Will diabetes affect my surgery if I get a Breast Reduction?

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.

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. 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!

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 weight transfer to the underlying muscle.  This technique eliminates vertical scars used in lollipo or boat anchor reductions.

Best Wishes,

Gary Horndeski, M.D.