I'll have to try this out, but I think you're spot on with both points. Techniques like that do have that risk of face-planting. Heck, look for videos of drop seoi nage in Judo competition - even those folks sometimes get an ugly landing out of it. It's a strength and weakness for sutemi waza - there's very little control once you get going, because you commit your whole weight into it. As for the grip, it probably can be done on skin, but sweaty skin would be a problem. I'm sure I can do it without the sleeve grab, so long as the fabric is there to provide grip. Offhand, I'm not sure about doing it without the fabric. It might be possible to get enough purchase in the crook of the elbow to at least get them into a full stumble (sufficient for the purpose, and should provide other opportunities, if only to get up), but I'd need to try it out.