Will a fat transfer work with lupus?

Question

So I have lupus and hashimotos disease. Due to the hashimotos slowing down my metabolism, I’ve gained almost 50lbs more than my regular weight. I decided I want to get lipo, I can’t stand my body, however I was talking with friends who have lipo and they said fat transfers don’t work with lupus, that out bodies will absorb the fat? I have a cousultation in 10 days but I wanted other opionins, it’s an extra $6000 so before I commit I want to get some expertise.

Daniel Barrett, MD · Answer

Dear alexab2313,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Mats Hagstrom, MD (license on probation) · Answer

Lupus can be a pretty serious condition and most likely plastic surgeons will for sure want clearance from a rheumatologist. 
Thyroid levels should be able to be managed with appropriate care dialing in normal thyroid levels.
There’s nothing inherent about lupus that prevents patients with the condition from having fat transfer.
That send delivering consistent quality liposuction and fat transfer results is more difficult than most people believe.
Also, some people are excellent candidates and others are not good candidates for the procedure.
Someone could be a good Liposuction candidate but not a good fat grafting candidate, vice verse or both. 
For these reasons it’s important patients get quality and accurate assessments as well as find the most talented and experienced providers.
You may want to begin the process by talking to your rheumatologist since you were most likely need clearance from the doctor for the procedure.
At 50 pounds overweight, weight loss should probably be first on the agenda.To find the best provider I suggest having multiple in person consultations. During consultations ask each provider to show their entire collection of before and after pictures for the procedures and areas you’re interested in treating.
Ask the provider to show as many before and after pictures of patients with similar body characteristics to your own.
Simply seeing a handful of pre-selected pictures which must likely represent the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
For fat transfer results make sure that after pictures were taken at least three months from the date of the procedure.
Early fat transfer results can look very impressive but do not at all represent final results.
An experienced provider should have no difficulty showing you a minimum of 50 sets of before and after pictures. Highly experienced surgeons will have hundreds or even thousands.
You may or may you may not be a good candidate for the procedure. Likewise lupus may or may not be a contraindication for elective cosmetic surgery.
Delivering consistent quality results with Liposuction and fed transfer is more difficult than most people believe.
Getting an accurate assessment and finding the most talented provider are the two most important variables other than confirming that having elective surgery is acceptable with your underlying medical conditions.
Best,
Mats Hagstrom MD

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