David Branch, MD

Thank you for your question. There is no problem with the Botox itself after dying your hair, but the chemicals from the hair dye may or may not irritate the injection sites, which could lead to discomfort in the area. I would recommend waiting a few days just in case. Hope this helps.

Thank you for your questions. Mild swelling post Botox treatment is common, but considering this is day 3 your symptoms should be subsiding by now. It is very unusual to have these symptoms after Botox. In your case, the swelling might be an incidental issue unrelated to the Botox- though I recommend a follow up with your injector. Avoid sleeping face down or sideways and use a few extra pillows to keep your head elevated. In amy case- Botox is temporary and any effect will wear off. A true allergy is rate, but if this happens at your next injection this may be the case. Hope this helps.

Thank you for your question and congratulations on your weight loss. Typically these procedures need to be broken up based on time restrictions. The proximity of your incisions also play apart for optimal healing. For example- an abdominoplasty and thigh lift ideally should be spaced out as the incisions are close together and may impact healing. Different providers have different opinions, though, as well as different time restraints. You may also want to think bout recovering from all of these procedures at once vs. separating into 2 different surgeries- especially if you have other medical conditions that may put you at increased risk. Hope this helps.

Thank you for your question, and congratulations on your weight loss. Massive weight loss certainly impacts your BMI-which can be a helpful tool. However-as long as you are healthy and a good candidate for surgery this should bot be a problem. The question when BMI is discussed generally is if there is a concern about safely under anesthesia. Results can certainly be better with a BMI slightly above 25 than below. It's important to manage expectations however, and therefore it is important to discuss with a provider that can do a full in person assessment. Hope this helps.

Thank you for your question. Prior to discussing any surgery I would recommend ensuring your weight is stable at least 6 months. If you have been stable for some time now you are likely a candidate for both. Please know that a full in person evaluation would be best. In general, the extended abdominoplasty would address your belly. If you are fine with just that then that may be all you need. A circumferential lift would tighten the outside of your thighs mostly ( it does not appear that you have oa lot of loose thig skin ) It also can add volume to the buttocks if this is of interest to you. And of course, it is always possible to do the extended followed by the lower body lift should you desire. Good luck.

Thank you for your question. I am assuming that this was fairly recent as you state you also had back lipo 8 months ago. Do keep in mind that it takes a full year to completely heal. Rippling and tighhness with improve with time. I recommend waiting until you are fully healed then addressing any concerns at that time.

Thank you for your question. It is difficult to provide recommendations without an in person exam. With history of weight loss you likely have loose skin which would not be improved with lipo alone. Your skin is also unlikely to shrink after lipo with any stretch marks. The best way to remedy loose arm skin would be brachioplasties. This would provide the most tightening. Hope this helps.

Thank you for your question., Ideally, the best place for a somewhat hidden incision is underneath the arm. Where a seam in a shirt is. This way, the incision is more hidden and will transition into the armpit. Either would be fine, it's mostly provider preference and how they were likely taught. Good luck!

Thank you for your question. The pigmentation may still change as things continue to heal-which takes 1 year. If hyperpigmentation persists, areola reduction my be an option. It is possible that you were allergic to the suture used, so I recommend you request different suture. Keep in mind that there is still risk of uneven pigmentation even if you did not have a blister reaction. Hope this helps.

Thank you for your question. The healing process does take a full year-though looking at your photo it is likely that the smaller nipple has had quicker reactivity and sensory return. It is likely that the smaller nipple can stretch to the size of the other. You may require another nipple reduction-though I recommend waiting at least another 6 months before another procedure to allow things to heal. Ensure you are wearing a bra with good support. Hope this helps!