Diabetes is no contraindication to have aesthetic surgery
This week, precisely the 14th of November, is se celebra el World Diabetes Day. This event, introduced by the World Health Organization (WHO) and the United Nations (UN), is celebrated on the birth date of Frederick Grant Banting, discoverer of insulin; molecule that has given us the chance to treat this disease, which has become a true pandemia, affecting more than 350 million people worldwide.
In honor of this campaign, I decided to write this article, since I often get diabetic patientes who approach me, asking if they qualify for an aesthetic procedure… Well, the answer is YES! With good preparation, in optimal health conditions the procedure can be performed.
How does diabetes affects the process of preparing for, and recovering from an aesthetic procedure?
You must do the following:
- Be in total control of the disease. The fact of being diabetic by itself is no limitation of getting the surgery you desire, but since it’s an aesthetic procedure, we have to be sure that you are in optimal health conditions. It’s mandatory to be seeing upon by an specialist on endocrinology or diabetes, who after a through evaluation, and after checking that your glycemia (blood sugar) levels are stable enough, would provide written authorization to proceed with the surgical plan.
- Suspend oral antidiabetic drugs. It’s been shown than oral antidiabetic drugs, such as metformin or glibenclamide; prolongate coagulation times, meaning that you are more likely to have prolongued bleeding during surgery. The recommendation is to stop them at least 10 days before the planned surgery date. Thus, the importance of being evaluated before the procedure by a specialist, who could provide alternative treatments.
- Strict wound care. Diabetic patients are more susceptibles to getting an infection, and tend to have a slower healing process. Thankfully, aesthetic surgeries produce “clean” surgical wounds, so their infection rate in lower than the ones for any other procedure. But good evolution of the wounds require an adecuate care, and total compliance to the indicated treatment.
- Alimentation habit changes. Because of diabetes, the patient is in an anabolic state (gain of body mass), thus patients tend to gain weight, since they have a lower than normal metabolism rate. After an aesthetic procedure, where people usually try to lose some weight (even though is not the main goal of the procedure, is usually a result of it) is important to take advantage of this opportunity, and start changing alimentation habits to healthier ones, that help preserve our health and our aspect on the long term; or everything would be in vain.
For more detailed information, always remember to visit a board certified plastic surgeon, who would give you the best orientation for your case in particular. I remind you that in Dominican Republic, that certification is provided by the Dominican Society of Plastic, Reconstructive and Aesthetic Surgery (SODOCIPRE), so is important that you always verify that your surgeon is a member of that society.
On our part, I’d also like to remind you that I work at Centro Policlínico Nacional. There we have all the diabetes-related specialists, emergency room and laboratory working to serve you 24 hours a day, 7 days a week.
Last, but not least; I’d like to suggest you support the campaign of the World Diabetes Day by dressing blue on November 14, which is the color suggested by the International Diabetes Federation; and help create awareness about the disease, advocating a healthy lifestyle, and periodic blood sugar controls, so that in case of need, you can attack the diabetes early.
Don’t let diabetes decide for yourself!