Lupus Post-Transplant Patient - Is it possible to have tummy tuck, arm lift, butt lift and to fix my nose?

Congratulations on your impressive weight loss and all that you've endured! Due to your medical history you will need to be evaluated individually to determine if you are a candidate for surgery. You will need to get clearance from your specialists as well. If you are a candidate for the procedures that interest you I encourage you to seek only board certified plastic surgeons and to have your procedure performed in an accredited facility. You may want to consider breaking these procedures into stages for safety and more optimal outcomes.

Thank you for reaching out with your questions. First, congratulations on your weight loss – that's a significant achievement!

The procedures you're considering, such as a tummy tuck, arm lift, and butt lift, are all aimed at removing excess skin and improving contour, which is often needed after substantial weight loss. It's completely understandable that you would want to explore these options after your hard work and dedication.

However, as a patient with Lupus and a history of renal transplant, it's crucial to approach these procedures with additional caution. Lupus, as an autoimmune condition, and the immunosuppressive medications often taken post-transplant can affect your ability to heal and fight infections. This doesn't necessarily exclude you from these procedures, but it does mean that careful planning and close collaboration with your transplant and rheumatology teams would be essential to ensure your safety.

As for your nose, it's also possible to correct a perforated septum surgically. This procedure, called septoplasty, is typically performed by an ENT (Ear, Nose, Throat) specialist or a plastic surgeon with expertise in rhinoplasty. Again, your Lupus and transplant status would need to be considered in planning such a procedure.

Ultimately, the best first step would be a consultation with a board-certified plastic surgeon who can work in conjunction with your other medical providers. They can perform a thorough evaluation and discuss your specific goals, health status, and any potential risks to come up with a plan that is safe and effective for you.

Thank you for your question. I wish you the best of luck as you explore these possibilities. Take care and remember, your health and safety should always be the priority.

Sincerely,
Dr. Katzen