Risks of Plastic Surgery on Patient with Lupus and Fibromyalgia

Patients should always work with their surgeons so that they can work together for the best result.  Many times, it may require coordination between the surgeon and the physician taking care of the autoimmune disorder to help optimize a patient for surgery.  This may include cessation of any medication which impairs wound healing.

Cutaneous lupus should be under control and stabilized with clearance by the dermatologist or rheumatologist  before considering a facelift. I would modify the operation by performing a deep plane or composite elevation of the skin and platysma for better vascularization of the flaps with limited underminingMichael  Eisemann M.D.Plastic SurgeonHouston, Texas