Alright, lets talk about skin.

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So, I've been logging here and attending the gym for about 3 months with great success - My coach at the gym is a huge inspiration, thus far she's lost somewhere around 175lbs.

She is beautiful and strong and one thing that she talks about from her weight loss journey is skin.

Last year she had surgery to remove around 4lbs of skin.

Is excess skin an issue for everyone? If not, what does it depend on? Are there things you can do to avoid it?

I have been overweight for all of my teenage/adult life and I'm just wondering if, once I do lose the weight, this surgery is something I will have to consider as well. . .

Help? Any stories from experience? Anyone with a profound amount of knowledge in this area?
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Replies

  • usmcmp
    usmcmp Posts: 21,220 Member
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    I've lost over 100 pounds total. I have a little bit of loose skin at the bottom part of my stomach. It doesn't negatively impact me, my health, or my ability to compete in bodybuiding competitions.

    You may or may not end up with some loose skin. If it causes chaffing and leads to infections it is important to consider having it removed. If it doesn't cause problems there's no need for surgery, unless you are severely mentally distraught over it.
  • Machka9
    Machka9 Posts: 25,029 Member
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    I've lost 55 lbs ... and was hoping to avoid the loose skin thing. But nope. I'm soft and wrinkly in a weird kind of way. For example, where the skin on my arms was taut before, it now is wrinkly and kind of squishy.

    However ... I have heard that it takes 2 years to tighten things up naturally, if it is going to happen, so I've got to be patient for the next 18 months or so and it might be OK after that.

    I've also heard that exercising, especially weightlifting, helps. So I've been doing a lot more of that over the last couple months. And I have to say that things have tightened up a bit in the last month or so. :)

    I shouldn't need surgery, but I would like to look trim ... so I'll keep exercising and weightlifting ... and be patient.
  • rankinsect
    rankinsect Posts: 2,238 Member
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    I'll probably end up with loose skin. I can already see wrinkles forming as I "deflate", and I'll end up losing about 50% of my starting body weight by the time I'm done. That's a lot to ask my skin to shrink. I guess I'll cross that bridge when I arrive at it - even if I need surgery to get rid of it, it's better than obesity.
  • Jmgkamp
    Jmgkamp Posts: 278 Member
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    I've lost 80 pounds and I'm pretty sure that if I jumped off a building and spread my arms I could glide. I've got wings. I'm also 42 and genetically predisposed to those damn arms.

    I'm going to maintain for a year before considering surgery.
  • besaro
    besaro Posts: 1,858 Member
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    lost 100 over the course of a year. during the time i drank lots of water, did strength training nearly the entire time, (not heavy lifting which many people here profess will help...) maintained over the next 2 years. Decided to have a tummy tuck in July. my gp and obvs, the plastic surgeon agreed nothing aside from surgery would fix my issues. For me personally, it was rough. super long recovery time (still recovering actually) even though i am back to normal activities. its painful and didn't fix all my issues. however, i am happy i did it and the scar is a non-issue to me, its a lot easier to hide then the saggy belly. to my plastic surgeons credit she said to be kinder to myself when i started picking at my thighs. lol. i have a b/a on my proffie. you will know what the right decision is for yourself, trust.
  • tomatoey
    tomatoey Posts: 5,446 Member
    edited December 2015
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    At my lowest weight, there's a tiny bit in one or two areas. Not that anyone would notice unless they were looking really closely, or feel, unless they pulled at my skin.

    It depends on genetics, age, sun exposure, smoking status. Mostly genetics and age, I think.

    What can you do, not a lot, if there's damage, it happened when you gained, and will be revealed as you lose.

    You could try to eat a balanced diet with lots of anti-oxidants (colourful fruit & veg mainly) to support collagen health. Vit C (ingested) has some support behind it for collagen support, if you want to spend on that. Vitamin D3, too. (Lots of vitamins, lol - just eat a variety of proteins, veggies, fruits, and essential fats.), that might help your skin in a general and very minimal (but positive) sort of way.

