How to avoid loose skin after bariatric surgery?

how to avoid loose skin after bariatric surgery

Loose Skin after Weight Loss Surgery

Does loose skin after weight loss go away?


Losing a lot of weight is an impressive accomplishment that significantly reduces your disease risk. However, people who achieve major weight loss are often left with a lot of loose skin, which may negatively affect appearance and quality of life.

This article takes a look at what causes loose skin after weight loss. It also provides information on natural and medical solutions that can help tighten and get rid of loose skin.


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What causes Loose Skin after Weight Loss?

The skin is the largest organ in your body and forms a protective barrier against the environment.

The innermost layer of your skin consists of proteins, including collagen and elastin. Collagen, which makes up 80% of your skin's structure, provides firmness and strength. Elastin provides elasticity and helps your skin stay tight.

During weight gain, skin expands to make room for increased growth in the abdomen and other parts of the body. Pregnancy is one example of this expansion.

Skin expansion during pregnancy occurs over a few months' time, and the expanded skin typically retracts within several months of the baby's birth.

By contrast, most overweight and obese people carry extra weight for years, often beginning as early as childhood or adolescence.

When skin has been significantly stretched and remains that way for a long period of time, collagen and elastin fibers become damaged. As a result, they lose some of their ability to retract.

Consequently, when someone loses a lot of weight, excess skin hangs from the body. In general, the greater the weight loss, the more pronounced the loose skin effect.

What's more, researchers report that patients who have weight loss surgery form less new collagen, and the composition is inferior compared with the collagen in young, healthy skin.

Factors that influence the Loss of Skin Elasticity



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Several factors contribute to loose skin following weight loss:


. Length of time overweight: In general, the longer someone has been overweight or obese, the looser their skin will be after weight loss due to elastin and collagen loss.

. Amount of weight lost: Weight loss of 100 pounds (46 kg) or more typically results in a greater amount of hanging skin than more modest weight loss.

. Age: Older skin has less collagen than younger skin and tends to be looser following weight loss.

. Genetics: Genes may affect how your skin responds to weight gain and loss.

. Sun exposure: Chronic sun exposure has been shown to reduce skin's collagen and elastin production, which may contribute to loose skin.

. Smoking: Smoking leads to a reduction in collagen production and damage to existing collagen, resulting in loose, sagging skin.

Problems Related to Excess Loose Skin



Loose skin due to massive weight loss may cause physical and emotional challenges:

. Physical discomfort: Excess skin can be uncomfortable and interfere with normal activity. A study of 360 adults found this problem occurred most often in people who had lost 110 pounds (50 kg) or more.

. Decreased physical activity: In a study of 26 women, 76% reported that their loose skin limited exercise mobility. What's more, 45% said they had stopped exercising altogether because their flapping skin caused people to stare.

. Skin irritation and breakdown: One study found that of 124 people who requested plastic surgery to tighten skin after weight loss surgery, 44% had reported skin pain, ulcers or infections due to the loose skin.

. Poor body image: Loose skin from weight loss can have negative effects on body image and mood.

How to prevent loose skin after weight loss surgery

Natural Remedies to Tighten Loose Skin

The following natural remedies may improve skin strength and elasticity to some degree in people who have lost small to moderate amounts of weight.


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  1. Perform Resistance Training (Exercise)

Engaging in regular strength-training exercise is one of the most effective ways to build muscle mass in both young and older adults.

In addition to helping you burn more calories, an increase in muscle mass may also help improve the appearance of loose skin.

  1. Take Collagen

Collagen hydrolysate is very similar to gelatin. It is a processed form of the collagen found in the connective tissue of animals.

Although it hasn't been tested in people with loose skin related to major weight loss, studies suggest that collagen hydrolysate may have a protective effect on skin's collagen.

In a controlled study, collagen strength increased significantly after four weeks of supplementation with collagen peptides, and this effect remained for the duration of the 12-week study.

Collagen hydrolysate is also known as hydrolyzed collagen. It comes in powdered form and can be purchased at natural food stores or online.

Another popular source of collagen is bone broth, which provides other health benefits as well.

  1. Consume Certain Nutrients and Stay Hydrated

Certain nutrients are important for the production of collagen and other components of healthy skin:

. Protein: Adequate protein is vital for healthy skin, and the amino acids lysine and proline play a direct role in collagen production.

