I've lost over 100 lbs, and because of EDS, my loose skin is a much bigger issue than for normal people. It's extensive, and tears/bruises any time I get dressed or exercise. It's worse of my arms and thighs, but isn't exactly pleasant on my torso, either. I've also been experiencing a lot of breast and back pain, because while the rest of me shrunk, I'm now a droopy F cup. Do my increased surgical risks outweigh my long term discomfort/risk of infection from tears?
September 18, 2015
Answer: Body lift and Ehlers Danlos Syndrome Well done with your extensive weight loss. Ehlers Danlos Syndrome is an especially difficult problem for plastic surgeons to deal with. Most commonly, people with EDS have some difficulty with wound healing. I would probably consult with an experienced plastic surgeon before proceeding with a body lift.
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September 18, 2015
Answer: Body lift and Ehlers Danlos Syndrome Well done with your extensive weight loss. Ehlers Danlos Syndrome is an especially difficult problem for plastic surgeons to deal with. Most commonly, people with EDS have some difficulty with wound healing. I would probably consult with an experienced plastic surgeon before proceeding with a body lift.
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May 31, 2019
Answer: Body lift procedures Dear EDSPatient, Thank you for your clinical post and excellent clinical question. Congratulations on your weight loss; however, it has resulted in skin laxity. To make matters worse, you suffer from the congenital collagen abnormality syndrome of EDS. EDS patients generally do have a more difficult time with wound healing, as production of collagen is compromised and it is the production of collagen in primary wound healing that is critical to uneventful postsurgical outcomes. I would definitely proceed cautiously and seek out a physician with experience with EDS surgery. In general, very conservative procedures – small-zone skin laxity removals and certainly not closed under extreme tension. The postoperative support would be critical and nutritional optimization, which may be a factor if you’re still losing weight. Performing small lift and skin removal excisions without tension, sequential over time, is probably your best option. If there is a complication in a small area with wound healing, all other surgical excisions and hopes and options would probably be abandoned at that point in time. I think there is hope. You’ve made a commitment to losing weight and there may be an opportunity to tighten up some of the loose skin areas one small zone at a time. I hope this information has been of some assistance and best of luck. For more information, please review Sincerely, R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful 1 person found this helpful
May 31, 2019
Answer: Body lift procedures Dear EDSPatient, Thank you for your clinical post and excellent clinical question. Congratulations on your weight loss; however, it has resulted in skin laxity. To make matters worse, you suffer from the congenital collagen abnormality syndrome of EDS. EDS patients generally do have a more difficult time with wound healing, as production of collagen is compromised and it is the production of collagen in primary wound healing that is critical to uneventful postsurgical outcomes. I would definitely proceed cautiously and seek out a physician with experience with EDS surgery. In general, very conservative procedures – small-zone skin laxity removals and certainly not closed under extreme tension. The postoperative support would be critical and nutritional optimization, which may be a factor if you’re still losing weight. Performing small lift and skin removal excisions without tension, sequential over time, is probably your best option. If there is a complication in a small area with wound healing, all other surgical excisions and hopes and options would probably be abandoned at that point in time. I think there is hope. You’ve made a commitment to losing weight and there may be an opportunity to tighten up some of the loose skin areas one small zone at a time. I hope this information has been of some assistance and best of luck. For more information, please review Sincerely, R. Stephen Mulholland, M.D. Certified Plastic Surgeon Yorkville, Toronto
Helpful 1 person found this helpful