Diabetes/HIV and Breast Augmentation Along with Brazilian Butt Lift?

I am 17 5'2 165. I was currently diagnosed with diabetes in November 2012 and I was born with HIV. I wanted to get these procedures done together. But i was reading about the risks as far as infection and healing but for the past 5 years my mom has ben giving me vitamins that help with blood cells and basically things that can help you heal faster by taking them regularly which I do. But I wanted to know if i can get these procedures done because my BS stays in mid 110s-mid 120s when i check it.

Doctor Answers 6

Split Procedures byVillar

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The more trauma your body sustains at surgery, the greater the risk of infection, bleeding, hematoma, fat embolism, and other post operative complications.  Multiple short operations and anesthesia times are less traumatic to the body and enjoy faster recuperation with less complications than one long operation of equal length. High risk patients should be especially aware of this.

Patients with HIV-associated body morphology changes can be safely treated by the plastic surgeon, provided that a thorough preoperative workup is performed.

Risk factors increasing operative morbidity include an absolute CD4 count of less than 200 cells/cc3 or viral load greater than 10,000 copies/ml.

Trans-oral procedures have much higher risk than transdermal procedures.

Patients with CD4 counts greater than 200 cells/cc3 and a low viral load have a risk of postoperative complications similar to that of well controlled diabetics and the general population and should  be evaluated on established preoperative parameters such as the  American Society of Anesthesiologists class, nutrition, and age.

That said, if you do get an infection, it will be harder to treat because it may destabilize your diabetes and over stress your immune system.  The breast augmentation is the least traumatic of the two operations.  Try that one first, to see how you do.  Certainly have a thorough medical clearance to make sure your CD4 is over 200 with a low viral load and your diabetes is under control.  Best wishes. Knowledge is power.  Luis F. Villar MD FACS

West Palm Beach Plastic Surgeon
4.4 out of 5 stars 11 reviews

Health Risks

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Thank you for your question! Although you have a few medical conditions they won't contradict your surgery although, you are at a very high risk for an infection and a slower time healing.  Best of luck!
Dr Dhaval PatelDouble Board CertifiedPlastic SurgeonChicagoHoffman EstatesOak Brook

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 100 reviews

Diabetes/HIV and breast augmentation along with Brazilian butt lift?

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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. Your viral and immunogenic levels should also be of adequate numbers as well.   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!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 28 reviews

Diabetes/HIV and Breast Augmentation Along with Brazilian Butt Lift?

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     Neither of these conditions, if controlled and managed, will prevent you from attaining your goals.  Find a plastic surgeon with ELITE credentials who performs hundreds of Brazilian buttlifts 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

Cosmetic Surgery & Medical Problems

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Thank you for your question.  Diabetes and HIV are not absolute contraindications to cosmetic surgery.  If your blood sugars are under good control and your Hemoglobin A1C is less than 7, then your risk of infection is the same as someone without diabetes. If your HIV is well managed, viral counts normal white blood cells are at a normal level,infection is not a major risk. Obviosly universal precautions need to be taken but you can safely undergo these procedures. Seek consultation from a Board Certified Plastic Surgeon and discuss these issues with them as well as your mother. Best wishes

Surgery and diabetes

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If the diabetes is very controlled and HIV is also controlled and low viral load, then you can have the surgery after your doctores clear you for surgery, then you can have the surgery.

However you are at a higher risk of infection.

Samir Shureih, MD
Baltimore Plastic Surgeon

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.