American Society of Plastic Surgeons
For Medical Professionals
 
jenesa
8 months ago
Answered

Not sure what I need.... having breast problems?!

I’m 17 and have Ehlers-Danlos Syndrome. My skin is very stretchy, I’m overweight and working on losing it, but I have a problem with my breasts sagging and it really lowers my self esteem. They’re big, DDD cups, the skin around them is especially stretchy, and won’t hold them up. The breasts themselves seem fine, and sometimes if I wear a bra the skin seems to temporarily sag less. What can I do?

Procedure: Breast Lift
Type: Question

Replies 2

Debra Johnson
ASPS Surgeon
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I am sorry you have to deal with this congenital problem. Your skin is stretchier than normal, and as yet there is no treatment for that. You are on the right path in trying to get your weight to a good place. Once you have reached your goal weight, you should consult with a board-certified plastic surgeon to discuss breast reduction/lifting. While a lift can take out the excess stretchy skin, if your breasts remain large, their gravitational effect will stretch out the skin faster in the future. It would be wise to downsize to a B-C cup, just so you don't have a much breast tissue weight trying to stretch out the skin again. You shouldn't go braless, except for sleeping, as gravity is definitely not your friend. This is an issue that may dog you your whole life. Your breasts may need to be lifted again. If you have children, your tummy skin will stretch out and you might want a tummy tuck. Good luck!

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Daniel Allan
ASPS Surgeon

Ehlers-Danlos Syndrome (EDS) is a genetic disorder of collagen production. Normal collagen is essential for normal wound healing. People with EDS do not heal wounds well. This would be especially true when the wound closure is under some tension, as is the case for for a breast reduction or mastopexy. You could be trading saggy breasts for a much worse problem.

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