Why Consider Rhinoplasty As Plastic Surgery if I Have Lupus?

 If your nose surgery is done for non cosmetic, functional, reasons then it should be covered by insurance. You should discus this with your insurance company.

Lupus has degrees of severity. If it is controlled and you want your nose changed, I see no contraindication to it. I have done aesthetic surgery on a patient with a kidney transplant (not from lupus) with no problems. Her transplant surgeon and immunologist with perfectly fine with her proceeding.
If your internist or family physician are satisfied with your overall condition, go ahead and consult with a plastic surgeon.

It depends on the type of lupus you have. Discoid lupus or systemic lupus are the two types that can be present. It is important that your rheumatologist feels that the lupus is inactive prior to undergoing elective cosmetic surgery. As long as you have clearance from your rheumatologist it is acceptable to proceed with the rhinoplasty surgery.

There are different types of lupus. Get clearance from your dermatologist or rheumatologist. I have done nasal surgery on patients with this problem.
If you're asking if this is plastic surgery, the answer depends on the indications for the operation. For example, plastic surgeons or facial plastic surgeons may operate to correct breathing problems caused by a deviated septum or large turbinates, but this would not be plastic surgery (surgery of form or shape).