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*Treatment results may vary
Excellent Cosmetic Results but with a Rare Temporary Complication
I had chin liposuction performed by Dr. Ronald Friedman, and cosmetically, the results are fantastic. The contour of my jawline and neck is exactly what I hoped for—natural, smooth, and flattering. Dr. Friedman was extremely professional, attentive, and upfront about the potential risks involved with the procedure.
Unfortunately, I was one of the rare cases who experienced a significant complication: smile and lip paralysis. While this can sometimes be caused by local anesthetic wearing off slowly, mine was more severe. Immediately after the procedure, I had difficulty swallowing and even breathing due to the extent of the facial nerve involvement.
Dr. Friedman and his office responded with great urgency and care. They brought me in for extra follow-ups and were extremely supportive and concerned throughout the recovery process. I never once felt dismissed or brushed off, and that kind of attentiveness made a difficult experience more manageable.
The paralysis itself was emotionally and functionally challenging. For nearly three months, I couldn’t smile normally—only my upper gums would show, with no visible teeth. I had a pronounced lisp due to limited lip mobility and often told people I had dental work done to avoid explaining the truth. My smile was asymmetrical for months, almost resembling facial palsy, and I had no noticeable improvement for the first eight weeks. Around weeks 8 to 12, my facial nerves slowly began to recover, and by month four, my smile had become much more natural and symmetrical.
Now, at eight months post-op, I would say I’m about 95% back to normal. There is still a bit of tightness in the lower right side of my lip that makes certain movements feel slightly restricted, but it’s minor compared to where I started.
Dr. Friedman did warn me about the possibility of nerve issues beforehand and never downplayed the risks. I truly believe I was just one of the unlucky few to have this rare side effect. If not for the complication, I would recommend this procedure without hesitation. Given the level of care I received throughout, I still believe Dr. Friedman is a skilled and compassionate surgeon. Just be sure to go in informed, as I did, and prepared for both the potential benefits and risks.
Unfortunately, I was one of the rare cases who experienced a significant complication: smile and lip paralysis. While this can sometimes be caused by local anesthetic wearing off slowly, mine was more severe. Immediately after the procedure, I had difficulty swallowing and even breathing due to the extent of the facial nerve involvement.
Dr. Friedman and his office responded with great urgency and care. They brought me in for extra follow-ups and were extremely supportive and concerned throughout the recovery process. I never once felt dismissed or brushed off, and that kind of attentiveness made a difficult experience more manageable.
The paralysis itself was emotionally and functionally challenging. For nearly three months, I couldn’t smile normally—only my upper gums would show, with no visible teeth. I had a pronounced lisp due to limited lip mobility and often told people I had dental work done to avoid explaining the truth. My smile was asymmetrical for months, almost resembling facial palsy, and I had no noticeable improvement for the first eight weeks. Around weeks 8 to 12, my facial nerves slowly began to recover, and by month four, my smile had become much more natural and symmetrical.
Now, at eight months post-op, I would say I’m about 95% back to normal. There is still a bit of tightness in the lower right side of my lip that makes certain movements feel slightly restricted, but it’s minor compared to where I started.
Dr. Friedman did warn me about the possibility of nerve issues beforehand and never downplayed the risks. I truly believe I was just one of the unlucky few to have this rare side effect. If not for the complication, I would recommend this procedure without hesitation. Given the level of care I received throughout, I still believe Dr. Friedman is a skilled and compassionate surgeon. Just be sure to go in informed, as I did, and prepared for both the potential benefits and risks.
Provider Review
