If getting a BBL with diabetes and you don’t have to get cut but your A1C is 12, is that a high risk of death?

Question

Would I be okay under the table?

Geuris Cruz Quiroz, MD · Answer

Thank you so much for sharing with us your concern.
Your diabetes have to be in control in order to get your Plastic Surgery or any Surgery done. Please first check with your Doctor with who you control your diabetes and he can help you to get it down to avoid any risk or complications. Do not get Surgery with your A1C in 12. 
Best of luck,
Dr. Quiroz!

Kristi Hustak, MD · Answer

Uncontrolled diabetes (as evidence by high HgbA1c) does increase your chance of complications with ANY surgery, including BBL. I would recommend tighter glucose control before undergoing any elective surgery. 
Best wishes, 
Dr. Hustak

Kenneth Hughes, MD · Answer

An A1C score above 9.0 is considered critically high and typically indicates that your blood sugar is not well controlled.  Having a critically high A1C score increases the risk of post-operative infection and slows healing time. Revisit the PCP or whichever specialist is treating you for your diabetes to review life style changes:  weight reduction, exercise, medication. Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Daniel Barrett, MD · Answer

Dear therealayoajay,
poorly controlled diabetes is a significant risk factor for complications and most plastic surgeons don't do surgery until the diabetes get under control. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Daniel Brown, MD, FACS · Answer

Hello and thanks for your questions.  I'm very sorry to hear that you are battling with diabetes!  While liposuction is sometimes an option for diabetic patients, I would advise that you get your A1c closer to 7 before pursuing any type of surgery.  This is to make sure that you remain healthy and don't get an infection or suffer any complications that can happen due to consistently high blood sugars.  The best person to discuss this with would be you primary medical doctor so that you can develop a plan together to assist you in achieving a lower A1c so that you can safely have your procedure.Best wishes!Dr. Brown

Mats Hagstrom, MD (license on probation) · Answer

I responded to your post yesterday.  The issue is not surviving the surgery it's how and when you're going to die  It's unlikely you would die from having a BBL. Your chance of having a life-threatening complications is probably only marginally higher than healthy people.  The elephant in the room is what happens to people who have diabetes and don't control the condition well.  Uncontrolled diabetes Will wearout certain organ systems.  In particular the vascular system does not tolerate continued high blood sugar.  Because every other organ system is dependent on blood supply the end organ damage is typically the brain, the heart, the kidneys or extremities.  Pick your poison. None of these are good things. Having a premature stroke and needing someone else to wipe your butt for the rest of your life while living in a nursing home is no way to go.  Heart attacks are a little more simple. People either recover or die.  You can leave people with chronic congestive heart failure in which case people are out of breath from daily activities.  Losing your kidneys is no fun. Getting dialysis three times a week is a bummer on lifestyle while waiting to get a kidney transplant.  Getting your legs amputated isn't so hot either.  One of these things will happen with time if you do not get your diabetes under control.  What's the point of even discussing cosmetic surgery until you make an active decision to take charge of your health.  Please do not talk to plastic surgeons. Call your primary care doctor and tell them that you want to get healthy and you're willing to make the changes to get there.  Take the medications the way they're supposed to be taken, get your weight under control, start exercising and eat the food that's recommended. My best guess is simply following these suggestions will make your life way more enjoyable than what you could ever get from a BBL. Small permanent changes are what's required.  You're not going to turn us around overnight. One small per minute change at a time.  You can do this.  Put yourself and your well-being first in your life and focus on that.  I hope you recognize I'm a patient advocate and want what's best for you.  Nothing would make me happier than to see you have a long healthy life.  Much better than getting liposuction with fat transfer.  If I can make a bold assumption I'm going to guess you may not be a great candidate for a BBL in the first place.  People with an A1 C of 12 often don't have the body shape that is appropriate for this procedure.  Not always but a lot of the time.  Best, Mats Hagstrom MD

Arian Mowlavi, MD, FACS (license on probation) · Answer

Your A1c should be controlled and be trying to get below 7 before going for any type of surgery, especially elective. Emergent surgeries take precedence no matter what. Your risk for infection and healing times go up with a higher A1c. It is important to follow up with your PCP and Endocrinologist to help get you on the right track then find a skilled board certified plastic surgeon to help you.

John E. Nees, MD - Account Suspended · Answer

Hi and welcome to our forum!With an A1c of 12, you are at a high risk for problems even without surgery. Cardiac and kidney disease, circulatory problems, peripheral neuropathy, and eye disease may occur and there is the added risk of ketoacidosis.The surgical risk is prohibitive.Your diabetes must be controlled before any elective surgical procedure. Get your A1C below 7. Seek medical help from your primary care physician.Best wishes...

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