What does your HBA1C need to be to get a breast augmentation? I'm Type 1 diabetic.

Question

I have type 1 diabetes and I have just had a blood test to get my HBA1C result to go forward with a breast augmentation but I have a sensor which gives you an estimated A1C and the result is 8.7% (72mmol/mol). Is this too high for surgery as I really wanted to have it done as soon as possible?

Nelson Castillo, MD · Answer

Thank you for sharing your question.  It is best to be under a 7 to minimize the risk of possible complications.

Riaz Agha, MBBS, DPhil(Oxon), FRCS(Plast) · Answer

You need to be in the normal range (less than 5.6% or less than 38mmol/mol) and that will make your chance of complications e.g. wound healing and infection normalise. I would advise you discuss these figures with your Diabetic Specialise Nurse, Endocrinologist and/or GP to get onto a new regime that will lead to better control prior to doing a breast augmentation. Good luck.

Kenneth Hughes, MD · Answer

Most doctors say that as long as your diabetes and blood sugar are well under control, plastic surgery such as breast enlargement should be fine. If you are otherwise healthy, just make sure your blood sugars are controlled and kept within the normal range (5.5 - 6,.4 biorderline; above 6.4, diabetic) , which will significantly reduce any risk of complication. Your board certified PS may ask for clearance from your PCP.

Daniel Barrett, MD · Answer

Dear jodielynch,
it is hard to tell for sure without an examination. You should be healthy prior to elective procedures and any health condition should be under control. Your HbA1C should be within normal range. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. 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

Aldo Guerra, MD · Answer

Thanks for your question.

I prefer this level to be less than 7%.

Each doctor will have different criteria, but the better your sugar is controlled the less risk you will be exposed to during breast augmentation. 
Best,

Dr. ALDO

Camille Cash, MD · Answer

You can still have a breast augmentation with Type 1 Diabetes.  Your blood glucose levels will need to be under tight control and clearance needs to be given by your primary care physician for your safety.  It would be better to have your HgA1c be closer to 7.  I've included a video discussing this topic that I hope you find helpful.

Connie Hiers, MD, FACS · Answer

For any elective surgery, your A1C should be 7 or less. Anything above 7 shows that your blood sugars are peeking up too high and you are at more risk of infections and poor healing.

Abeer Sawwaff, MD · Answer

Hello, that is an important question, each surgeon has their own protocols and the most important thing is that your diabetes must be under control, however I personally require that the A1C to be at 6.5 and below.

Emile A. Picarella, Jr., MD · Answer

In my practice HbA1C has to be very near 7.0 prior to proceeding with any cosmetic surgery since hyperglycemia is a risk factor for wound healing delays and infection. Either one would be a disaster for a BA.

What does your HBA1C need to be to get a breast augmentation? I'm Type 1 diabetic.

Answers (9)

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