I am a type 1 diabetic (insulin dependent) and am interested in getting a tummy tuck and lipo.

Hello!

You will need to be evaluated by a board certified plastic surgeon to see if you are a good candidate for surgery, while also discussing this with your primary care doctor or endocrinologist. I have operated on Type I diabetics who are optimized and on board with what is needed to effectively heal. Your case may need to be performed in a hospital to assure safety and tighter glucose control. 

Best of luck!

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  If your diabetes is well-controlled and you are able to obtain full medical clearance, then you may proceed forward.  If you are an appropriate candidate for a tummy tuck, this can be done
through a low and short incision, all completely below the bikini line.  The belly button can be designed to look
natural and have no scars on the exterior.  
Your muscles can also be plicated resulting in a flat abdomen.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.  The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon