Body contouring surgery in a patient with Ehlers–Danlos syndrome

Body contouring surgery in a patient with Ehlers–Danlos syndrome 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. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Body contouring surgery in a patient with Ehlers–Danlos syndrome

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2014 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-014-0999-4
Publisher site
See Article on Publisher Site

Abstract

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.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Oct 1, 2014

References

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