Safe for Diabetic Transgendered Person to Get Breast Implants?

is it safe for a diabetic transgendered person to get breast implants and if not what is the safest way to go?

Doctor Answers 7

Safe for a diabetic, transgendered person to get breast implants?

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. Discuss all of your medical comorbidities and medication with your surgeon prior and discuss these risks. Measures will be taken to check levels as well as maintain proper glucose control with appropriate fluids and medications. 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!

Scottsdale Plastic Surgeon
5.0 out of 5 stars 26 reviews

Safe for Diabetic Transgendered Person to Get Breast Implants?

Thank you for the question.

Well controlled diabetes is not a contraindication to breast augmentation 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. You may find the attached link, dedicated to transgender breast augmentation surgery, helpful to you.

Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,487 reviews

Safe for Diabetic Transgendered Person to Get Breast Implants?

There are always increased concerns for diabetics undergoing surgery as there are increased risks of prblems with wound healing and infection. Generally speaking these are related to the severity of the disease and the level of control.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Diabetes and breast surgery

As long as your diabetes is well controlled, you certainly can have breast surgery. You should be evaluated and properly controlled by your internist first.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Safety of Breast Augmentation in Diabetics

Diabetics have higher complication rates than non-diabetics. The complication rates (usually infection or wound separation) can be lowered considerably if the diabetes is under good control as documented with good HgBA1C values. A medical evaluation and clearance would be helpful.

As regards Breast Augmentation in non-genetically female patients , Plastic surgeons are divided. While I have performed the operation on psychiatrically stable trans gender patients and think it makes a major contribution in their transformation, I would not do so in transvestites or those trans gender patients who are not sure and who have not committed to the transformation.

Peter A. Aldea, MD
Memphis Plastic Surgeon
4.9 out of 5 stars 108 reviews

Diabetic transgendered person to get breast implants

Yes but ONLY with a FULL written medical clearance from your primary doctor. You also should discuss the risk/benefit ratio you have with your medical history with a boarded plastic surgeon.

Best of luck from MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Safety in breast augmentation

You will find that not all plastic surgeons perform transgender surgery but the same safety principles still apply. I do not personally persorm transgender surgery but when you find a board-certified plastic surgeon in your area that does, they will want to make sure your diabetes is in perfect control amoongst all of the other aspects of your health. The concern with diabetes aside form your blood glucose level is a higher risk for infection or wound healing problems. Your overall safety should be the primary concern as well as an outcome you are pleased with .

Dr Edwards

Michael C. Edwards, MD, FACS
Las Vegas Plastic Surgeon
5.0 out of 5 stars 35 reviews

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.