I've had three children all via c-section and am done having children. In the last year multiple doctors have suspected I have Ehlers Danlos due to dislocations and Brighton score as well as velvety skin and other signs. Is it safe to have a tummy tuck and breast lift if I'm otherwise healthy (no chronic health issues)? I think the laxity caused by it is making my skin super gross and my neck is even showing signs of aging now (lose skin). Pros and cons?
Answer: Ehlers-Danlos Syndrome and The Bellesoma Method and abdominoplasty with mesh reinforcement Ehlers-Danlos Syndrome (EDS) is a connective tissue disease that is inherited in approximately one in 5000 births. Skin, ligaments, joints, blood vessels and other connective tissues can be affected. EDS has been classified into six varieties based on distinct clinical presentation: classical, hypermobile, vascular, kypho-scoliotic, arthrochalasis and dermatosparis. Your case sounds like the hypermobile type, which has moderate skin involvement and hypermobile joints. This is an autosomal dominant mutation of the TNXB gene creates a tenascin X deficiency which adversely effects the assembly of the collagen fibers. There are no effective medical treatments for EDS. In the past, I have operated on EDS patients doing breast lifts. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. After this, you can consider doing an abdominoplasty. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. As others have stated, you should get medical clearance for surgery.Best Wishes,Gary Horndeski, M.D.
Helpful 3 people found this helpful
Answer: Ehlers-Danlos Syndrome and The Bellesoma Method and abdominoplasty with mesh reinforcement Ehlers-Danlos Syndrome (EDS) is a connective tissue disease that is inherited in approximately one in 5000 births. Skin, ligaments, joints, blood vessels and other connective tissues can be affected. EDS has been classified into six varieties based on distinct clinical presentation: classical, hypermobile, vascular, kypho-scoliotic, arthrochalasis and dermatosparis. Your case sounds like the hypermobile type, which has moderate skin involvement and hypermobile joints. This is an autosomal dominant mutation of the TNXB gene creates a tenascin X deficiency which adversely effects the assembly of the collagen fibers. There are no effective medical treatments for EDS. In the past, I have operated on EDS patients doing breast lifts. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. After this, you can consider doing an abdominoplasty. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. As others have stated, you should get medical clearance for surgery.Best Wishes,Gary Horndeski, M.D.
Helpful 3 people found this helpful
Answer: Connective tissue disorder and surgery I recommend beginning by speaking with the physician who treats your EDS. Discuss your desire for elective plastic surgery and potential risks related to your EDS. If given medical clearance by your physician you can then schedule a consultation with a board certified plastic surgeon near you. Your connective tissue disorder aside, you appear to be a good candidate for the procedures based on your photos alone.
Helpful 1 person found this helpful
Answer: Connective tissue disorder and surgery I recommend beginning by speaking with the physician who treats your EDS. Discuss your desire for elective plastic surgery and potential risks related to your EDS. If given medical clearance by your physician you can then schedule a consultation with a board certified plastic surgeon near you. Your connective tissue disorder aside, you appear to be a good candidate for the procedures based on your photos alone.
Helpful 1 person found this helpful
December 26, 2019
Answer: My recommendation Hello dear,Thanks for your question and provided information as well. You could get the surgery with a written clearance from your primary MD. I don't think there's a problem for getting into the procedure. Best of lucks and Merry Christmas :)Dr. Luis Mejia.
Helpful 1 person found this helpful
December 26, 2019
Answer: My recommendation Hello dear,Thanks for your question and provided information as well. You could get the surgery with a written clearance from your primary MD. I don't think there's a problem for getting into the procedure. Best of lucks and Merry Christmas :)Dr. Luis Mejia.
Helpful 1 person found this helpful
December 26, 2019
Answer: Can I get surgery with possible connective tissue disease? Hello and thank you for your question and sharing your photos. You can potentially have the surgery. More specific and detailed information is needed regarding your medical condition and how is affects your wound healing potential and recovery. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
Helpful 1 person found this helpful
December 26, 2019
Answer: Can I get surgery with possible connective tissue disease? Hello and thank you for your question and sharing your photos. You can potentially have the surgery. More specific and detailed information is needed regarding your medical condition and how is affects your wound healing potential and recovery. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best, Pejman Aflaki, M.D. Johns Hopkins-trained double board-certified plastic surgeon
Helpful 1 person found this helpful
December 26, 2019
Answer: Can I get surgery with possible connective tissue disease? (photos) Thank you for sharing your question and photographs. Because of the myriad subtypes of ED, I would speak with your managing physician to understand the relative risks of pursuing any surgery. You are otherwise an excellent candidate for a mommy makeover, but your safety is paramount and needs to be investigated further.
Helpful 1 person found this helpful
December 26, 2019
Answer: Can I get surgery with possible connective tissue disease? (photos) Thank you for sharing your question and photographs. Because of the myriad subtypes of ED, I would speak with your managing physician to understand the relative risks of pursuing any surgery. You are otherwise an excellent candidate for a mommy makeover, but your safety is paramount and needs to be investigated further.
Helpful 1 person found this helpful