Does Ehlers Danlos cause issues with tummy tuck?

Hello Ambermark. Thank you for your question regarding whether Ehlers-Danlos Syndrome (EDS) can cause issues with a tummy tuck.

Ehlers-Danlos Syndrome is a group of connective tissue disorders that can affect the skin, joints, and blood vessel walls. One of the characteristics of EDS is that it often results in skin that is more elastic and prone to stretching. This can indeed pose some unique considerations when undergoing plastic surgery, such as a tummy tuck.

In my experience, many patients with Ehlers-Danlos Syndrome do very well with procedures like tummy tucks. However, it’s important to note that due to the nature of EDS, their skin does tend to relax more over time compared to individuals without the condition. This means that while the initial results of a tummy tuck can be excellent, there might be a greater chance of some skin laxity developing again as time goes on.

Plastic surgeons with experience in treating patients with EDS are typically aware of these differences and can tailor the procedure accordingly. The key is to have a thorough consultation with a surgeon who understands EDS and can discuss realistic expectations and potential outcomes based on your specific situation.

Overall, while EDS does present some challenges, many patients with this condition still achieve great results from their tummy tuck procedures.

Sincerely,
Dr. Katzen

Yes, Ehlers-Danlos syndrome can matter for tummy tuck planning, but the degree of risk depends on the type of EDS, your skin quality, wound-healing history, bleeding or bruising tendency, joint laxity, and any vascular or cardiac involvement. Some patients with milder hypermobility-type EDS can still have body contouring surgery, but they may have higher risks of widened scars, delayed healing, recurrent laxity, bruising, and less predictable tightening.

Before surgery, I would want clearance from the physician managing your EDS and a careful discussion with a board-certified plastic surgeon who is comfortable treating connective tissue disorders. A more conservative skin removal, meticulous layered closure, longer support garment use, and realistic expectations about scar widening or recurrent looseness are often important. If there is vascular EDS or significant bleeding or organ fragility concern, elective tummy tuck may be much higher risk and should be approached very cautiously.

Dear ambermark,
plastic surgeons perform surgeries on patients with Ehlers Danlos syndrome. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

There are several forms of Ehlers Danlos syndrome. I have performed breast lifts on patients with Ehlers Danlos that had very good results. Plastic surgeons are aware of issues with Ehlers Danlos syndrome.

Best Wishes,

Gary Horndeski, M.D.

Yes, a board certified plastic surgeon would understand the potential issues in patients with this condition. Depending on the specifics you may not be a good candidate for a tummy tuck. It's best to visit with a board certified plastic surgeon near you for a consultation and review of your medical history.

Yes, most tucks do not do well long term because of the stretchable nature of your tissue. Even when pulled tight, it stretches back out quickly. You may not be a good candidate, especially if you have joint problems. There are decrees of involvement with this syndrome. Your medical doctor can advise you if you might be a candidate.

I would hope they would know the difference. I have had 2 Ehlers-Danlos kids in my practice. They have a genetic mutation in the production of collagen. They heal VERY slowly, and scars can tend to be wide and slow to heal. I have usually placed long-lasting and dissolvable sutures in those patients, and leave any removable stitches in longer than normal. I am not sure I would do a tummy tuck on an Ehlers-Danlos patient. Since that is done for cosmetic reasons, Ehlers-Danlos makes a cosmetic result more difficult.
Good luck to you!!

Ehlers-Danlos syndrome (EDS) is a group of connective tissue disorders that can affect the skin, joints, and various internal organs. Each subtype of EDS has its own specific characteristics and complications. Given the nature of Ehlers-Danlos syndrome, there can be considerations and potential challenges when it comes to certain surgical procedures, including a tummy tuck (abdominoplasty).Here are some factors to consider:1. Skin Elasticity: EDS is often associated with hypermobility and increased skin elasticity. This can impact the outcomes of cosmetic surgery, as the skin may not respond to surgical tightening in the same way as in individuals without EDS.2. Wound Healing: EDS can affect collagen production and the overall integrity of connective tissues, potentially leading to delayed wound healing or increased scarring. Your plastic surgeon will need to consider this aspect to minimize the risk of complications.3. Anesthesia Considerations: Individuals with EDS may be more prone to complications related to anesthesia, and it's crucial to discuss this with the anesthesiologist before surgery.4. Individual Variation: The severity and specific manifestations of EDS can vary widely among individuals. Your plastic surgeon will need to assess your unique case, taking into account the type and subtype of EDS you have.It's essential to have open and thorough discussions with both your plastic surgeon and other healthcare providers about your EDS diagnosis. Your plastic surgeon will evaluate your medical history, assess the specific characteristics of your EDS, and determine whether a tummy tuck is a safe and appropriate option for you.In some cases, alternative procedures or modifications to the surgical plan may be recommended to accommodate the unique considerations associated with Ehlers-Danlos syndrome. Always choose a surgeon experienced in working with patients with EDS and ensure that your healthcare team is aware of your condition to provide you with the best possible care.