    If it's really mild laxity, and you have money to burn, you could get laser skin tightening. It apparently doesn't yield dramatic results (even on mild laxity) and is temporary, and it works best on youngish people with decent collagen. (Most of the youngish people I know don't have several thousand to spend on this every few months, so I don't know who this is really for.) There's also some new version of a derma roller that I've seen people talk about here, again, modest and temporary results for a lot of work and some money.

    If a tummy tuck makes sense a year after you get to your goal (that's about as much tightening as will happen), go for it, maybe save up now and decide later. You can go on a vacation if you change your mind or don't need it.
  • azulvioleta6
    azulvioleta6 Posts: 4,195 Member
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    It depends on how much you lose, how fast you lose it, your age and your skin.

    Hydration and weight lifting help.

    I've lost 90+ pounds. No wrinkles underneath and not much loose skin, except for my belly. I have some unusual issues and scaring from surgeries unrelated to weight loss.

    My dermatologist says that laser treatments don't work at all--for anything major, plastic surgery is the only viable option.
  • tomatoey
    tomatoey Posts: 5,446 Member
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    It depends on how much you lose, how fast you lose it, your age and your skin.

    Hydration and weight lifting help.

    I've lost 90+ pounds. No wrinkles underneath and not much loose skin, except for my belly. I have some unusual issues and scaring from surgeries unrelated to weight loss.

    My dermatologist says that laser treatments don't work at all--for anything major, plastic surgery is the only viable option.

    I've heard laser can make things like 20-30% better for people with mild laxity and good collagen.

    Bolded isn't true, I don't think…
  • azulvioleta6
    azulvioleta6 Posts: 4,195 Member
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    tomatoey wrote: »
    It depends on how much you lose, how fast you lose it, your age and your skin.

    Hydration and weight lifting help.

    I've lost 90+ pounds. No wrinkles underneath and not much loose skin, except for my belly. I have some unusual issues and scaring from surgeries unrelated to weight loss.

    My dermatologist says that laser treatments don't work at all--for anything major, plastic surgery is the only viable option.

    I've heard laser can make things like 20-30% better for people with mild laxity and good collagen.

    Bolded isn't true, I don't think…

    This is per board-certified dermatologist at a major teaching hospital.

    It certainly fits with my own experience as a middle-aged person who has lost significant weight, slowly, with no wrinkles/minimal sagging. N=1, of course. :)
  • Machka9
    Machka9 Posts: 25,029 Member
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    I don't know ... my husband has lost the same amount of weight as I have, but he did it really gradually over about 18 months where as I did it in about 8 months.

    He doesn't seem to have the wrinkling and squishy-ness I have, and I wonder if it is a combination of the fact that he is physically active 8 hours a day + the fact that he lost it more slowly than I did so his skin just kind of tightened as he went along.
  • tomatoey
    tomatoey Posts: 5,446 Member
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    tomatoey wrote: »
    It depends on how much you lose, how fast you lose it, your age and your skin.

    Hydration and weight lifting help.

    I've lost 90+ pounds. No wrinkles underneath and not much loose skin, except for my belly. I have some unusual issues and scaring from surgeries unrelated to weight loss.

    My dermatologist says that laser treatments don't work at all--for anything major, plastic surgery is the only viable option.

    I've heard laser can make things like 20-30% better for people with mild laxity and good collagen.

    Bolded isn't true, I don't think…

    This is per board-certified dermatologist at a major teaching hospital.

