Ehlers–Danlos syndrome is a rare genetic disease that is mainly characterized by skin hyperextensibility. In its most advanced forms, Ehlers–Danlos syndrome may cause disabling anomalies of the silhouette. Very few articles have discussed the role of the plastic surgeon in the treatment of this disease. We herein report a case involving a 28-year-old patient with Ehlers–Danlos syndrome in its hypermobile form, which caused an abdominal wall laxity associated with major breast ptosis. Our treatment plan comprised three phases over the course of 18 months: modified abdominoplasty according to the De La Plaza technique, mastopexy with autologous augmentation, and high transversal abdominoplasty. The surgical outcome was marked by the occurrence of multiple wound dehiscences and the development of a hematoma following the second abdominoplasty. Now 7 months postoperatively, the healing is complete, and the patient’s silhouette is improved. Although the aesthetic improvement was modest, the patient’s quality of life was substantially enhanced. Level of Evidence: Level V, therapeutic study.
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2014
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