Chronic Conditions (Diabetes, Blood Pressure, Thyroid) and Planning Cosmetic Surgery

Many people living with a chronic condition such as diabetes, high blood pressure or thyroid disease wonder whether cosmetic surgery is suitable for them. A chronic condition may not rule out cosmetic surgery on its own, but for a safe process it is important that the condition is well controlled and that planning takes it into account. In this article we cover the topic in general terms.

Why does good control matter?

Cosmetic operations are planned procedures, so timing can be chosen for when general health is at its best. Poorly controlled chronic conditions can increase risks related to anaesthesia, bleeding, wound healing and infection. For this reason, the current state of the condition is assessed before surgery and, if needed, the opinion of the relevant specialist is obtained.

Common situations

• Diabetes: poorly controlled blood sugar can delay wound healing and increase infection risk. Blood sugar levels and overall control are assessed in planning.
• High blood pressure: uncontrolled blood pressure can increase the risk of bleeding and bruising during and after surgery. Keeping it consistently stable is important.
• Thyroid conditions: balanced thyroid function is assessed with regard to anaesthesia and overall recovery.
• Other conditions: heart, lung and clotting disorders, as well as regular medication, are also considered separately.

Your medication

Some medicines used for chronic conditions can affect bleeding, blood sugar or anaesthesia. At the pre-operative consultation you should report all medicines, vitamins and herbal supplements you take. Never stop a medicine or change its dose on your own; any adjustments are made together with the relevant physicians.

What is considered in planning?

The type and duration of surgery, anaesthetic method, whether several procedures are combined in one session and the post-operative follow-up plan are set according to the person’s health. In some cases shorter or staged procedures may be more appropriate. The aim is to meet aesthetic expectations while keeping safety first.

Frequently Asked Questions

Can people with diabetes have cosmetic surgery?

Cosmetic surgery may be considered for many people whose blood sugar is well controlled. Suitability is decided individually based on control of the condition, related problems and the planned procedure.

Should I take my blood pressure medicine on the day of surgery?

This is decided by your surgeon and the anaesthetist. Follow the instructions you are given before surgery, and do not stop your medicine on your own.

Do I need approval from another specialist before surgery?

Depending on your condition, an assessment by internal medicine, cardiology or endocrinology may be requested.

For more information, visit our Face and neck lift page and our article on pre-operative tests, and reach us via our contact page.

This article is for informational purposes only; a medical examination by a physician is required for diagnosis and treatment.