Weight Loss Surgery, Loose Skin, and Post-Bariatric Surgery
Got those Loose Skin Blues?
Massive Weight Loss is a huge decision, most of you reading have either been through a massive Weight Loss or are contemplating going through a massive Weight Loss. One of the most common hesitations in losing weight is the resulting loose skin that develops once your body moved by way of a significant Weight Loss. Extremely common knowledge that losing weight = loose skin. Loose skin not curbing hunger only occurs with a massive Weight Loss but also with natural body occurrences such as pregnancy. This is because once your body stretches through weight gain or through pregnancy; your skin loses its elasticity. First patients come in to talk about 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 diet and exercise 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 when you have loose skin after Weight Loss there are ways to remove it such as post-bariatric surgery which includes ab tucks, breast augmentations, and thigh lifting. The loose skin, although it may not seem like it, is a proud reminder of how long you’ve come and by subtracting that extra step to remove the loose skin, your body will be an entire trophy dedicated to yourself. In this post, we will see why and where that extra skin got their start in and how to reduce or remove it.
How we Burn fat
As we all know, matter cannot be created nor destroyed, when you exercise and diet fat is not simply “disappearing” off your body. What occurs is a form change, just like water and heavy steam. The blood sugar and sugar that is harnessed from carbohydrates are the first fuel sources. Once the blood sugar runs out, fat gets control of. Your body is a constant interconnected conveyor belt that removes essential nutrients from the fat and delivers them to specific body parts. Bodily hormones that regulate our blood sugar levels activate an enzyme in fat tissue called lipase. Lipase ignites fat cells to secrete triglycerides, which is what makes fat cells fat. When they acquire signal from lipase to exit the fat cells, the triglycerides break-up into glycerol and fatty acids and then enter the body for use in your body. The process of deteriorating 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 some of its components, the cells dissove.
Why the excess Skin?
When fat tissue is worked and the cells dissove, wouldn’t it add up that your skin would dissove as well? All depends. In the cases of moderate Weight Loss, skin can certainly dissove back to fit your bodys new size to its elasticity due to collagen in the skin. However, collagen does have its limits. Collagen fibers weaken with age and results in lines and wrinkles. Rapid growth or weight gain also outpaces collagen production in the skin causing areas to over-stretch, leading to stretch-marks commonly noticed in pregnancy and adolescents going through puberty. In cases of massive weight-loss, the skin that has been stretched has lost its collagen strength making it very difficult if not impossible for the extra skin to dissove back to its former shape. Those starting gastric bypass surgery or bariatric surgery feel this pain. As the number of patients going through Weight Loss surgery increases, so do corrective surgical practices for the unwanted and uncomfortable skin. This extra skin can actually be a serious problem and can actually cause infections, rashes and even back problems.
Post-Bariatric Surgery and Treatment options
The most important determinant of how much loose skin an individual will have following Weight Loss is their age. Younger patients tend to have less loose skin than those who are older because of the strength of collagen in your skin. The next most important factor is the amount of Weight Loss. An individual who loses 200 fat. is more likely to have excess skin than someone who has lost 80 fat. There are other factors of who is more likely to have loose skin such as smoking, sun damage and pores and skin.
: Exercise: Exercise that includes increasing muscle town can fasten connective tissue. For patients who have been through bariatric surgery are recommended to add a regular exercise regimen that is beneficial to maintain ones weight and can also serve to fasten loose skin to some extent.
: Body Dental contouring Procedures: For those that are losing 80 fat. to over 100 fat. surgery, known as post-bariatric surgery, are available to fasten skin and remove the extra pockets of skin that inhibit your body from being as toned and tight as the individual would like. Below are the most common procedures for massive Weight Loss patients.
Stomach, Lower limbs and Buttocks- The stomach is usually one of the greatest concerns if you are following massive Weight Loss. In men and women, excess fat is stored both in the stomach and beneath the skin of the abdominal wall. Consequently following Weight Loss in those areas, extra skin appears. Large amounts of hanging skin can lead to the number of moisture between the skin folds causing a condition called intertriginous dermatitis, leading to irritation, redness and pain. Occasionally, the skin may even breakdown, bleed and grow infected. With proper documentation, many insurance companies recognize this problem and provide full coverage from surgical removal by way of a ab 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 been through Weight Loss surgery or a massive Weight Loss, excess skin is not limited to the stomach but also results in the rear and lower limbs. Because of this, specialists will perform procedure specifically 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 dimply skin along the lower limbs and rear as well as the stomach. Although the resulting scar is lengthy, it is kept to the waistline and is hidden by underwear, under wear, or a bikini.
Breasts- Following a great Weight Loss, breast size and shape often change significantly in men and women. Everyone worries about dropping breasts as we age but few know that massive Weight Loss greatly increases the process. As women advance from girls to teens to twenties and into their later years, the glandular component to breasts is replaced by fat. The original glandular tissue is significantly more firm than fat and consequently the skin becomes unable to withdrawl completely and produces severely ptotic or dropping breasts. This is called breast involution. There are many treatment options for women following Weight Loss. If a woman desires less dropping and wants to be larger, a breast lift or mastopexy is needed. Again, specialists will tell you your alternatives and also remind you to be realistic with or breast augmentation may 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 person’s age, degree of Weight Loss, and a few other factors he may result in large breasts, large and/or dropping breasts, or satisfactory breasts following Weight Loss. Large and/or dropping breasts in men is called gynecomastia. Here liposuction alone may be satisfactory, however this is not typical. Most men with both dropping and large breasts go through a two-staged procedure. The first stage is liposuction and is performed to remove excess fat and some glandular tissue. Over the next few months, the breast skin will withdrawl slightly. Three to six months later, the client will get back to evaluate the situation and determine if the outcome is satisfactory. Slowing down the second stage allows for significant skin retraction and if a skin tightening procedure is desired it’s likely 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 ways of preventing infections such as keeping your excess skin dry. For those who are able to afford and want to remove the excess skin, post-bariatric surgery is for you. It is important to remember that these procedures should only be treated after ones weight has sits firmly; especially after Weight Loss surgery. This can range from 7-18 months after Weight Loss. The most important consider finding a plastic surgeon who can perform these procedures is that they must be board certified. If your plastic surgeon’s website or office does not advertise that they are board certified you must RUN! For everyone who has heard horror a surgical operation 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 find a board certified surgeon towards you.