Selena Gomez has publicly addressed and dismissed rumors about undergoing extensive plastic surgery, stating that she has only had Botox injections and asking to be left alone. The rumors resurfaced after a TikTok video by physician assistant Marissa Barrionuevo, who analyzed Gomez's changing appearance but refrained from speculating on cosmetic procedures, citing Gomez's lupus as a possible cause. Gomez expressed her frustration with the ongoing speculation and received an apology from Barrionuevo, who acknowledged Gomez's medical challenges and emphasized that she doesn't owe explanations for her appearance changes. Gomez's comments highlight her struggles with lupus, an autoimmune disorder diagnosed in 2014, which has significantly impacted her health and appearance.