Is Tummy Tuck Safe for Patient with Diabetic Complications?

The first thing to do, as others have mentioned, is to get a medical evaluation to see if you are for surgery. This can be done by your endocrinologist or your internist. The problem of angina needs to be sorted out before any other issues are tackled. If you have an apron of skin, lipostructuring will not address your problem, which is skin excess. In fact, lipo may make the skin apron more loose. A panniculectomy can be done expeditiously and safely. With today's tumescent local... more

It is clear that you need all these medical problems addressed first. History of angina is very different from reccurent chest pains that are not investigated properly. Well controlled blood sugar is very different from a diabetic with ketoacidosis..etc.. Bottom line is : You need to get a medical clearance first .Once all issues addressed, your surgery should be performed in a hospital seeting with overnight stay. Best of luck!

Hi. In New York, we don't do elective surgery on patients with active angina.  Perhaps, your angina can be treated with different medicines or with coronary stents. If your angina stabilizes, you can have the apron removed with a panniculectomy, which is safer and quicker than a full tummy tuck.

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 surgical procedure.... more

I am more concerned about your angina than your diabetes. That being said a thorough evaluation by your internal medicine doctor and cardiologist in concert with your plastic surgeon can determine your true risk benefit for proceeding with surgery. If an apron of skin is present liposuction will not make this any better. In fact a deflated apron of skin may hang more as the skin has lost its elasticity and will not contract significantly. the team approach to your care will yield the best... more

 Having diabetes and angina are not good predictors for positive outcome from surgery.  You really need to see your primary physician and have complete medical clearance prior to surgery.  

Diabetes on addition to the other medical issues you have does not preclude you from having a tummy tuck. However, it does put you at increased risk for wound complications and potential cardiac risk. You would require a thorough evaluation from your primary doctor and possibly a cardiologist. if they were to clear you surgery might be possible. Given you "drape" of skin liposculpture (which is synonymous with liposuction) will be inadequate. You most likely would require a tummy... more

Diabetes has negative consequences on healing after tummy tuck, and in combination with angina, does put you at some risk for surgery. It's important that you are aware of that prior to surgery. That being said, with proper control of glucose levels, and optimization of your heart disease, you may be a candidate for abdominoplasty. An apron of skin, as you describe, will not respond well to liposculpture. Your first step should be an evaluation by an internist to determine whether you... more