I Had a Liver Transplant 2 Years Ago. I Am in Excellent Health. Could I Get Liposuction on Thighs?

   If medical clearance can be obtained, liposuction of the thighs is probably reasonable.  The risks are increased in this scenario, and the liposuction should probably not be as extensive as one would ordinarily perform.  Kenneth Hughes, MD Los Angeles, CA

Patients with medical problems, including those with organ transplants, can undergo cosmetic surgery safely with appropriate precautions.  We have assisted patients with kidney transplants, liver transplants, diabetes, lupus, hepatitis C, and other conditions undergo safe and effective procedures.  If you have an organ transplant, it is important to select more limited procedures and have your transplant physician clear you for surgery.  Your immunosupressive medications need to be evaluated, and appropriate antibiotics should be used. 

Hello,

I have performed breast augmentation, abdominoplasty and liposuction on previous transplant patients without a problem.  Although immunosuppressants do not interfere with healing because they are usually very low levels, there is always an increased risk of infection. In your case we would want to make sure that your liver function is normal for both the processing of anesthesia and also the production of clotting proteins.

You can choose the type of anesthesia you want, but recommend a little sedation with local numbing.

Best of luck!

This is a great question and one I hear occasionally.  Unfortunately, having your immune system suppressed so that your transplant does not get rejected means that you are more prone to infection.  We like our cosmetic patients to heal well, and unfortunately you are at significant enough risk, being immunosuppressed, that you may not.  Basically, the risks do not outweigh the benefits.  Best of luck to you. 

I have performed cosmetic procedures on patients with transplants in the past.  It was with a coordinated dialogue between me and the transplant doctor, as the medications might need to be adjusted for a temporary time while you heal.  You need to discuss your desires with your plastic surgeon and be able to understand what realistic goals can be achieved.