After Huge Weight Loss, Sagging Skin Remains We all carry with us reminders of the person we used to be. It’s just a lot more literal for some than others. People who lose a massive amount of weight are often surprised at how unhappy they still are with their bodies. The fat is gone, but all that skin that held it in place? It didn’t go anywhere. The body may be lighter, but it’s now weighed down with folds of sagging skin, causing a wild amount of emotional and physical (think: chafing) pain. Steve Wallach, a cosmetic surgeon in Manhattan.“I had one patient who specifically said, . Two years later, as of late last year, he was down to 1. To the public, he seemed like a trim, even skinny, guy. But underneath the clothes, he said his sagging skin reminded him of “a deflated balloon.” I’m wearing a fat suit; I feel like I’m a thin person inside wearing a body that’s twice the size of mine. And then, at the end of October, it’s all sad and saggy and deflated. I guess you could say it looks like that.” Fantana had done his research before getting the surgery done, and he knew that he’d probably be saddled with “loose skin” after it was over. It can happen when the weight is lost through diet and exercise, but it happens more often to weight- loss surgery patients. With a slower, more gradual weight loss, it's easier for a person’s skin elasticity to sort of snap back into place, shrinking back down as the fat is lost. But when too much is lost too fast, the skin’s elasticity doesn’t have time to catch up. Jasmin Maldonado shown before her gastric bypass surgery at left, and after her body contouring surgery at right. Left: Courtesy of Jasmin Maldonado / Right: John Makely / NBC News To get rid of the loose skin, exercise helps, a little. Jasmin Maldonado, a 3. Brooklyn who lost 1. But she’s still embarrassed about the way she looks. I’m always covering myself,” she said. You've done all this work, you've made this big, massive change that you see on the scale, but you don't necessarily see it in your clothing, or the way you feel about yourself. The most effective way to remove the excess skin is through cosmetic surgery, in one or more of an array of procedures known as body contouring. And those who do shed the extra skin generally fare better than those who don’t, both psychologically and physiologically. The report followed about 1. Those who did not have any cosmetic procedures to remove the resulting excess skin ended up gaining back about 5. ![]() ![]() ![]() Ali Modarressi of the University of Geneva in Switzerland, go so far as to argue that body contouring should be a routine part of bariatric surgery. Scot Glasberg and his team operate on Maldonado at Lenox Hospital. John Makely / NBC News Those who choose to have body contouring done usually pick the circumferential body lift: Doctors make an incision across the back, then around the flanks and abdomen, cutting away some of the excess skin and tightening the rest of it by suturing the incision back together. After the body contouring is done, patients routinely lose another 1. People go with the body lift because it makes the biggest difference in their appearance, doctors say; plus, it’s easier to talk their insurers into covering it, because the surgery has some real physiological benefits, in addition to the psychological improvements. And it hurts like crazy, patients say. He had body contouring done this winter, and his insurance covered the procedure. But the biggest change is what they see in the mirror after the surgery. How could you not? It’s pretty dramatic. It’s no wonder they feel better,” says Dr. Scot Glasberg, a cosmetic surgeon in New York and president- elect of the American Society of Plastic Surgeons. We’re not talking about a sort of subtle plastic surgery there; we’re talking about things that are rather dramatic.” Franklin and Maldonado both had body lifts done by Glasberg over the holidays. Now, Franklin says he finally feels like “a normal person.” Maldonado says she feels more “confident.” The last physical reminder of who they used to be is finally gone. ![]()
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