Can you have breast fat transfer if you are insulin resistant?

Question

I have controlled insulin resistance and I am considering breast augmentation with fat transfer. Would I be eligible for the procedure?

Gary M. Horndeski, MD · Answer

Fat transfers is usually only good for 1/2 cup to 1 cup size change.  The fact that you have controlled insulin resistance is not a contra-indication.

Best Wishes,

Gary Horndeski, M.D.

John L. Burns Jr., MD · Answer

The short answer is yes.  This is at essence a liposuction procedure.  I'd advise getting medical clearance from your endocrinologist or primary care physician to optimize your care.

Dallas Buchanan, MD · Answer

Thank you for your question. Being on insulin is not a contra-indication to surgery. That being said, you would need to make sure that your blood sugar control is very tight and your HbA1c value is in a certain range prior to proceeding with surgery and this will likely require working with and obtaining a clearance from your regular doctor before considering any elective surgery.

Hope this helps!

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Hope this helps!

Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Ronald J. Edelson, MD · Answer

There are plenty of surgeons who will do a fat transfer fir you. It does not work very well even if you were not insulin resistant. Don't waste your money,

Daniel Barrett, MD · Answer

Dear Tgbit,
as long as your diabetes is well controlled, you might be a candidate for fat transfer. Fat transfer breast augmentation is a viable alternative for women who desire larger breasts without the use of implants. Fat transfer is also widely used in reconstruction of the breast after a mastectomy or lumpectomy. It can also be very effective in correcting the size and shape of the breasts due to genetic problems such as tuberous breast or Poland Syndrome, two conditions that look like misshapen or underdeveloped breasts.In addition, the following scenarios are also reason to consider breast fat grafting:• If you have chest areas that appear creased and sunken• If you desire more permanent correction than is provided by temporary fillers• If you wish to improve your body contour, revise scars, fill bodily depressions and rejuvenate the natural curve of your breasts• To fill in contour irregularities or hide obvious signs of breast implantsYou should discuss your concerns with a board certified plastic surgeon and make sure your surgeon understands your concerns and your breast augmentation goals. 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

Connie Hiers, MD, FACS · Answer

Since you are insulin resistant, you are probably prediabetic. Should you become a diabetic and go on insulin, your fat transfers will not do well. I would suggest considering implants, especially if diabetes runs in your family and you are overweight.

Brent Moister, MD · Answer

This is an excellent question and one that is being actively studied. Fat grafting can be performed in individuals with insulin resistance safely, but the effect of insulin resistance on results is not well understood. Factors such as surgical technique and handling of the fat graft play a more substantial role in quality of your results so I recommend finding a board certified plastic surgeon experienced in the procedure and having a full discussion.

Douglas Taranow, DO, FACOS · Answer

If your blood sugar is well controlled, then you should be fine to have fat transferred to your breasts. 
Best wishes 
Dr. Taranow

Mats Hagstrom, MD (license on probation) · Answer

Well controlled diabetes should not prevent you from having elect him cosmetic surgery.

Fat transfer is good at conservative breast increase in size but does not change the shape of the breast significantly. It can deliver up to 1/2 to 1 cup Breast Volume.

The results of these procedures are highly provider dependent.

Best,

Mats Hagstrom MD

Can you have breast fat transfer if you are insulin resistant?

Answers (9)

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