Massive weight loss is a huge decision, most of you reading have either been through a massive weight reduction or are contemplating going right through a massive weight loss. The most common hesitations in slimming down is the resulting loose skin that occurs once your body has gone through a significant weight loss. It’s quite common knowledge that slimming down = loose skin. Loose skin not merely occurs with a massive weight loss but also with natural body occurrences such as for example pregnancy. This is due to 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 operates and your results. Many patients, however, decide they want to go the less costly and natural way by strict exercise and diet but are concerned concerning the loose skin. Our doctors always tell patients to be realistic, being healthy is far more important than having loose skin. Even when you have loose skin after weight loss there are ways to remove it such as post-bariatric surgery which includes tummy tucks, breast augmentations, and thigh lifts. The loose skin, although it may not look like it, is a proud reminder of how far you’ve come and if you take that extra step to eliminate the loose skin, your system will be a whole trophy dedicated to yourself. In this post, we will see why and where that extra skin originated from and how exactly to reduce or remove it.
How We Burn Fat
As we all know, matter can’t be created nor destroyed, so when you exercise and diet fat isn’t simply “disappearing” off your body. What occurs is really a form change, just like water and steam. The glucose and sugar that’s harnessed from carbohydrates are the first fuel sources. Once the glucose runs out, fat takes over. 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 levels activate an enzyme in fat tissue called lipase. Lipase ignites fat cells to release triglycerides, which is why is fat cells fat. When 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 named lipolysis which is shuffled and reshuffled to create heat, water, skin tightening and, and ATP. Because the fat tissue has lost some of its components, the cells shrink.
Why the Extra Skin?
When fat tissue is worked and the cells shrink, wouldn’t it seem sensible your skin would shrink as well? It depends. In the cases of moderate weight loss, skin can certainly shrink back again to fit your body’s new size due to its elasticity due to collagen in the skin. However, collagen has its limits. Collagen fibers weaken with age and results in wrinkles. wellness or weight gain also outpaces collagen production in the skin causing areas to over-stretch, resulting in stretch marks commonly seen in pregnancy and adolescents going through puberty. In cases of massive weight-loss, the skin that is stretched has lost its collagen strength making it very difficult if not impossible for the extra 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 through weight reduction 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 even back problems.
Post-Bariatric Surgery and Treatment Options
The most crucial determinant of how much loose skin an individual could have following weight loss is how old they are. Younger patients tend to have less loose skin than those who are older as a result of strength of collagen in your skin layer. The next the very first thing is the amount of weight reduction. An individual who loses 200 lbs. is more likely to have excess skin than anyone who has lost 80 lbs. There are other factors of who is more prone to have loose skin such as smoking, sun damage and pores and skin.
– Exercise: Exercise that includes increasing muscle town can tighten connective tissue. For patients who’ve undergone bariatric surgery are recommended to add a regular exercise regimen that is beneficial to maintain ones weight and can also serve to tighten loose skin somewhat.
– Body Contouring Procedures: For all those which are losing 80 lbs. to over 100 lbs. surgical treatments, known as post-bariatric surgery, are available to tighten skin and take away the extra pockets of skin that inhibit your body from being as toned and tight as the individual would like. Here are the most common procedures for massive weight reduction patients.
Abdomen, Thighs and Buttocks- The abdomen is usually one of the biggest concerns for individuals following massive weight loss. In both women and men, surplus fat is stored both in the abdomen and beneath the skin of the abdominal wall. Consequently following weight reduction in those areas, extra skin appears. Huge amounts of hanging skin can lead to the collection of moisture between the skin folds resulting in a condition called intertriginous dermatitis, which leads to irritation, redness and pain. Occasionally, your skin may even breakdown, bleed and be infected. With proper documentation, many insurance firms recognize this problem and provide full coverage from surgical removal through a tummy tuck or abdominoplasty. The abdominoplasty will solely take away the excess skin from your own stomach which is ideal for women following pregnancy. However, for people who have undergone weight loss surgery or perhaps a massive weight reduction, excess skin is not limited to the stomach but additionally results in the buttocks and thighs. Because of this, surgeons will perform procedure specifically for weight-loss patients called a body lift. This calls for an abdominoplasty, thigh and buttock lift all at one time. This addresses and removes loose skin and cellulite along the thighs and buttocks and also the abdomen. Even though resulting scar is lengthy, it is confined to the waistline and is hidden by underwear, panties, or a bikini.
Breasts- Following a great weight loss, breast size and shape often change significantly in both males and females. Everyone worries about sagging breasts once we age but few understand that massive weight loss greatly accelerates the process. As women advance from girls to teens to twenties and to their later years, the glandular portion of breasts is replaced by fat. The initial glandular tissue is a lot more firm than fat and consequently the skin becomes struggling to retract completely and produces severely ptotic or sagging breasts. This is called breast involution. There are lots of treatment options for women following weight reduction. If a woman desires less sagging and wants to be larger, a breast lift or mastopexy is necessary. Again, surgeons will tell you your options and in addition remind one to be realistic with or breast augmentation could be satisfactory. The problems in men are similar however treatment is slightly different. Men generally have larger breasts when over-weight. Based on a man’s age, amount of weight loss, and a few other factors he may bring about large breasts, large and/or sagging breasts, or satisfactory breasts following weight loss. Large and/or sagging breasts in men is named gynecomastia. Here liposuction alone may be satisfactory, however this is not typical. Most men with both sagging and large breasts proceed through a two-staged procedure. The initial stage is liposuction and is conducted to remove excess fat and some glandular tissue. On the next few months, the breast skin will retract slightly. Three to six months later, the patient will return to measure the situation and determine if the outcome is satisfactory. Delaying the next stage allows for significant skin retraction and if a skin tightening procedure is desired it is likely to require smaller incisions.
The Bottom Line?
Being healthy has much larger 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 individuals who are able and desire to remove 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 from 7-18 months after weight reduction. The most important element 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 everyone who has heard horror cosmetic surgery stories, this is probably where it started, having a surgical procedure done with out a board certified surgeon. Use ASPS (The American Society of Plastic Surgery) to find a board certified surgeon in your area.