Your surgeon was correct. You can have liposuction prior to semaglutide weight loss. It will help remove those stubborn areas. Semaglutide will be an excellent option to help you maintain your new contour. You can find a provider who can dispense compounded Semaglutide to you for a lower cost per month then the prescription version. I recommend you seek someone who has advanced Obesity Medicine training to guide your program. Good look!
It is very unlikely that you would get necrosis or fat embolism with filler injection unless your provider is placing the filler under the muscle. If you want to be ultra-cautious, seek a provider who can place your filler under ultrasound guidance. This is important for surgical and non-surgical BBL. Ultrasound will ensure that your filler is placed above the muscle and outside of a blood vessel.
Botox will definitely work for underarm hyperhidrosis. The injections need to be tightly spaced and injected at the right depth. Also make sure they are using Botox or Dysport. The other toxins will not work as well or last as long. In addition, there is a better option....Miradry. Miradry permanently stopped underarm sweat and odor in two treatmemnts. Most of my patients have stopped axillary Botox and received Miradry treatment with immediate and long-lasting results.
Scotox can be very effective but the cost may be prohibitive. You will need between 50 and 100 units. I would try this above using toxin filled antiperspirants. Scrotox will only be locally active and should be safe if injected by a skilled provider.