. Vitamin C: Vitamin C is needed for collagen synthesis and also helps protect skin from sun damage.

. Omega-3 fatty acids: A small study found that the omega-3 fatty acids in fatty fish may help increase skin elasticity.

. Water: Staying well hydrated may improve your skin's appearance. One study found that women who increased their daily water intake had significant improvements in skin hydration and function.

  1. Use Firming Creams

Many "firming" creams contain collagen and elastin.

Although these creams may temporarily give a slight boost to skin tightness, collagen and elastin molecules are too large to be absorbed through your skin. In general, collagen must be created from the inside out.

Medical Treatments to Tighten Loose Skin

Medical or surgical treatments are usually necessary to tighten loose skin after major weight loss.

Body-Contouring Surgery

Those who have lost a significant amount of weight via bariatric surgery or other weight loss methods often request surgery to remove excess skin.

In body-contouring surgery, a large incision is made, and excess skin and fat are removed. The incision is sutured with fine stitches in order to minimize scarring.

Specific body-contouring surgeries include:

. Abdominoplasty (tummy tuck): Removal of skin from the abdomen.

. Lower-body lift: Removal of skin from the belly, buttocks, hips and thighs.

. Upper-body lift: Removal of skin from the breasts and back.

. Medial thigh lift: Removal of skin from the inner and outer thighs.

. Brachioplasty (arm lift): Removal of skin from the upper arms.

Multiple surgeries are usually performed on different body parts over the span of one to two years after major weight loss.

Body-contouring surgeries usually require a hospital stay of one to four days. Recovery time at home is typically two to four weeks. There may be also some complications from the surgery, such as bleeding and infections.


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10 common questions about how to avoid loose skin after bariatric surgery

1Does loose skin after weight loss go away?
For people who have lost small to moderate amounts of weight, skin will likely retract on its own eventually and may be helped by natural remedies. However, individuals who have achieved major weight loss may need body-contouring surgery or other medical procedures to tighten or get rid of loose skin
2Does everyone get loose skin after gastric bypass?
Loose skin. When someone loses a significant amount of weight (from pregnancy or otherwise), they can end up with loose skin on their stomach and other parts of their body. This is super common—and totally and completely fine. It's what a lot of bodies do, but that doesn't mean everyone talks about it.
3How do you tighten loose skin after pregnancy?
To promote elasticity and tighten loose skin after pregnancy, eat a healthy diet including plenty of fruits, vegetables, fats, and lean protein. The vitamins and minerals in a well-balanced diet will contribute to the flexibility and health of your skin.
4Can you tighten loose skin without surgery?
For many people who have been successful at weight loss, surgery is the best option. But going under the knife is not the only way to tighten loose skin. There are new medically-approved methods that are safe and effective for some patients.
5Do compression garments help with loose skin?
There is unfortunately no proven way to prevent loose skin after important weight-loss. ... However, lots of firming creams are supposed to hydrate the skin in order to improve its elasticity. Another helpful tip is to wear an abdominal compression garment as you lose body fat
6Does loose skin weigh a lot?
The loose skin is caused by losing a huge amount of weight – as in, 100 pounds or more – in a very short amount of time. It can happen when the weight is lost through diet and exercise, but it happens more often to weight-loss surgery patients. ... To get rid of the loose skin, exercise helps, a little
7Does your skin go back to normal after weight loss?
When you lose weight quickly, your skin may not shrink as fast as you'd like. Most people who lose 100 pounds or more will have an issue with excess or hanging skin when they reach their goal weight. ... The less time you have spent overweight, the more likely it is that your skin will return to normal
8Does Medicare cover excess skin removal?
Cosmetic surgery. Medicare usually doesn't cover cosmetic surgery unless it's needed because of accidental injury or to improve the function of a malformed body part. Medicare covers breast prostheses for breast reconstruction if you had a mastectomy because of breast cancer.
9How can I tone my stomach after having a baby?
Blast your baby fat after pregnancy with a baby bench press: Lie down with your legs bent and feet flat on the floor, holding your baby so he's resting on your belly. Inhale and lift your baby skyward, pulling in and contracting your abs at the same time; then exhale and lower your baby
10Can sagging skin be reversed?
Sagging skin can come with age and extreme weight loss, and you may want to restore it to a tighter, firmer look. In some cases, surgery may be the only option; consult with your doctor. But at-home methods of proper hydration, diet, skin care and exercise can go a long way.


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