Cosmetic Surgery Tips

Is Liposuction Safe For Diabetics

Surgeons also work closely with diabetics to keep the surgery as safe as possible. They also order more blood tests than usual before the procedure. Most agree that if your diabetes is well-controlled, you are a good candidate for liposuction with minimal risk.

Yes, diabetic patients can successfully undergo tummy tuck surgery. However, your Hemoglobin A1C will need to be within an acceptable range, and you may require medical clearance.

Patients with diabetes are still eligible for the BBL procedure but must make sure that their HgA1C is stabilized. Diabetes can pose a risk for prolonged incision healing and infection. These risks are mitigated when patients work with doctors and surgeons to prevent them.

Is Liposuction Safe For Diabetics

Even though, not all Diabetics are obese, the disease itself has a link to weight-gain tendencies, so it can be predicted that a lot of patients seeking Liposuction (a procedure aimed at vacuuming out the fat cells) do in fact have diabetes. When it comes to having liposuction or any surgery done on a diabetic patient, obesity and associated complications are just a part of the equation. With raised blood sugars comes the risk of delayed healing and infections. However, it’s not all bad news if you’re a diabetic seeking liposuction. The first and foremost thing to be absolutely clear about, is your intention to undergo the liposuction itself. Keeping in mind that liposuction is not a weight loss procedure and is not ideal for the morbid obese.

Diabetics who are obese should not confuse Liposuction to traditional weight loss or bariatric surgery for that matter. Losing fat through these means helps to lower the cholesterol, improves insulin resistance and controls blood pressure, liposuction is not meant to treat the underlying insulin resistance and is strictly just a cosmetic procedure. However, if you have well-controlled blood sugars and are looking to get rid of pockets of stubborn fat, you CAN have a safe liposuction!

Yes, any diabetic who has a well-controlled blood sugar level can undergo liposuction provided that the preoperative and postoperative prerequisites are fulfilled adequately. Also, they can expect liposuction results to be similar to any other patient.

The complications are just associated with people who have uncontrolled diabetes since they are at a risk of delayed healing. We will now look at the reason why delayed healing occurs in diabetics.

In people suffering from diabetes, any wound can lead to serious health risks and therefore must never be ignored. Diabetics tend to have a condition known as peripheral neuropathy in which the patient fails to notice any skin cuts or blisters due to the absence of pain. Often these minor cuts or blisters would complicate further since they are unnoticed. This complication is attributed to the inefficient blood supply to the skin due to narrowed blood vessel. As less oxygen reaches the wound area the tissues do not get the nutrients to heal.

An inadequate blood supply also means poor distribution of white blood cells to the area which fend off infections. In the absence of white blood cells the wound site can easily become a breeding ground for bacteria multiplying the risk for infections, sepsis or gangrene. Blood sugar levels can be affected with nausea and vomiting succeeding the administration of general anesthesia and immobility during recovery. Along with this, diabetics also have a delayed collagen formation. All these factors predispose uncontrolled diabetics to high risk.

In Pakistan, the diabetes prevalence surgery estimated a total 16.96% of the adult population has diabetes. This figure translates to 35.3 million adults who are diabetic. With such a staggering number of patients at a risk for weight gain subsequent to diabetes, and the growing popularity of the surgical procedure, it is the duty of a qualified plastic surgeon to inform the population whether such a procedure is safe for them or not.

Sometimes liposuction may be absolutely contraindicated in diabetic patients where the complications seem to supersede the benefits, but in most conditions of controlled diabetes physicians consider it safe to perform. Some physicians regard a well-functioning kidney as a safe sign for liposuction. Hence it is imperative for a plastic surgeon to work alongside a patient and his diabitologist to ensure safety. It is agreed that if you have a monitored blood sugar level your risk prior to liposuction is comparable to any other non diabetic patient.

Diabetes or no Diabetes, Liposuction should be well regarded as a cosmetic surgery only and is recommended for those individuals who have actively tried to reduce weight through exercise and diet. These are the patients who do not seek a shortcut and are willing to practice an active lifestyle to provide long-lasting health benefits. Thereafter they may choose to have liposuction to get rid of excessive pockets of stubborn fat that does not respond to the aforementioned measures.

In case you are a diabetic seeking liposuction, it is advised that you have a thorough work up with you diabitologist and plastic surgeon to ensure that your blood sugars are in the acceptable range.

Quick Facts About Diabetes

Diabetes is a group of metabolic diseases wherein a person exhibits a high level of blood glucose (sugar) due to inadequate production of insulin required to regulate the body’s blood sugar level; body cells not responding properly to insulin; or both.

