I Am 47 Year Old Diabetic Considering a Breast Augmentation. Can This Be Done?

My BS are pretty well controlled. I am 5'7" and weigh 155lbs

Doctor Answers (15)

I am a 47-year-old diabetic considering breast augmentation. Can this be done?

+1
Hello! Thank you for your question! There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Diabetes is one that is known to have an increased risk for infections and wound healing issues. There are a number of both systemic and local host factors that can contribute to infections. Whether or not diabetics are truly at greater risk and the magnitude of the effect of diabetes on the risk of infection remain controversial. However, there is a known increased propensity to develop infections and delayed healing. Some of the hyperglycemia-related impairments on the immune response include vascular insufficiency, sensory peripheral neuropathy, autonomic neuropathy, and skin and mucosal colonization with pathogens such as Staphylococcus aureus and Candida species.

That being said, well-controlled diabetes should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate glucose control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. Laboratory results such as HgbA1C is a good measure of control. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Measures will be taken to check levels as well as maintain proper glucose control with appropriate fluids and medications. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Breast augmentation candidate with diabetes

+1

Yes, patients with diabetes are able to have breast augmentation. See your regular doctor or cardiologist to make sure that you are medically fit to have anesthesia and see two or more board-certified plastic surgeons in your area for a full  evaluation to make sure you are a good candidate for breast implants.  I hope this helps

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 35 reviews

Breast augmentation is safe for diabetics.

+1

Breast augmentation is safe for diabetics.  I take extra precautions with all of my diabetic patients including:

  1. ensuring good blood sugar control before, during, and after the operation
  2. showering at home with a strong antibacterial soap before coming for surgery
  3. more careful follow-up to ensure good wound healing

Richard H. Fryer, MD
Salt Lake City Plastic Surgeon
5.0 out of 5 stars 80 reviews

You might also like...

Daibetes

+1

i do procedures on diabetics frequently and as long as you are well controlled and have medical clearance things should go fine.  the complication rate is higher but most people accept that.

Jonathan Saunders, MD
Newark Plastic Surgeon
5.0 out of 5 stars 29 reviews

Safe to have breast augmentation with diabetes if well controlled

+1

It is safe for you to have a breast augmentation with diabetes which is well controlled.  You can minimize your fears by discussing your plans with your primary care doctor to get his/her blessing.  Good luck

Vishnu Rumalla, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 73 reviews

Cosmetic surgery in diabetics

+1

The complication rates for diabetics are no different from non-diabetics as long as the blood sugar levels remain normal before, during and after surgery. The main issue is adjusting your insulin does before surgery as you will be without food for some hours before surgery. That should be done in cooperation with direct input from your internist. The situation is actually more complicated if you are not taking insulin. Some of the oral diabetic medications stay active in your body for a few days after you stop taking them which can lead to dangerously low blood sugar levels when you do not eat in the hours before surgery. Also diabetics that do not take insulin can get into a situation where there body produces even less or no insulin after surgery so they have to be watched more carefully after surgery. Very brittle diabetics should have their surgery in a hospital with an overnight stay and a check of their blood sugar levels the day after surgery.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon

Diabetes and augmentation

+1

Diabetes certainly doesn't limit you from having plastic surgery, as long as it is controlled and your primary care physician clears you for the procedure.

Donna Rich, MD
Houston Plastic Surgeon
4.0 out of 5 stars 12 reviews

Diabetes and breast augmentation

+1

In most cases patients with well-controlled diabetes may undergo cosmetic procedures, including breast augmentation, without significant difficulty.   I generally have my patients check with their primary care provider before proceeding with surgery.  Glucose monitoring preoperatively is used to aid in the management of diabetic patients.  Good luck.

Eric T. Emerson, MD, FACS
Charlotte Plastic Surgeon
4.5 out of 5 stars 15 reviews

You can have implants,butthe risk of infection higher

+1

You should do fine. The main thing is well controlled BS and good surgical techniques. The risk of complications is higher in diabetic patients.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.5 out of 5 stars 56 reviews

Breast augmentation is safe, even with diabetes

+1

The key to cosmetic surgery with any medical condition is good control and medical management, and medical clearance to coordinate care with your primary care physician. Yes, breast augmentation is safe, even if you have diabetes.

Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 28 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.