Massive weight loss is a huge decision, most of you reading have either gone through a massive weight reduction or are contemplating going right through a massive weight loss. One of the most common hesitations in losing weight may be the resulting loose skin that occurs once your body went through a significant weight loss. It’s quite common knowledge that slimming down = loose skin. Loose skin not merely occurs with a massive weight reduction but additionally with natural body occurrences such as for example pregnancy. Simply because once your system stretches through weight gain or through pregnancy; your skin loses its elasticity. First patients come in to share with you weight-loss and bariatric surgery, how it works and your results. Many patients, however, decide they want to go the less expensive and natural way by strict exercise and diet but are concerned about the loose skin. Our doctors always tell patients to be realistic, being healthy is far more important than having loose skin. Even though you have loose skin after weight loss there are ways to remove it such as post-bariatric surgery which include tummy tucks, breast augmentations, and thigh lifts. The loose skin, although it may not seem like it, is a proud reminder of what lengths you’ve come and if you take that extra step to eliminate the loose skin, your body will be a whole trophy dedicated to yourself. In this post, we will see why and where that extra skin came from and how to reduce or remove it.
How We Burn Fat
Once we all know, matter cannot be created nor destroyed, when you exercise and diet fat is not simply “disappearing” off your system. What occurs is a form change, exactly like water and steam. The glucose and sugar that is harnessed from carbohydrates are the first fuel sources. Once the glucose runs out, fat gets control. Your body is a constant interconnected conveyor belt that removes essential nutrients from the fat and delivers them to specific areas of the body. Hormones that regulate our blood sugar activate an enzyme in fat tissue called lipase. keto ignites fat cells to release triglycerides, which is what makes fat cells fat. If they get a signal from lipase to exit the fat cells, the triglycerides break-up into glycerol and fatty acids and then enter the bloodstream for use in your body. The process of wearing down triglycerides into reusable energy is called lipolysis which is shuffled and reshuffled to produce heat, water, skin tightening and, and ATP. Since the fat tissue has lost a few of its components, the cells shrink.
Why the Extra Skin?
When fat tissue is worked and the cells shrink, wouldn’t it make sense that your skin would shrink as well? It depends. In the cases of moderate weight loss, skin can certainly shrink back to fit the body’s new size because of its elasticity due to collagen in the skin. However, collagen does have its limits. Collagen fibers weaken with age and results in wrinkles. Rapid growth or weight gain also outpaces collagen production in your skin causing areas to over-stretch, leading to stretch marks commonly seen in pregnancy and adolescents going right through puberty. In cases of massive weight-loss, your skin that is stretched has lost its collagen strength rendering it very difficult if not impossible for the excess skin to shrink back to its former shape. Those undergoing gastric bypass surgery or bariatric surgery feel this pain. Because the number of patients going right through weight loss surgery increases, so do corrective surgeries for the unwanted and uncomfortable skin. This extra skin can in fact be a serious problem and will actually cause infections, rashes and also back problems.
Post-Bariatric Surgery and Treatment Options
The main determinant of how much loose skin an individual could have following weight loss is their age. Younger patients tend to have less loose skin than those who find themselves older as a result of strength of collagen in your skin. The next the very first thing is the amount of weight reduction. Someone who loses 200 lbs. is more likely to have excess skin than someone who has lost 80 lbs. You can find other factors of who is more prone to have loose skin such as smoking, sun damage and skin color.
– Exercise: Exercise which includes increasing muscle town can tighten connective tissue. For patients who’ve undergone bariatric surgery are recommended to include a regular exercise regimen that’s beneficial to maintain ones weight and will also serve to tighten loose skin to some extent.
– Body Contouring Procedures: For those which are losing 80 lbs. to over 100 lbs. surgical procedures, known as post-bariatric surgery, can be found to tighten skin and take away the extra pockets of skin that inhibit the body from being as toned and tight as the individual would like. Below are the most frequent procedures for massive weight loss patients.
Abdomen, Thighs and Buttocks- The abdomen is usually one of the greatest concerns for individuals following massive weight loss. In both people, surplus fat is stored both in the abdomen and beneath the skin of the abdominal wall. Consequently following weight loss in those areas, extra skin appears. Huge amounts of hanging skin can lead to the collection of moisture between your skin folds resulting in a condition called intertriginous dermatitis, that leads to irritation, redness and pain. Occasionally, the skin may even breakdown, bleed and become infected. With proper documentation, many insurance companies recognize this problem and provide full coverage from surgery through a tummy tuck or abdominoplasty. The abdominoplasty will solely remove the excess skin from your stomach which is perfect for women following pregnancy. However, for those who have undergone weight loss surgery or perhaps a massive weight loss, excess skin is not limited by the stomach but additionally results in the buttocks and thighs. For that reason, surgeons will perform a procedure designed for weight-loss patients called a body lift. This involves an abdominoplasty, thigh and buttock lift at the same time. This addresses and removes loose skin and cellulite across the thighs and buttocks plus the abdomen. Although the resulting scar is lengthy, it really is confined to the waistline and is hidden by underwear, panties, or perhaps a bikini.
Breasts- Following a great weight loss, breast decoration often change significantly in both men and women. Everyone worries about sagging breasts as we age but few know that massive weight reduction greatly accelerates the process. As women advance from girls to teens to twenties and into their later years, the glandular portion of breasts is replaced by fat. The initial glandular tissue is significantly more firm than fat and consequently the skin becomes unable to retract completely and produces severely ptotic or sagging breasts. This is called breast involution. There are several treatment options for women following weight loss. If a woman desires less sagging and really wants to be larger, a breast lift or mastopexy is necessary. Again, surgeons will let you know your options and in addition remind you to be realistic with or breast augmentation could be satisfactory. The problems in men are similar however treatment is slightly different. Men tend to have larger breasts when over-weight. Depending on a man’s age, amount of weight loss, and some other factors he may result in large breasts, large and/or sagging breasts, or satisfactory breasts following weight loss. Large and/or sagging breasts in men is called gynecomastia. Here liposuction alone could be satisfactory, financial firms not typical. Most men with both sagging and large breasts go through a two-staged procedure. The initial stage is liposuction and is conducted to remove excess fat and some glandular tissue. On the next couple of months, the breast skin will retract slightly. Three to six months later, the patient will go back to evaluate the situation and determine if the results is satisfactory. Delaying the next stage permits significant skin retraction and when a skin tightening procedure is desired chances are to require smaller incisions.
The Bottom Line?
Being healthy has far greater importance than excess skin. Although, having excess skin can lead to some serious issues there are non-surgical means of preventing infections such as maintaining your excess skin dry. For those who are able and want to take away the excess skin, post-bariatric surgery is for you personally. It is important to understand that these procedures should only be considered after ones weight has stabilized; especially after weight reduction surgery. This can range between 7-18 months after weight loss. The most important factor in finding a plastic surgeon who can perform these procedures is that they should be board certified. If your plastic surgeon’s website or office does not advertise they are board certified you need to RUN! For everybody who has heard horror cosmetic surgery stories, this is probably where it started, having a medical procedure done without a board certified surgeon. Use ASPS (The American Society of Plastic Surgery) to locate a board certified surgeon in your area.