    It certainly fits with my own experience as a middle-aged person who has lost significant weight, slowly, with no wrinkles/minimal sagging. N=1, of course. :)

    It confuses me that your doctor said that, because the whole problem is that the skin is overstretched, and that happens on the way up. And as you continue lose, your skin needs to continue retracting until you hit goal weight (and after) - and that process is much slower than weight loss.
  • PinkPixiexox
    PinkPixiexox Posts: 4,142 Member
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    I don't have major issues with loose skin but I most certainly have it.
    I'm 5 ft 2 and my starting weight was 157lb. I'm now 120 lbs. I didn't have that much to lose so I really didn't expect to have ANY loose skin - how wrong was I! My stomach is flat now (well.. Nearly!) but very rippled. When I am doing planking exercises, all that skin hangs down so much that it makes me feel a little embarassed. I am slowly but surely learning to accept how my body looks now at the same time as following a progressive lifting routine at the gym. I have saggy bits, wobbly bits, droopy bits - but I'm healthy now and for me, that's what's important.

  • Sued0nim
    Sued0nim Posts: 17,456 Member
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    Genetics
    Age
    Amount to lose
    Length of time overweight
    Length of time you give for skin to retract (minimum 2 years)
    Plain dumb luck

    I'm generally fine after 2 pregnancies and 55lbs
  • EvgeniZyntx
    EvgeniZyntx Posts: 24,208 Member
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    tomatoey wrote: »
    It depends on how much you lose, how fast you lose it, your age and your skin.

    Hydration and weight lifting help.

    I've lost 90+ pounds. No wrinkles underneath and not much loose skin, except for my belly. I have some unusual issues and scaring from surgeries unrelated to weight loss.

    My dermatologist says that laser treatments don't work at all--for anything major, plastic surgery is the only viable option.

    I've heard laser can make things like 20-30% better for people with mild laxity and good collagen.

    Bolded isn't true, I don't think…

    This is per board-certified dermatologist at a major teaching hospital.

    It certainly fits with my own experience as a middle-aged person who has lost significant weight, slowly, with no wrinkles/minimal sagging. N=1, of course. :)

    Of course it does, think about it. Some recovery takes time, we consistently see surgeons ask patients to stay at maintenance for a while prior to surgery. If weight lose is slower, some of that recovery time is at least built in.
  • sijomial
    sijomial Posts: 19,811 Member
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    I don't have major issues with loose skin but I most certainly have it.
    I'm 5 ft 2 and my starting weight was 157lb. I'm now 120 lbs. I didn't have that much to lose so I really didn't expect to have ANY loose skin - how wrong was I! My stomach is flat now (well.. Nearly!) but very rippled. When I am doing planking exercises, all that skin hangs down so much that it makes me feel a little embarassed. I am slowly but surely learning to accept how my body looks now at the same time as following a progressive lifting routine at the gym. I have saggy bits, wobbly bits, droopy bits - but I'm healthy now and for me, that's what's important.
    @PinkPixiexox
    I lost a similar amount of weight and you are describing exactly how I looked and felt when I got to my final goal weight. Looked fine standing up but stomach was baggy when in push up position (including what we could delicately call the "push ups for two" position!).
    But a year later things had improved vastly and I'm more than twice your age which means skin recovers slower. How you look when you first hit maintenance isn't the final result.
  • Sued0nim
    Sued0nim Posts: 17,456 Member
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    Avoids considering push up position without gym pants on
  • CheyCharaid
    CheyCharaid Posts: 2 Member
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    Overweight most of my life and having had 6 children, I thought if I ever lost the weight I would have my Nana's floppy arms and my mom's saggy belly. Guess what? I was right. lol I thank every moment I am a size 14 and maintaining, than a size 22/24 which I wore forever. However, the mirror is a cruel thing. I rebound for excersize .. which I have loved from day one and has been one of the keys to my success after finding this site almost 2 years ago. I just wish, after wanting to look like this for 40 years that I didn't have a melted tummy and inner thighs.. and I won't even go into my boobs. I'm not someone who can afford a tummy tuck.. I just love this site and the people and all the encouragement, so thought I'd share my thoughts. :)
  • Lourdesong
    Lourdesong Posts: 1,492 Member
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    tomatoey wrote: »
    It depends on how much you lose, how fast you lose it, your age and your skin.

    Hydration and weight lifting help.

    I've lost 90+ pounds. No wrinkles underneath and not much loose skin, except for my belly. I have some unusual issues and scaring from surgeries unrelated to weight loss.

