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Case Reports
. 2022 May 1;27(3):e257-e264.
doi: 10.4317/medoral.25122.

Complications associated with submental liposuction: a scoping review

D-A Diniz  1 , K-K Gonçalves, C-C Silva, E-S Araújo, S-C Carneiro, C-A Lago, B-C Vasconcelos
Affiliations
Case Reports

Complications associated with submental liposuction: a scoping review

D-A Diniz et al. Med Oral Patol Oral Cir Bucal. .

Abstract

Background: Liposuction is one of the most commonly performed cosmetic procedures worldwide. Complications associated with submental liposuction are rare. However, when they occur they are significant and can cause disfiguring consequences. The objective of this study was evaluated complications from submentual liposuction in literature and description of clinical experience of complication after submentual liposuction.

Material and methods: At first, a scoping review was carried out online search with no time restrictions for complications after submental liposuction was performed in the databases Medline / PubMed, Embase, and Web of Science. The variables analyzed were: age, sex, type of esthetic procedure, anesthesia, complications, time after Procedure, treatment, follow-up care, and sequelae. Then, a case of a patient with submental hematoma after an aesthetic procedure for submental liposuction was described.

Results: Firstly, 539 articles were selected, after application of the inclusion criteria, 4 studies were included. Most cases were female (8:1), with a mean age of 55.77 years. Postoperative complications were found, such as submental depression, submental edema, hypertrophic scar formation, scar contracture, cervical necrotizing fasciitis, Cervico-facial dystonia and transient facial nerve paralysis. The follow-up period for cases ranged from 3 to 12 months. The clinical case presented there was no sequelae.

Conclusions: Submental liposuction requires the surgeon's attention. Anatomical knowledge, correct clinical and surgical management, diagnosis, and immediate approach to adverse situations are points that must be respected in this type of esthetic procedure to avoid more serious complications.

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Conflict of interest statement

Conflicts of interest The authors have no conflicts of interest to declare that are relevant to the content of this article.

Figures

Figure 1
Figure 1
PRISMA flow diagram of the study selection process.
Figure 2
Figure 2
Initial patient care.
Figure 3
Figure 3
Computed Tomography (CT) showing large subcutaneous hematoma.
Figure 4
Figure 4
Outpatient follow-up with 60 days.
See this image and copyright information in PMC

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