Alan Matarasso, M.D.
I am 12 weeks pregnant and have been getting Botox treatments between my eyebrows regularly for the past year. I would like to know if this is still safe throughout my pregnancy.
Although Botox has a long history of safety, there is a lack of study data on any possible effects of Botox on a developing fetus when it is administered to women who are pregnant. According to Nancy Grondhuis, Principal Medical Information Specialist at Allergan, the company that manufactures Botox, the standard recommendation is to avoid Botox injections in women who are pregnant or lactating since definitive data is not available.
Your treatment with Botox does not represent a medical necessity, and I would recommend discontinuing its use until the pregnancy, lactation or any other circumstance with the potential for transmission to your baby is finished. Before resuming treatment, you might want to further discuss this with your plastic surgeon and obstetrician.
I have had a consultation for liposuction throughout my legs and stomach. I also want to have breast implants. Is it safe to have both procedures done at the same time? What are the increased risks?
There are many factors that influence safety. In general, depending on your specific requirements, these two operations can be performed together. There are risks related to each procedure alone, the combined surgery and the anesthesia that should be discussed in detail with you at the time of your consultation.
I have what my gynecologist calls excess breast tissue in my armpits. I am 42 and very self-conscious, especially when I wear a swimsuit or sleeveless top. I have never read anything about this and wanted to know if there was a procedure to remove it.
People with this condition may be treated, but the specific technique, as well as the degree of improvement, depends on a number of specific factors. How much of this excess is fat, mammary gland, muscle and/or skin must first be determined. You are correct that there is not a lot of patient education information about this condition or its treatment, but a board-certified plastic surgeon can help. I recommend that you seek evaluation by an ASAPS member in your area.