@heyho12345
, that's a very interesting question.
We all know that certain issues in medicine are not black and white.
Lichen nitidus, as you know and may be experiencing, often manifests with those tiny papules in the shaft's skin, so patients need to be aware of that and be open to unlinking possible associations with the fillers used for phalloplasty.
More than the lichen itself, I would be worried and looking for associated or underlying diseases to have a clear clinical picture before proceeding with phalloplasty.
The list of possible contraindications for nonsurgical phalloplasty can go on and on... that is why we classify our prospects as "ideal, less than ideal, and disqualified." Exceptions happen, though, and that is the reason why every individual prospect needs his personal clinical assessment.
DrC Avanti Derma