Common effective treatment and prevention include following a proper diet, exercising regularly, abstaining from tobacco use and keeping a normal body weight.

What are the Risks?

While all surgeries include some element of risk for a patient, diabetics are especially more susceptible to complications if they decided to undergo liposuction. For one, their chances of developing an infection are higher. Second, their condition slows down recovery time. Third, it’s challenging for doctors to manage a diabetic patient’s glucose level after a procedure.

Due to these risks, doctors urge their patients to make changes to their diet and lifestyle as a safer, more practical way to lose weight.

Moreover, for diabetics who want to avoid surgery – or who are unable to control their condition well enough to be cleared for liposuction. This non-surgical procedure uses freeze-controlled technology to destroy fat cells in the body. The recovery time is minimal and is a less invasive cosmetic procedure.

Managing Diabetes and Plastic Surgery

Living with diabetes undoubtedly has its challenges, but patients can keep it in check through proper medication and diet, exercise and regular doctor’s check-ups.

Before undergoing any type of procedure to treat their disease, diabetics should consult with their doctor to discuss what’s involved with the operation, how they should prepare for it, the risks involved and what they can expect during recovery time.

Does Liposuction Help Cholesterol

Cholesterol is primarily stored in special fat cells called adipocytes. These fat cells comprise adipose tissue, a connective tissue that also serves to insulate the body and store necessary energy. HDL, sometimes called “good cholesterol,” can be increased through exercise, not smoking, eating a healthy diet high in colorful fruits and vegetables, avoiding sugar and trans fats, and limiting meat consumption. LDL, sometimes called “bad cholesterol,” is found primarily in fatty, processed foods and red or fried meat, and increases risks for a range of serious and life threatening diseases.

Liposuction targets subcutaneous fat – the layer of fatty tissue just below the skin – but does not remove visceral fat, bone marrow, or muscle tissue where adipose tissue is largely present. As such, liposuction will not lower your cholesterol levels in any significant way. However, the steps necessary to maintain and enhance your liposuction results often will.

Once Greenwood plastic surgeon Dr. Ted Vaughn has sculpted your body with liposuction, the removed fat cannot come back. However, new fat can accumulate should you choose to engage in a sedentary and unhealthy lifestyle. Those very things that can increase LDL cholesterol, such as inactivity and a diet high in sugary foods and trans or hydrogenated fats, will promote fat accumulation in your treatment areas. Choosing a healthy lifestyle will have the opposite effect.

To maintain liposuction results, aim to get at least 60 minutes of exercise three times a week, eat a healthy and balanced diet, and take steps to care for your body. In the end, not only will these steps help you maintain your liposuction results, they may even help you control and maintain healthy cholesterol levels. 

can a type 2 diabetic a bbl

Q: Dr. Eppley, I would like to know of you can take fatty tissue from another part of your body and inject it into your butt to make it rounder where it has dropped due to loss of elasticity. I am a 50 year old lady and I am a diabetic.

A: Transferring fat, usually from the abdomen and flanks, into the buttocks is a very common procedure today. Known by the name of a Brazilian Butt Lift, fat is obtained by liposuction, concentrated and then injected into the gluteal muscle and subcutaneous tissues for an augmentative effect. While the inadvertent body contouring benefit from the procedure is assured (fat reduction), how well the fat that is transferred into the buttocks is not. Survival rates vary widely from 10% to 90% with most patients having an approximate 50% survival rate. What factors affect survival of the injected fat is not precisely known. But having diabetes may be a factor that adversely affects survival, particularly if you have insulin-dependent diabetes. Diabetes that is treated by oral medication is less likely to have a significant impact on fat graft survival.

Another treatment consideration besides fat injection is a lower buttock lift. When the buttock falls over the lower skin crease where it meets with the upper thigh, it may be better treated by excision and re-establishment of a well-defined skin fold. This can also be combined with fat injection for volume increase for an enhanced effect.

What are the Risks?

While all surgeries include some element of risk for a patient, diabetics are especially more susceptible to complications if they decided to undergo liposuction. For one, their chances of developing an infection are higher. Second, their condition slows down recovery time. Third, it’s challenging for doctors to manage a diabetic patient’s glucose level after a procedure.

Moreover, for diabetics who want to avoid surgery – or who are unable to control their condition well enough to be cleared for liposuction. This non-surgical procedure uses freeze-controlled technology to destroy fat cells in the body. The recovery time is minimal and is a less invasive cosmetic procedure.

Lose Belly Fat Fast With This Diabetes-Friendly Exercise Routine

a woman with diabetes outside preparing to exercise

Everyone seems to want a slimmer middle, a smaller pants size — you know the drill. But trimming your waistline is about so much more than how you look in the mirror; it’s about improving your insulin sensitivity, glucose levels, and risk for diabetes complications, such as heart attacks, strokes, and certain types of cancer.

