neck or chin liposuction, I prefer to give my patient a small amount of sedation, but I have no problem using local anesthesia only if patients prefer not to get sedated. Best of luck,Mats Hagstrom, M.D.

Gerald Wittenberg, MSc, DMD (retired) · Answer

The way that liposuction is accomplished is with a back and forth movement of an instrument below the skin surface. The actual procedure is not painful, but the movement is a bit disturbing/mechanical. Sedation is safe and the medications dissipate rapidly so I would recommend that approach; rather than 'feel' the movement.

Anesthesia options for chin and neck liposuction? (photos)

Answers (10)

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