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Most Diabetics can have plastic surgery safely. To minimize risks, you, your diabetic doctor along with your plastic surgeon need to make sure that your diabetes is under good control before and after the procedure. Although some complications may be increased, such as infection, the odds are generally in your favor that you will do OK
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!
The medical conditions you describe place you at some increased risk but do not necessarily mean that you can't have a tummy tuck. It is important to discuss all of your medical conditions with both your plastic surgeon and your medical doctor. It will be important to have your diabetes, BP, and cholesteral under control and monitored. Only proceed with elective surgery when have medical clearance from your health care providers and follow their instructions to a T. Medical conditions pose risks. It all depends on how you manage those risks and how much risk you are willing to take.
Hello there! It's nice to meet a fellow El Paso-an here on Realself! While there is no question that your particular medical conditions increase your risks with abdominoplasty, this does not necessarily mean you could not safely have the procedure... Just that careful and deliberate steps need to be taken in the planning of your surgery with close communication between your surgeon and your medical doctor.
Having these types of medical issues should not present a problem unless they are not under control. Medical clearance from your primary care physician is required. Anesthesia will run a fasting glucose and take a look at your blood pressure the day of surgery-if all is well surgery will proceed. It is worth mentioning that if you have diabetes; the possability of having complications with wound healing is a concern. Close monitoring by you and your PS will minimize problems in the post op period. Best wishes, Dr. H
