Breast Reduction: Q&A
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Diabetes and Breast Reduction
Hi Im a 42 yr old ,and use insulin for my diabetes. I was wondering how my diabetes will affect surgery/ results? I have 48 DD/ E breast. I have been this size since I hit puberty at age 11. I have wanted a breast reduction most of my life. I have back, neck and shoulder pain. I also have deep grooves on my shoulders and often have rashes under breast. My biggest concern is nerve damage/ sensation and scaring.
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16 Doctor Answers |
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bigboobiesco
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Breast reduction in diabetics
Diabetics may undergo a breast reduction without complications if their diabetes in under control. Many diabetics have peripheral neuropathy, which decreases sensation of the areolas. If you have areola numbness now, it is possible that you may have areola numbness afterwards from the diabetes. With a new technique (The Ultimate Breast Reduction) often the areola sensation can improve. Shoulder, neck and back pain can also improve with this technique by the breast...
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Diabetes
My only concern would be adjusting the insulin doseprior to surgery to avoid intro prestige hypoglycemia. You should discuss the issue with both your surgeon and anesthesiologist per operatively. The effect on healing and circulation to the skin and nipple will probably be negligible, although your surgeon might recommend antibiotics to reduce the risk of infection. Overall the operation can be done quite safely in your case.
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Breast Reduction can be done on diabetic patients
Proper clearance form your internist,controlled diabetes and you should be fine to undergo a breast reduction. Patients with diabetes are at a higher risk of infection and with the right antibiotics and a close watch on the recovery you should heal without complication. Nerve damage/ sensation is unlikely. There will be scars that are red at first however those scars should heal into fine white lines.
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Diabetes and Breast Reduction
Dear bigboobiesco,
This is not an uncommon situation and one that can be successfully addressed by getting everyone to work together as a team. This means getting the doctor who is managing your diabetes to evaluate and clear you for surgery. The anesthesia team needs to be consulted and prepared to manage your diabetes' needs before, during, and after surgery. The plastic surgeon needs to be willing to see the patient on an increased level to ensure the wounds are...
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Breast Reductuon safe with diabetes?
We refuse to perform cosmetic elective surgeries on insulin users because thay all get some degree of wound healing problems. That said, you probably would be better off without the rashes which eventualy will cause an infection anyway. Large breasts all have decreased sensation around the nipple already. All methods of reduction will aggravate that.
If you will reign yourself to accept the high probability of wound healing problems you will in the end be very glad you did it....
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Breast Reduction Can Be Performed Safely For Women With Dabetes.
Breast reduction can be performed safely for women with well controlled diabetes. Your primary care physician will play a vital role in a successful outcome. Preoperative evaluation including history, physical examination and laboratory tests (including hemoglobin A1c) will help to determine if you are a candidate for the procedure. Additional cardiac testing may be required to determine if you are medically cleared for the procedure. Your primary care doctor will...
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Diabetes and breast reduction
Patients with diabetes have risks of complications. If you want to go ahead with surgery, your diabetes should be well controlled to minimize the complication rate.
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Diabetes and Breast Reduction
We frequently run into this situation, that is a diabetic patient who wishes to undergo elective surgery. Assuming your Hemoglobin a1C is at a good level and your doctor caring for your diabetes is on board, you should be able to undergo the surgery. You may be at a slightly higher risk of infection and in my practice we keep our diabetic patients on antibiotics before and for a few days after surgery. You should not be at any more risk for scarring or nerve damage than a non-diabetic...
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Diabetes and breast reduction
While diabetes, especially insulin-dependent diabetes, can generally affect healing and infection rates, when planned carefully and with the diabetes under control diabetes in of itself is not a contraindication from breast reduction. Make sure your surgeon and internist/endocrinologist communicate with each other to optimize timing and insulin dosage.
Robin T.W. Yuan, M.D.
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Breast Reduction in a Diabetic
Breast reduction would probably help your back pain and rashes and your diabetes, although it will increase the risk of infection or delayed wound healing slightly, should not be a reason for you not to have the surgery. The doctor managing your diabetes and your plastic surgeon will need to work together to make sure you are in the best possible shape for the surgery. Good luck to you.
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