WEIGHT REDUCTION Surgery, Loose Skin, and Post-Bariatric Surgery

Massive weight loss is really a huge decision, the majority of you reading have either been through a massive weight loss or are contemplating going through a massive weight loss. Probably the most common hesitations in slimming down is the resulting loose skin that occurs once your body went through a significant weight loss. It’s quite common knowledge that losing weight = loose skin. Loose skin not only occurs with a massive weight reduction but additionally with natural body occurrences such as pregnancy. The reason being once the body stretches through weight gain or through pregnancy; your skin layer loses its elasticity. First patients can be found in to talk about weight-loss and bariatric surgery, how it operates as well as your results. Many patients, however, decide they want to go the less costly and natural way by strict diet and exercise but are concerned concerning the loose skin. Our doctors always tell patients to be realistic, being healthy is a lot more important than having loose skin. Even when you have loose skin after weight reduction 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 seem like it, is a proud reminder of how far you’ve come and if you take that extra step to remove the loose skin, the body will be a whole trophy dedicated to yourself. In this post, we will have why and where that extra skin originated from and how exactly 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 isn’t 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. After the glucose runs out, fat gets control. Your body is really a constant interconnected conveyor belt that removes essential nutrients from the fat and delivers them to specific body parts. 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 called lipolysis which is shuffled and reshuffled to create heat, water, skin tightening and, and ATP. Since 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 that your skin would shrink aswell? 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 because of 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, resulting in stretch marks commonly observed in pregnancy and adolescents going right through puberty. In cases of massive weight-loss, your skin that has been 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. As the number of patients going 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 will have following weight loss is how old they are. Younger patients tend to have less loose skin than those who are older due to strength of collagen in your skin. The next the very first thing is the amount of weight loss. A person who loses 200 lbs. is more likely to have excess skin than anyone who has lost 80 lbs. You can find other factors of who is more likely to have loose skin such as smoking, sun damage and pores and skin.

– Exercise: Exercise which includes increasing muscle town can tighten connective tissue. For patients who have undergone bariatric surgery are recommended to include a regular exercise regimen that is helpful to maintain ones weight and may also serve to tighten loose skin to some extent.

– Body Contouring Procedures: For those that are losing 80 lbs. to over 100 lbs. surgical procedures, known as post-bariatric surgery, are available to tighten skin and take away the extra pockets of skin that inhibit your system 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 normally one of the biggest concerns for individuals following massive weight loss. In both women and men, excess 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. Large amounts of hanging skin can lead to the collection of moisture between your skin folds producing a condition called intertriginous dermatitis, that leads to irritation, redness and pain. Occasionally, your skin may even breakdown, bleed and become infected. With proper documentation, many insurance companies recognize this problem and provide full coverage from surgical removal by way of 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 a massive weight loss, excess skin is not limited to the stomach but additionally results in the buttocks and thighs. Because of this, surgeons will perform procedure designed for weight-loss patients called a body lift. This calls for 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.

https://diettuzukeru.exblog.jp/ – Following a great weight reduction, breast size and shape often change significantly in both individuals. Everyone worries about sagging breasts as 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 part of breasts is replaced by fat. The initial glandular tissue is a lot more firm than fat and therefore the skin becomes unable to retract completely and produces severely ptotic or sagging breasts. That is called breast involution. There are lots of treatment plans for women following weight loss. In case a woman desires less sagging and wants to be larger, a breast lift or mastopexy is needed. Again, surgeons will let you know your options and also remind one to be realistic with or breast augmentation could be satisfactory. The issues in men are similar however treatment is slightly different. Men generally have larger breasts when over-weight. Based on a man’s age, degree of weight loss, and some other factors he may result in large breasts, large and/or sagging breasts, or satisfactory breasts following weight reduction. 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 performed 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 return to measure the situation and determine if the outcome is satisfactory. Delaying the next stage permits significant skin retraction and when a skin tightening procedure is desired it is likely to require smaller incisions.

The Bottom Line?

Being healthy has far greater importance than excess skin. Although, having excess skin can cause some serious issues you can find non-surgical means of preventing infections such as keeping your excess skin dry. For those who are able and want to remove the excess skin, post-bariatric surgery is for you personally. It is important to remember 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 reduction. The most important element in 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 they are board certified you must RUN! For everyone who has heard horror plastic surgery stories, this is probably where it started, having a surgical procedure done without a board certified surgeon. Use ASPS (The American Society of COSMETIC SURGERY) to find a board certified surgeon near you.


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