Can I Get Abdominal Liposuction in an Effort To Ameliorate Insulin Resistance? (photo)

Question

I keep reading about excess visceral & adipose fat equals increased insulin. Increased insulin promotes more fat. Ironicallly & unfortunately, insulin resistant people like me have to lose weight in order to lose weight. And the weight they gain promotes more weight gain. So I thought, "What if I got my fat permanently removed by way of liposuction?" So in addition to my Metformin, would it be entirely crazy of me to get abdominal liposuction in an effort to ameliorate insulin resistance? Thanks

Thomas Fiala, MD, FACS, FRCSC · Answer

This is actually a fascinating topic.  It seems that the intra-abdominal fat (visceral fat) is the key player in insulin resistance, and that subcutaneous fat doesn't do much here.  Since liposuction doesn't touch the intra-abdominal fat, it's perhaps not surprising that 2 out of 3 studies found little improvement in insulin resistance following liposuction.

Kenneth Hughes, MD · Answer

There is some data to suggest improvement in lipid metabolism in diabetic patients.  Kenneth Hughes, MD Los Angeles, CA

Dana Goldberg, MD · Answer

Liposuction doesn't address visceral fat, and it does nothing to build muscle and improve your cardiovascular health. If you were to get liposuction, it would really just be for cosmetic benefit.

Darryl J. Blinski, MD · Answer

Nice idea but very little medical series/studies to bare this out at this time. There are many anecdotal reports but no blinded studies to date. If you still wish to proceed you will need the OK from your internist and find a PS to do at least 4 liters of fat removal. This is NOT covered by health insurance, BTW!. Also Zerona is useless in attaining this amounts of fat removal. Best of luck from MIAMI

Barry L. Eppley, MD, DMD · Answer

You should undergo liposuction for body contouring purposes, there is very little medical evidence that it would actually decrease the insulin requirements of a diabetic. It is possible that there it may occur but that would be beneficial side effect not an expected outcome. Also liposuction does not permanently remove fat. Any long-term stability of the fat reduction is a function of the patient's lifestyle and the stability of heir body weight.

Can I Get Abdominal Liposuction in an Effort To Ameliorate Insulin Resistance? (photo)

Answers (9)

Answer: Can I Get Abdominal Liposuction in an Effort To Ameliorate Insulin Resistance?

Answer: Can I Get Abdominal Liposuction in an Effort To Ameliorate Insulin Resistance?

Answer: Liposuction and Insulin Requirements in Diabetics

Answer: Liposuction and Insulin Requirements in Diabetics

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Can I Get Abdominal Liposuction in an Effort To Ameliorate Insulin Resistance? (photo)

Answers (9)

Answer: Can I Get Abdominal Liposuction in an Effort To Ameliorate Insulin Resistance?

Answer: Can I Get Abdominal Liposuction in an Effort To Ameliorate Insulin Resistance?

Answer: Liposuction and Insulin Requirements in Diabetics

Answer: Liposuction and Insulin Requirements in Diabetics

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Everything you need to know about Liposuction

Our mission is to create a world where every investment in modern beauty is Worth It.