Wide debridement of infectious or malignant lesions can require creative reconstruction with skin and muscle flaps. Collaborative care including the plastic and transplant surgeons will afford optimal patient outcomes.

Demand for cosmetic surgical procedures has been relatively low among the transplant recipient population. While the impact of appearance on quality of life should not be underestimated, the benefits of such elective interventions must be carefully weighed against the risks of infection and poor wound healing in the transplant setting.

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