Routine exercise is an important part of managing diabetes well, and it also may help you reduce your chances of complications from COVID-19, should you become infected with the novel coronavirus. According to the Centers for Disease Control and Prevention (CDC), people with diabetes are among the groups at an elevated risk for complications, especially if their blood sugar is not well managed.

“Current research shows that abdominal fat is a driving factor behind the development of insulin resistance and type 2 diabetes, as well as [a factor that affects] how people manage the condition,” explains Margaret Eckert-Norton, PhD, RN, a certified diabetes educator and nurse practitioner with the diabetic treatment center at SUNY Downstate Medical Center in Brooklyn, New York.

The Difference Between Visceral Fat and Subcutaneous Fat

Visceral fat hangs out in and around your internal organs. It’s known to secrete a variety of proteins that trigger inflammation and affect your body’s hormone levels, and it can increase your risk for a variety of conditions (but more on this later). For this reason, some experts actually call it “active fat.” That’s in contrast to subcutaneous fat, which sits directly underneath your skin and mostly acts as an energy reserve without strongly influencing health, Dr. Eckert-Norton says.

How Excess Belly Fat Can Increase the Risk of Diabetes Complications

So what are those conditions that belly fat influences? The first and most notable one for anyone with diabetes is insulin resistance, she says. One of the many factors at play is retinol-binding protein 4 (RBP4), a compound that visceral fat cells secrete that dulls the body’s sensitivity to the hormone insulin and encourages the development and progression of type 2 diabetes and its complications, according to past research.

Meanwhile, recent research shows that excess belly fat can significantly increase the risk of cancer all on its own. For instance, in a study published in August 2017 in the journal Oncogene, visceral fat cells were found to produce high levels of a protein called fibroblast growth factor 2, or FGF2, which can trigger cancer formation. What’s more, it’s important to remember that visceral fat sits right next to (and even inside of) your organs, meaning that it can directly affect the health and function of your liver, heart, and lungs.

Do You Have Too Much Belly Fat? A Simple Way to Find Out

The easiest way to gauge your belly fat levels and risk of abdominal-obesity-related conditions is to measure the circumference of your waist at the top of your hipbones. According to a statement published in the journal Circulation by the American Heart Association and the National Heart, Lung, and Blood Institute, measurements greater than 35 inches in women and 40 in men denote abdominal obesity and chronic health risk.

Why Exercise Might Be More Important Than Cutting Calories for Losing Belly Fat

While everything from slashing stress to eating fewer processed foods has been shown to help combat belly fat, exercise is one of the best things you can do to reduce weight in this area and live healthier with diabetes, says Pat Salber, MD, an internist and the founder of The Doctor Weighs In, who’s based in Larkspur, California.

She notes that in a meta-analysis published in the journal PLoS One, exercise was found to significantly lower people’s visceral fat levels, even if they didn’t cut calories. What’s more, when it comes to the best forms of exercise for improving insulin sensitivity, immunity, and overall health, research suggests that high-intensity strength training is where it’s at.

What Research Says About the Benefits of High-Intensity Strength Training

For instance, according to a study published in February 2015 in the journal Obesity, when researchers at the Harvard School of Public Health followed 10,500 men for 12 years, they found that, minute per minute, strength training targeted belly fat better than cardio did. And in a study in the Internal Journal of Cardiology, high-intensity resistance training was found to be significantly better at reducing visceral fat levels and preventing symptoms in people with metabolic syndrome compared with more endurance-based workouts. Metabolic syndrome is a cluster of conditions, including hypertension, hyperglycemia, excess belly fat, and abnormal cholesterol or triglyceride levels.

Think you don’t have time to reap the potential benefits of exercise? Not true. “The beauty of high-intensity workouts is that the total amount of time to achieve fitness benefits is shorter than working out at lower intensities,” Dr. Salber says.

What People With Diabetes Should Know Before Giving It a Try

Don’t worry: High-intensity resistance exercise is all about moving your body in a way that feels challenging to you, and it doesn’t have to be high-impact. Remember, it’s important to keep your feet safe, and pounding the pavement or gym floor with high-impact exercise can increase your risk of cuts, blisters, and infection. No one wants that.

The best way to structure high-intensity resistance exercise depends on your current fitness level. After all, the fitter you are, the more weight you can move with each rep and the less you need to rest between sets. But as a general rule of thumb, you should be able to perform 15 to 20 reps per set with proper form, according to an article published in the ACSM’s Health & Fitness Journal. Rest for 30 seconds or less between sets.

