Michalynn Farley, MD

Bumps this long after Botox are NOT normal. Usually, injection of Botox in larger amounts (5-10 units) over the medial brows like you have would resolve within 30-60 minutes, if not less. You state it was also painful which can mean a few things: 1. the injector may have gone through the network of blood vessels in this area & caused some deep bruising or inflammation; 2. the needle may have impacted the periosteum by accident, which is painful, & caused inflammation at the site. If this was more recent I would have recommended icing the area 20 minutes on, 45 off. However, I do not think this will help now that you are almost two weeks out. You have good instincts, though, I recommended following up with your plastic surgeon just as you are doing. Please, let us know what he says.

Thank you for the question, Pink Sparkly Penguin (I had to put that in, it's fantastic!). Your liposuction results are unquestionably subpar & I am so sorry that this has happened to you. Given that, I would still recommend talking to your original surgeon about re-treatment free of charge. However, if you just want to wash your hands of the experience, Coolsculpting would definitely give you the results you want WITHOUT having to undergo surgery again. Coolsculpting is still the #1 FDA approved, non-surgical, non-invasive fat reduction procedure in the U.S. that also has NO downtime. I would recommend finding a Coolsculpting certified practice in your area that offers free consultations. Based on your pictures, you will want your upper & lower abdomen treated aggressively at a first session & then again in a second session 30-60 days later. This is called Treatment to Transformation and provides the best results overall. Good luck PSP! If you have any further questions, please feel free to send me an inquiry.

There is no reason that you can not have Coolsculpting done, especially as you are more than 1 year out from your surgery. Coolsculpting is non-invasive & has no downtime. I disagree with Dr. Grossman, however, as the number of treatments is entirely dependent on your body. If you have very little fat, you may require 2 treatment. If you have a lot, you may need 3 or 4. I suggest you go in to a certified Coolsculpting practice to have a personal consultation, which will give you the exact number of treatments (and cost) you need.

That's a great question & I'm sure others would like to know. Coolsculpting is safe prior to surgery, although I do recommend having the treatments done at least 1 month prior. One caveat: Coolsculpting treatments in the same areas as your intended surgery should be discussed with your surgeon first. If you are considering liposuction, I would also discuss this with your Coolsculpting specialist as Coolsculpting is very often a great adjunct to liposuction. After my own tummy tuck I had Coolsculpting to smooth out the 'lumps & bumps' that can be left behind. Hope this helps, & good luck with your upcoming transformation!

Hello Mrtkd95 & thank you for providing pictures. You're near your ideal weight & it appears you have stubborn external fat on the abdomen & hips/waist. Personally, I don't feel you require liposuction or any other surgery. You are a perfect candidate for Coolsculpting. Honestly, you have a beautiful shape that whichever procedure you choose will enhance.