Would you ever perform or recommend any body lift procedures for patients with Ehlers-Danlos Syndrome? (age: 27)

Thank you for your question regarding the safety and appropriateness of undergoing body lift procedures with Ehlers-Danlos Syndrome (EDS), especially after significant weight loss. First, congratulations on losing over 100 pounds—that is an incredible accomplishment. I also understand how frustrating and painful the resulting loose skin can be, particularly with the added challenges that come with EDS.

Patients with Ehlers-Danlos Syndrome have fragile connective tissue, which can result in skin that is more prone to bruising, delayed wound healing, and scarring complications. These risks do not automatically rule out body contouring surgery, but they do require a much more cautious and customized approach. I have performed skin removal procedures, including arm lifts, thigh lifts, and body lifts, on patients with EDS. However, these cases must be carefully staged and managed in collaboration with a medical team familiar with your condition.

With EDS, surgical incisions are typically placed and closed in a way that minimizes tension on the skin. Extra steps may be taken to support healing, such as extended use of compression garments, silicone sheeting, or scar therapy. Your surgeon may also recommend longer healing timelines between stages of surgery. In your case, a breast lift with possible reduction may also be warranted to address your back pain and discomfort.

Ultimately, the decision to proceed comes down to weighing your long-term quality of life—including recurrent skin tears, infections, and discomfort—against the surgical risks. If your EDS is a milder form and you have no history of major wound complications or vascular involvement, then you may still be a candidate for staged reconstructive body contouring. It’s critical to consult with a board-certified plastic surgeon who has experience with EDS patients and can coordinate care with your primary doctor or geneticist.

Thank you again for your important question. I hope this provides clarity on your options and what to expect.

Sincerely,
Dr. Katzen

Congratulations on your loss of over 100 lbs.  I would NOT recommend surgery because of your EDS.  The risks would be quite high.  Do the best to take care of your self through diet and exercise.

Thanks for you question.  I would be concerned about wound healing issues after surgery.  That stated, I haven't operated on a patient with problem so perhaps a surgeon with prior experience will be able to give you a better idea about the potential outcomes and risks.