    My dermatologist says that laser treatments don't work at all--for anything major, plastic surgery is the only viable option.

    I've heard laser can make things like 20-30% better for people with mild laxity and good collagen.

    Bolded isn't true, I don't think…

    This is per board-certified dermatologist at a major teaching hospital.

    It certainly fits with my own experience as a middle-aged person who has lost significant weight, slowly, with no wrinkles/minimal sagging. N=1, of course. :)

    Of course it does, think about it. Some recovery takes time, we consistently see surgeons ask patients to stay at maintenance for a while prior to surgery. If weight lose is slower, some of that recovery time is at least built in.

    ^^ yes, this is what I think is going on as well. Losing slowly seems mostly for psychological benefit due to skin recovery time being partly "built in" to the process. But I've given this a lot of thought and I really don't see how losing slower (which of necessity means you'll be more aged by the time you reach the finish line, and means your skin will spend a longer amount of time being weighted and stretched by pounds of fat) would be of greater physical benefit.

    Maybe more calories to slow the process down means more nutrition which can be good for skin. Or something, I dunno.
  • EvgeniZyntx
    EvgeniZyntx Posts: 24,208 Member
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    Lourdesong wrote: »
    tomatoey wrote: »
    It depends on how much you lose, how fast you lose it, your age and your skin.

    Hydration and weight lifting help.

    I've lost 90+ pounds. No wrinkles underneath and not much loose skin, except for my belly. I have some unusual issues and scaring from surgeries unrelated to weight loss.

    My dermatologist says that laser treatments don't work at all--for anything major, plastic surgery is the only viable option.

    I've heard laser can make things like 20-30% better for people with mild laxity and good collagen.

    Bolded isn't true, I don't think…

    This is per board-certified dermatologist at a major teaching hospital.

    It certainly fits with my own experience as a middle-aged person who has lost significant weight, slowly, with no wrinkles/minimal sagging. N=1, of course. :)

    Of course it does, think about it. Some recovery takes time, we consistently see surgeons ask patients to stay at maintenance for a while prior to surgery. If weight lose is slower, some of that recovery time is at least built in.

    ^^ yes, this is what I think is going on as well. Losing slowly seems mostly for psychological benefit due to skin recovery time being partly "built in" to the process. But I've given this a lot of thought and I really don't see how losing slower (which of necessity means you'll be more aged by the time you reach the finish line, and means your skin will spend a longer amount of time being weighted and stretched by pounds of fat) would be of greater physical benefit.

    Maybe more calories to slow the process down means more nutrition which can be good for skin. Or something, I dunno.

    We are generally talking about a year or two not ten, I think the aging part can be negligeable on that scale. As you lose, your skin will be weighed less than the month prior - so how is it stretching more? It's a living tissue, constantly remodeling, not a rubber band.
  • PinkPixiexox
    PinkPixiexox Posts: 4,142 Member
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    sijomial wrote: »
    I don't have major issues with loose skin but I most certainly have it.
    I'm 5 ft 2 and my starting weight was 157lb. I'm now 120 lbs. I didn't have that much to lose so I really didn't expect to have ANY loose skin - how wrong was I! My stomach is flat now (well.. Nearly!) but very rippled. When I am doing planking exercises, all that skin hangs down so much that it makes me feel a little embarassed. I am slowly but surely learning to accept how my body looks now at the same time as following a progressive lifting routine at the gym. I have saggy bits, wobbly bits, droopy bits - but I'm healthy now and for me, that's what's important.
    @PinkPixiexox
    I lost a similar amount of weight and you are describing exactly how I looked and felt when I got to my final goal weight. Looked fine standing up but stomach was baggy when in push up position (including what we could delicately call the "push ups for two" position!).
    But a year later things had improved vastly and I'm more than twice your age which means skin recovers slower. How you look when you first hit maintenance isn't the final result.

    Thank you so much for this - really really good to know! :)