I am 60, 5 ft and 138. I have diabetes controlled by metformin. Am I a good candidate for a TT?

Doctor Answers 10

I am 60, 5 ft and 138. I have diabetes controlled by metformin. Am I a good candidate for a TT?

Well controlled diabetes is not a contraindication to tummy tuck surgery and/or other elective plastic surgical procedures. Always best to check with your primary care physician or endocrinologist for “medical clearance” prior to surgery. Managing your sugar level  around the time of surgery (to avoid hypo as well as hyperglycemia), while you will have altered oral intake, will be important. I hope this, and the attached link, helps.

San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

Diabetes and Tummy Tuck

Thank you for your post. Diabetes is a disease that should demand a healthy respect from both surgeon and patient in plastic surgery. It is a disease that affects the immune system and can increase the risk of infection, a disease that affects the healing potential of a wound and can cause opening of a wound, and is a disease of the circulation that can lower the blood flow to the operated tissue and cause necrosis or tissue death. This needs to be managed as follows:

1. Tight blood glucose control with diet, exercise, and medication. You need to see your internal medicine doctor regularly and make sure your diabetes is well controlled.
2. If you are overweight, then losing weight decreases your risk in tummy tuck surgery or any other surgery for that matter.
3. If you have high blood pressure, this needs to be managed and well controlled by your internal medicine doctor as well.
5. Consider with your surgeon HyperBaric Oxygen therapy pre- and post-op.
6. Make sure you understand from your surgeon and anesthisiologist what medications you should take or not take prior to surgery.

It is very possible to have a great outcome as a diabetic following tummy tuck surgery, but minimizing the risk is the most rational way of accomplishing this.

Best Wishes,
Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 48 reviews

Diabetes and #Tummy-Tuck can be done with proper pre-op work-up!

Diabetes can affect the blood vessels when performing tummy-tucks, breast lift and facelift surgery. If your diabetes is controlled, if you are not obese (138lbs) and if you are a non-smoker, your risk of delayed healing is still very very low. Your safety-conscious #plasticsurgeon will surely have an ECG done pre-op to make sure your heart is healthy for this 3,5 hrs procedure.

Best, Dr. Marc DuPere, Toronto #TummyTuck plastic surgeon, Voted Top Plastic Surgery ClinicToronto 2013

Marc DuPéré, MD
Toronto Plastic Surgeon
4.8 out of 5 stars 62 reviews

Diabetes & Elective Surgery

It is safe to have elective surgery like a tummy tuck with a history of diabetes as long as you are well controlled and you have no major illnesses. Diabetes increases your risk of wound healing problems and infection if your sugars are out of control. If your hemoglobin A1C is below seven, then your risk of these problems after surgery is about the same as someone without diabetes. Best wishes.

Robert F. Centeno, MD, FACS
Columbus Plastic Surgeon
4.9 out of 5 stars 77 reviews

Tummy tuck and diabetes

I have done many tummy tucks on diabetics. It is important to realize that you have a higher chance of complications but will probably get a wonderful result. Best of luck!

Risks of Tummy tuck with diabetes

With respect to your age, I would not be too concerned. If you do not have any major heart or lung problems you should do fine. Diabetes is a risk factor for any surgery, but it depends on how well you are controlled. If your blood sugars are reasonably well controlled you should not have any major problems. I hope you don't smoke, because that could be a problem. See a board certified plastic surgeon. They will be able to tell you if you are at any great risk. But based on what you said I don't think it will be a problem.

Saeed Marefat, MD

Saeed Marefat, MD
Washington DC Plastic Surgeon
5.0 out of 5 stars 31 reviews

Tummy tuck

From a medical standpoint you sound like a reasonable candidate. many times I will ask your family doctor for his or her opinion prior to surgery to make sure all our bases are covered. Good luck and please see a board certified plastic surgeon.

Gregory T. Lynam, MD
Richmond Plastic Surgeon
4.9 out of 5 stars 59 reviews

Tummy tuck

Your BMI is 28 - 29. Sounds like you are a good candidate for first a diet. Get your weight down - then the diabetes will be better. At that point , get a consultation with a plastic surgeon and get medical clearance and you will be a much better candidate for a tummy tuck.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

I am 60, 5 ft and 138. I have diabetes controlled by metformin. Am I a good candidate for a TT?

You will need medical clearance, but you can likely still proceed with a tummy tuck. Find a plastic surgeon with ELITE credentials who performs hundreds of tummy tuck procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Am I a good candidate for a TT?

If your heart and lungs function is good, you should be a good candidate. Most surgeons would ask you to consult with your primary physician to make sure that all risks that are manageable can be reduced.

Best wishes.

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 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.