Mommy makeover with hypermobile Ehlers-danlos syndrome - expectations for healing and scars?

Question

I'm 37 years old, breast fed my two babies, and am 5'6", around 150-155lbs (my comfortable weight) and 34DD. Between breast feeding and pregnancy weight fluctuations, I'm left wanting a tummy tuck and breast lift to address sagging, deflated breasts and excess skin on my stomach, however I have hEDS. Does anyone have experience performing the procedure(s) on a patient with connective tissue disorders? I'm curious to know about expected wound healing and scars. Thank you!

Semih Yildiz, MD, FEBOPRAS · Answer

Patients with hypermobile Ehlers-Danlos syndrome may undergo a breast lift or tummy tuck, but wound behavior is less predictable. Potential concerns include easy bruising, wound separation, delayed healing, wider or stretched scars, recurrent breast or abdominal laxity, hernia, and prolonged pain. Your own history of previous incisions and scars is useful, although normal healing elsewhere does not remove these risks.

Before elective surgery, the diagnosis and subtype should be reviewed because vascular EDS carries a very different and substantially higher surgical risk. The team should also assess common associated issues such as abnormal bleeding, POTS or other dysautonomia, joint instability, medication sensitivity, chronic pain, and prior anesthesia problems. A surgeon and anesthetist familiar with connective-tissue disorders can plan gentle positioning, meticulous hemostasis, broad tension-distributing closure, and longer postoperative support.

Combining a large tummy tuck and breast lift increases operative time and the number of healing sites, so staging may be preferable depending on your health and tissue quality. Expect scars to have a greater chance of widening and results to relax over time. An in-person examination, review of previous scars, medical clearance, and a detailed discussion of whether the expected benefit justifies the added risk are essential before proceeding.

Daniel Barrett, MD · Answer

Dear Peachtree947,

it is hard to tell for sure without an examination. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

I have performed breast lifts and tummy tucks on patients with Ehlers Danlos syndrome. I would not do both procedures at the same time. I would do the breast first and then the tummy tuck. The breast lift 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. Once this has been done, I would recommend a tummy tuck.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Due to difficulties with healing patients with your type of medical history can expect complication with healing of surgical wounds of any kind. Considering g that fact I would suggest you to start with surgery that has minimal wounds and see how does that go. I would. It recommend doing MMO surgery of breast and abdomen in the same time. Long term benefits of such a surgeries should be discussed with your surgeon in detail. Good luck

Mommy makeover with hypermobile Ehlers-danlos syndrome - expectations for healing and scars?

Answers (4)

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