Can a diabetic have cosmetic procedures?

Hi. As long as you are in good health otherwise, your BP controlled and your glucose control I see no problem. My middle daughter, who is now 32, has been a type I diabetic since the age of 1. I feel very confortable in dealing with disbetes in the cosmetic surgery patient. Your A1C must be in the low 7 range at miminum. You must get a medical clearance from your pvt md. I would recommend the fat transfer with lipo first and then the tummy tuck. You also need to know that diabetics have an increased chance of infections and healing problems. I would caution you against having both procedures done at the same time for fear of affecting fat survival and eventual results. I am not in the camp that advocate doing both (Breast Lift and BBL) at the same time. Think about it, When fat is transferred to the buttocks, the fat cells need all of the oxygen possible in order to survive. Fat transfers (BBL) require a rich oxygen environment in order to attempt the highest rate of survival of the fat cells. Fat is not just transferred to the buttock region. In order to obtain that shapely pear shape behind you must transfer fat to the area of the hip laterally to make for more attractive curves. If you lie on your side it will place undue pressure on the transferred fat cells and perhaps flatten out the area. We recommend that our patients do not place any significant pressure on their butts for 4-6 weeks following the BBL.If you have a Tummy Tuck and BBL done at the same time, how are you going to avoid lying on your back, face up when the TT prevents you from lying face down? I recommend that the BBL be done first to utilize the abdominal fat which would otherwise be discarded with the tummy tuck. After a minimum of three months , the patient is brought back and the TT is performed.Prices will vary area to area of the country, the amount of fat to be transferred and the time it takes to do so. In Miami, Florida where BBLs are a common occurrence, the prices may vary from $7500 to $11,000. Whatever the case do your homework.Costs are important but should never be the determing factor in your decision. The key is............ does the surgeon have a keen sense of aesthetics? Can he/she create a shapely, attractive buttock or are they just technicians that wind up with large unshapely behinds? The same holds true for the liposuction portion of the procedure. Understand that liposuction whether SAL, PAL or UAL ( not including LAL because the fat obtained through this technique will not be useful) is not that technically challenging. However, the keen aesthetic eye will determine the eventual work of art.We are creators and have the ability to turn out beautiful works of art. Simply put................not all artists create quality work.Good luck, Dr. PG

Thank you for submitting your question.  Yes you can have surgery, but ypu will need clearance from your primary care physician and your HgA1C should be in the normal range.  Consult with a board certified plastic surgeon.

the fat transfers to nobody, usless, frustrating and even risky; otherwise you can be operated if your receive a deep preanesthesia study, specialists interconsulting if necessary, and your chronic pathologies are under control.

Diabetes increases the risk of complications after surgery but it is not an absolute contraindication to having a cosmetic surgery procedure.  It would be important to involve your family physician, endocrinologist, and plastic surgeon and discuss whether surgery is appropriate for you.  There are multiple issues to consider, such as your long-term blood sugar control, whether you already have diabetes-related health problems, other health problems, the type of operation you are seeking, etc.

If you can receive medical clearance, you can likely have this combination of procedures.  I
would search for the board certified plastic surgeon who you feel is
most likely to give you the best results and who performs hundreds of
these procedures each year. I would look at patient reviews as well as
before and after photos on that surgeon's website.Kenneth Hughes, MDLos Angeles, CA

Well controlled diabetics only have a slightly increased risk of complications from cosmetic surgery. Close coordination with your primary care physician to ensure your glucose remains under control is imperative.

Yes, provided your endocrinologist clears you for surgery. Your endocrinologist and your surgeon will coordinate all of your meds pre-operatively and post-operatively. Hope this helps.

The best way to know about  the control of glucose level are  : a) Fasting blood  glucose level . b)   HbA1C test, with that  study, we can know  how was  your blood sugar levels  in the last  three months, that is an stong indicator  for  a complications.The principal complications  after surgery in a diabetic  are: The  infection of the  wound, and the alterations in  the  small vassels  circulation, secundary  to a  poor control  diabetes over  a long period  of time, ( over more than  15 years )  that changes  can have  alterations in the  wound healing.Ask  to your Internal medicine Phisitian about your  condition.Good Look 

Medical problems such as diabetes and high blood pressure do increase your chance of complications in any type of surgery, however, if they are well controlled the complication chance is minimal.  

Thank you for the question. Well controlled diabetes is not a contraindication to tummy tuck surgery and/or other elective plastic surgical procedures. Always best to check with your primary care physician or endocrinologist for “medical clearance” prior to surgery.  Managing your diabetic medications around the time of surgery (to avoid hypo as well as hyperglycemia), while you will have altered oral intake, will be important.  I hope this, and the attached link, helps.