I’ve been invited to a botox party. Should I go? I’m 3 months pregnant. Steph

Hi Steph, I’m assuming you’re talking about a social gathering at which Botox injections are given.   It might seem like a comfortable way to get Botox treatments, sometimes at reduced rates but the party might not have measures in place to ensure safe and effective treatments. Botox should be used only under a doctor’s care. While Botox injections are relatively safe when given by an experienced doctor, side effects and complications can occur — including pain and bruising at the injection site and temporary muscle weakness.  Alcohol is often served at such gatherings and it bears mentioning that drinking before getting Botox injections can increase your tendency to bruise afterward.  Most experts recommend having cosmetic procedures, including Botox injections, in a doctor’s office. I suggest that you ask for a referral from your primary care doctor or look for a doctor who has experience with Botox treatments.  Botox is made from human plasma (part of the blood) which may contain viruses and other infectious agents. Donated plasma is tested and treated to reduce the risk of it containing infectious agents, but there is still a small possibility it could transmit disease. As such, it is not known whether Botox will harm an unborn baby. Also, Botox can pass into breast milk and may harm a nursing baby.

What is a chemical peel? Am I good candidate for one? I’m originally from East India. Sonali


Hi Sonali, There are three basic types of chemical peels that provide varying penetration, from mild (penetrates outer skin layer for gentle exfoliation; aka alpha-hydrolic acid); medium (gets to the outer and middle layers of skin to remove damaged skin cells; aka glycolic acid); and deep peel (aka tricholoracetic acid) deeply penetrates middle layer of skin to remove damaged skin cells).  Each has its PROs/CONs:  Mild Peel: used to refresh the face, neck, chest or hands; Medium Peel:  used to improve age spots, fine lines and wrinkles, freckles and moderate skin discoloration; and Deep Peel:  used to remove moderate lines, age spots, freckles and shallow scars; provide a dramatic improvement in skin appearance; can be used only once.  Chemical peels are usually indicated for those with fair-skin and light-hair and it should be remembered that skin sags/bulges/wrinkles do not respond well to chemical peels.  These are better addressed by other kinds of procedures such as laser resurfacing, facelifts, brow lifts, eyelid lifts or soft tissue fillers.  Please consult a dermatologic surgeon to see which peel and/or procedure will address your concerns.

What causes cellulite? What treatment can I have done to take care of it? Cottage Cheese

Hi Cottage Cheese, Cellulite is nothing more than normal fat beneath the skin.  The fat appears bumpy because it pushes against connective tissue, causing the skin above it to pucker.  It is caused by poor diet, slow metabolism, and lack of physical activity, hormonal changes, and dehydration. There are many products and treatments that promise to get rid of cellulite on thighs and buttocks. But there is little evidence that shows that many of them work well or for long. Cellulite creams that contain aminophylline are said to dissolve fat and smoothen the skin. There is no scientific evidence that these creams are effective against cellulite, and for some people, they can be harmful. Their apparent effect on cellulite may be due to narrowing blood vessels and forcing water from the skin, which could be dangerous for people with circulatory problems. Then there’s liposuction, a surgical procedure to remove fat deposits from the body. Liposuction, though, removes deep fat, not cellulite, which is just beneath the skin. You should have a board certified doctor or see the area in question to decide whether liposuction is better for you.

How can I tell my nose is broken?

Hi thanks for your question.  If you’re experiencing pain in or around your nose,  have swelling or bleeding, a stuffed nose that could point to blocked nasal passages, bruising around the nose and eyes or if you hear a rubbing/grating sound when moving the nose, it is possible that you do have a broken nose.  You didn’t mention how you hurt yourself, nor your age.  Some groups are predisposed for a broken nose – these are children and older adults – which both have bone health concerns and experience falls more than other age groups.  Once diagnosis and/or an x-ray confirms that you have a broken nose, corrective surgery (a closed reduction, rhinoplasty, and septorhinoplasty) will be done 3-10 days after the injury, once swelling subsides.  If it’s a minor fracture without misalignment, medical treatment may not be needed. Regardless, surgery can only happen within 2 weeks of the injury, and pain/discomfort from the surgery will decrease within 3 days of the surgery.

I’m having nose surgery but am afraid of needles. I’m worried about how anaesthesia will be administered. I’m also afraid of the blood panel they usually take before surgery — Is this test necessary? Karen R.

Hi Karen, thanks for your question.  Fear of needles is more common than you’d think.  You can try twilight anaesthesia which is like an intravenous valium; once you awaken from being under it, you won’t experience nausea, a headache or a hangover.  This is the same anaesthesia given IV (Intravenous) during a colonoscopy called propofol. Some patients prefer this type of anaesthesia because it reduces bruising compared to general anaesthesia. It is extremely safe, and patients often feel great after surgery just like they had a great night’s sleep.  Sorry but the blood tests are necessary to do to test for diabetes, urinary infections, bleeding disorders, etc. before the surgery.  While blood can be extracted from other parts of the body, the blood it will yield will be “old” i.e., at least 20-35 minutes old which means it may not have an accurate reading of your blood glucose.