Tummy Tuck: Q&A
Ask a QuestionCan a Type 2 Diabetic Undergo Tummy Tuck?
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13 Doctor Answers |
Asked by
bamasmith
in Smiths Station, Alabama
+3
Diabetes and Abdominoplasty Tummy Tuck: Complications and Caveats. Insulin and Glucose Control
Abdominoplasty techniques are useful in the management of abdominal wall laxity, and redundancy of skin and fat along the lower abdomen.
There are several things to consider in planning an abdominoplasty.
Anesthesia Risk
Surgical Risk
Postoperative Complication Risk
Always choose a well qualified, board certified plastic surgeon to perform your abdominoplasty operation. Second, never cut corners on anesthesia, surgery center, or surgical care. Choosing the best plastic surgeon...
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+3
If your condition is well controlled, surgery is OK
Many people wanting elective cosmetic operations have an underlying medical condition such as diabetes, high blood pressure, or heart disease. The bottom line is: if your disease is under control, surgery should be a reasonable option. But the emphasis goes on the first issue, control of your underlying disease. So, if your blood sugars are well controlled, you shold be able to have a tummy tuck. There are few things, however, that should be attended to.
If you are overweight, you...
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+2
Type 2 Diabetes is not a contraindication for surgery on its own.
Having type 2 diabetes is not a contraindication to having an abdominoplasty on its own. However, it is advisable to only undergo this type of procedure if your blood sugars are well controlled. You should inform your surgeon of how your blood sugars range and what your A1C's run. You may need to undergo further medical workup including an EKG or a treadmill test and medical clearance. Your blood surgars should also be well controlled to also achieve better wound healing. Good luck....
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Diabetics can undergo cosmetic surgery with extra care.
Diabetics can undergo cosmetic surgery if they are in good control of their sugars. Even with this diabetes does increase the risk of infection and so you will need clsoe monitoring of your sugars after surgery. These are concerns that you should discuss with your primary care doctor as well as your plastic surgeon. That said with close monitoring and good communications between you, your primary care doctor and your plastic surgeon you should be able to consider cosmetic surgery....
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+2
Yes, but control is important
I agree that your diagnosis is not as important as the degree to which your diabetes is controlled in the period around your surgery. If your blood sugar is under good control on a stable dose of oral hypoglycemic, you should be at low risk of problems after surgery (although your risk would still be a bit higher than the general population). Managing your blood sugar after the surgery will also take extra care, as Dr. Di Sala mentions, so I would be prepared to take extra blood sugar...
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+2
Yes
As Dr. Seify accurated commented, type II diabetics can safely undergo tummy tuck surgery - with proper precautions. Careful pre-operative evaluation is necessary to make sure the procedure is tolerated without incident. Fastidious sugar management is important. Diligent post-operative care is a must.
That being said, I've done tummy tucks - even body lifts - on Type II diabetics, and they have all done well.
Good luck with your research!
Dr. Kaufman
+2
Not a contraindication but ...!
Type 2 Diabetes by itself is not a contraindication for surgery but the following needs to be addressed:
1-Your blood sugar level should be under control. Clearance from your family doctor is a good idea.
2-Full labs and EKG.
3-Since the stress of surgery will increase the requirement for the insulin hormone. An overnight stay at a medical facility with nursing supervision might be a safe thing to do.
It is not uncommon to switch to Insulin in the first few days after surgery.
4-In general...
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+1
Tummy tuck in type 2 Diabetes
Clearly you are at elevated risk for any surgical procedure and it does come down to your risk tolerance ratio.
Many would advise you forego the abdominoplasty and liposuction. The possibility of wound healing problems, clotting, heart disease, etc would outweigh the benefits.
Others might recommend a compromise procedure such as a panniculectomy which is less complicated than a full tummy tuck.
In any case you should optimize your health prior to undergoing any elective...
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+1
Diabetics can have cosmetic surgery if their health is stable.
Being a diabetic does not disqualify a patient from elective cosmetic surgery outright. However, there are increased risks and if the medical conditions of the patient are excessive, the surgeon would advise the patient against surgery. I have operated on many diabetic patients who, besides the controlled diabetes, are in good health.
+1
Diabetics CAN undergo Cosmetic Surgery
Having diabetes does NOT disqualify you from having Cosmetic Surgery, having the complications of diabetes and associated diseases would raise the risk factors considerably. If your diabetes is well controlled (your HgBA1C is normal or close to it) and you do not have silent heart disease, there is no reason why you cannot have a safe cosmetic surgery.
For this reason, I would recommend that you have a cardiologic work up and be cleared by your Internist for this procedure...
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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.
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