Can I get a tummy tuck if I am pre-diabetic and taking Fenofibrate? I weigh 190lbs.

It would be helpful to see photos to determine if you are a candidate for tummy tuck.  Although diabetes can increase the risk of complications, you state you have prediabetes.  A tummy tuck most likely can be performed safely although your weight  probably presents a greater risk than the prediabetes.

Hello! Thank you for your question! There are a few medical comorbidities that contribute to a higher risk during any surgical procedure including infections, wound complications, delayed wound healing, bleeding, anesthetic risks, etc. Diabetes is one that is known to have an increased risk for infections and wound healing issues. There are a number of both systemic and local host factors that can contribute to infections. Whether or not diabetics are truly at greater risk and the magnitude of the effect of diabetes on the risk of infection remain controversial. However, there is a known increased propensity to develop infections and delayed healing. Some of the hyperglycemia-related impairments on the immune response include vascular insufficiency, sensory peripheral neuropathy, autonomic neuropathy, and skin and mucosal colonization with pathogens such as Staphylococcus aureus and Candida species. That being said, well-controlled diabetes should equate a minimal increased risk for the above and surgical procedures still safe and a reasonable decision. You should ensure adequate glucose control always, but also obtain medical clearance from your primary care physician that you are at an acceptable risk for undergoing a surgical procedure. Laboratory results such as HgbA1C is a good measure of control. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Measures will be taken to check levels as well as maintain proper glucose control with appropriate fluids and medications. This procedure should still be very safe for you and hope for an uncomplicated course with an excellent result! Hope that this helps! Best wishes!n

   Neither of those would necessarily be an issue.  Controlling the cholesterol and the blood sugar can be accomplished with medication and diet.Kenneth Hughes, MDLos Angeles, CA

Diabetic patients can proceed with tummy tuck as long diabetic is under control. We can control the blood sugar with medication and diet prior to surgery.Stable weight prior to undergoing a tummy tuck with A BMI closer to 30 - 35 will make you ideal for the procedure.

It is always best to achieve a stable weight prior to undergoing a tummy tuck. In my mind, a stable weight is one that does not require efforts that are unsustainable. For instance, starving yourself and feeling deprived is always a recipe for failure.As for the medical issues, most plastic surgeons would defer to your medical doctor that takes care of you, as to whether you are a candidate for surgery.

If your weight is stable and BMI in a reasonable range and if cleared by your internist, you certainly can be considered for an abdominoplastyDr Corbin

I guess the answer depends a great deal on what you look like, but prediabetes is not an issue. If you are 6 feet tall at 190# you are a good candidate. If you are 5 fet tall at 190 pounds, you are not a good candidate.

It is difficult to give you an accurate opinion without pictures. Generally speaking, your candidacy for surgery is in part dictated by your hight, weight and general condition. A BMI closer to 30 will make you ideal for the procedure. You are best be evaluated in person. Clearance from your primary care may be required prior surgery pending your clinical evaluation. 

Yes in general, prediabetic and diabetic patients can proceed with elective plastic surgery procedures so long as you have a primary care physician monitoring you diabetic condition and assuming your condition is tightly controlled with normal bloodwork at the time of your surgery and post op. Please openly discuss this with your Primary Care Physician and Plastic Surgeon preoperatively so your health care team is all working together to minimize complications for you as diabetics are at an increased risk for infection and delayed wound healing than non-diabetics.Stuart Kincaid MD, FACS 858 450 4199951 695 9934