And, as with any type of exercise, it’s important to warm up before and cool down after your high-intensity resistance training. Spend 5 to 10 minutes walking, jogging, or performing gentle bodyweight exercises. Save any stretching for after your training session.

Ideally, you’d strength train at least three times per week, on nonconsecutive days. That will give your body the rest time it needs to spring back from each workout stronger and healthier than before.

The Best Diabetes-Friendly Exercises to Help You Lose Belly Fat Fast 

Here are five high-intensity (but low-impact) resistance exercises that will help you reduce your belly fat for better diabetes management and health. As always, make sure to check your blood sugar levels before, during, and after your workouts. Sprinkle these exercises into your regular workouts or perform them all together, making sure to rest for two to three minutes between each exercise for a real challenge. 

1. Dumbbell Squat to Overhead Press

dumbell-squat-to-overhead-press

What you’ll need: a pair of dumbbells at a weight of your choice

Stand tall with your feet shoulder-width apart and hold a pair of dumbbells in front of and against your shoulders, palms facing each other and your elbows pointed down toward the floor. Pull your shoulders back and brace your core. This is your starting position.

From here, push your hips back and bend your knees to lower your body as far as you comfortably can down into a squat, keeping your torso up as you do so. As soon as you hit the lowest point of your squat, immediately push through your heels to return to standing, and simultaneously press the dumbbells up overhead until your arms are straight, but with your elbows not locked. This is your starting position for the rest of your reps.

2. Reverse Lunge to Single-Arm Cable Row

reverse-lunge-cable-row

What you’ll need: a cable machine (found at most gyms) with a D-shaped handle, or a resistance band attached to a sturdy object

Attach a D-shaped handle to a cable machine at knee height. You can also use a resistance band secured to a strong object such as a pole or table leg. Stand tall facing the anchor point with your feet spread hip-width apart, and hold the handle with your right hand, your arm fully extended and palm facing in. Pull your shoulders back and brace your core. The cable or resistance band should have some tension but shouldn’t feel “heavy.” This is your starting position. 
From here, take a giant step back with your right foot, then bend your knees to lower as far as you comfortably can into a lunge. Pause, then pull the handle to meet the side of your torso, keeping your elbow pointed straight back behind you as you do so. Pause, reverse the row, then press through your front foot to return to standing. That’s one rep. Perform all reps and then repeat on the opposite side. 

3. Dead Lift

ez-dead-lift

What you’ll need: an EZ-bar the weight of your choice (also available in most gyms), dumbbell, or kettlebell

Stand with your feet hip-width apart and hold a loaded EZ-bar (it’s a short barbell with two curves where your hands go) against your thighs, hands shoulder-width apart and palms facing your body. If you’re performing this exercise at home or don’t     have access to an EZ-bar, you can hold a pair of dumbbells or kettlebells with both hands, your arms straight down in front of your thighs and your palms facing your body. This is your starting position.

From here, keeping your core tight, back flat, and shoulders pinned back, push your hips behind you and, allowing a slight bend in your knees, slide the weight down your legs until it’s just below your kneecaps or you feel a slight pull in your hamstrings. If you’re using dumbbells or kettlebells, the weight should stay close to your legs throughout the entire move. Pause, then drive through your feet and squeeze your glutes to return to a tall standing position.

4. Incline Push-up

incline-push-up

What you’ll need: a kitchen counter, a sturdy bench, a piece of furniture, or a wall

Place your hands on your surface of choice so that they’re slightly wider than your shoulders, and step your feet back behind you. Your body should form a straight line from head to heels. Pull your shoulders back away from your ears, and brace your core. This is your starting position.

From here, bend your elbows and lower your chest between your hands until it nearly touches the bench. Allow your elbows to flare out diagonally from your torso; they should not be tucked behind you or out straight to the sides. Pause at the bottom, then push through your hands to return to start, making sure to keep your body in a straight line as you do so. That’s one rep.

5. Kettlebell Swing

kettlebell-swing

What you’ll need: a kettlebell the weight of your choice (also available at most gyms)

Stand with your feet about shoulder-width apart and a kettlebell between your feet, about one foot in front of you. Keeping a flat back, push your hips back and bend your knees just slightly (keeping your shins vertical) to grip the bell with both hands, palms facing you. With the bell still on the floor, squeeze your shoulder blades down and together so that the top of the bell tilts toward you. This is your starting position.

From here, hike the bell back between your legs. As the bell begins to come back forward, explosively thrust your hips forward to return to the standing position and drive the bell straight out in front of your body at shoulder height. (Do not pull the bell with your arms.) Allow the bell to lower on its own, then, as it nears your body, push your hips back to move immediately into the next rep.

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