Our Summary

Abdominoplasty, also known as a tummy tuck, is a popular surgical procedure. This research paper looked at how having diabetes might affect the results of the surgery. To do this, the researchers looked at the results of 15 studies involving 79,724 patients, of which 5,483 had diabetes.

They found that patients with diabetes are more likely to have complications after surgery, including both major and minor ones, compared to patients without diabetes. In particular, patients with diabetes had a higher risk of complications related to the surgical wound. However, having diabetes did not increase the risk of ischemic complications, which are problems caused by a lack of blood supply to an area.

The researchers suggest that surgeons should make sure to tell patients about these risks before surgery. They also suggest that future research could look into whether controlling blood sugar levels might help reduce these complications. This is the first study to look specifically at how diabetes affects the results of a tummy tuck.

FAQs

  1. What is the impact of diabetes on the results of abdominoplasty?
  2. Does diabetes increase the risk of ischemic complications in abdominoplasty?
  3. Could controlling blood sugar levels help reduce complications in abdominoplasty for diabetic patients?

Doctor’s Tip

Therefore, a helpful tip a doctor might tell a patient about abdominoplasty is to make sure to carefully manage their diabetes before and after the surgery to reduce the risk of complications. This may include closely monitoring blood sugar levels, following a healthy diet, and taking any prescribed medications as directed. It is also important for patients with diabetes to discuss their condition with their surgeon and medical team to ensure they receive appropriate care and support throughout the surgical process.

Suitable For

Patients who are typically recommended abdominoplasty include:

  1. Patients who have excess skin and fat in the abdominal area that does not improve with diet and exercise.
  2. Patients who have lost a significant amount of weight and have loose, sagging skin in the abdominal area.
  3. Women who have given birth and have excess skin and stretched abdominal muscles.
  4. Patients who have abdominal muscle separation (diastasis recti) that causes a bulging appearance in the abdomen.
  5. Patients who are in good overall health and have realistic expectations about the outcomes of the surgery.

It is important for patients to have a consultation with a board-certified plastic surgeon to determine if they are a suitable candidate for abdominoplasty and to discuss the potential risks and benefits of the procedure.

Timeline

Before abdominoplasty:

  • Patient consults with a plastic surgeon to discuss goals and expectations of the surgery
  • Patient undergoes a physical examination and medical history review to determine if they are a good candidate for the procedure
  • Pre-operative instructions are given, including avoiding certain medications, quitting smoking, and maintaining a healthy lifestyle
  • Patient may need to undergo blood tests and other pre-operative screenings

After abdominoplasty:

  • Patient undergoes the surgical procedure, which involves removing excess skin and fat from the abdomen and tightening the abdominal muscles
  • Recovery period varies but typically involves wearing a compression garment, managing pain and discomfort, and avoiding strenuous activities
  • Follow-up appointments with the surgeon are scheduled to monitor healing and address any concerns
  • Patient may experience swelling, bruising, and discomfort in the first few weeks after surgery
  • Long-term results become apparent as swelling subsides and the abdomen takes on a more toned and contoured appearance.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with abdominoplasty for a patient with diabetes?
  2. How does having diabetes impact the healing process and overall results of the surgery?
  3. Will my diabetes be well managed before, during, and after the surgery to minimize complications?
  4. What steps can I take to prepare for surgery and optimize my outcome as a patient with diabetes?
  5. How will my diabetes medication or insulin regimen be adjusted before and after the surgery?
  6. Can you provide me with information on the specific post-operative care and follow-up appointments needed for a patient with diabetes?
  7. Are there any additional precautions or considerations that need to be taken during the surgery due to my diabetes?
  8. How will my diabetes impact the scarring and recovery process after the surgery?
  9. Can you refer me to a specialist or endocrinologist to help manage my diabetes before and after the surgery?
  10. What are the realistic expectations for the results of abdominoplasty for a patient with diabetes?

Reference

Authors: He Y, Wijaya WA, Du Y, Wijaya WA, Cen Y, Li Z. Journal: Aesthetic Plast Surg. 2025 Feb;49(3):814-823. doi: 10.1007/s00266-024-04565-2. Epub 2024 Dec 5. PMID: 39638902