Surgically removing excess skin: recovering after weight loss

Significant weight loss is a remarkable success, but it also comes with its challenges. One of these is the excess skin that remains after shedding the extra pounds. Surgically removing excess skin, known as a body lift, is an effective solution to this problem.

In the following, we'll tell you more about the causes of excess skin, the reasons for surgical tissue removal, the ideal candidate profile, the main types of procedures and the recovery process.

Under what conditions does excess skin occur?

Excess skin mainly occurs following rapid and significant weight loss, whether through diet and exercise, childbirth or bariatric surgery. When the body loses many pounds rapidly, the skin does not have enough time to contract and adapt to the new body shape. The main factors influencing the appearance of excess skin include:

• skin elasticity - Young, healthy skin has optimal elasticity and can better adapt to changes in the body. As we age, however, skin loses elasticity and its ability to contract decreases;
• the time the skin has been stretched - The longer the skin has been stretched, the more difficult it will be for it to return to its original shape after weight loss. It may therefore be easier for a patient to get rid of belly after childbirth and get back to their original shape, for example, rather than toning skin stretched as a result of obesity;
• the amount of weight lost - People who lose more pounds are more likely to experience excess skin than those who lose less weight [1].

Why is excess skin removed surgically?

Surgical removal of excess skin can be done for a number of reasons:

• aesthetic - Excess skin can affect a person's appearance, even if they have reached their desired weight. The procedure helps restore a firmer and more aesthetically appealing body contour;
• functional - Excess skin can cause physical discomfort and interfere with daily activities. Loose skin can cause irritation, infections and difficulty maintaining personal hygiene;
• psychological - Excess skin can also affect a person's self-confidence. Removing it can significantly improve quality of life and emotional well-being [1][2].

What does the ideal candidate look like?

The ideal candidate for surgical removal of excess skin meets several criteria, which include:

• significant and stable weight loss - The person undergoing the procedure must have already lost all the desired weight and maintain a steady number of pounds for at least six months to a year before the procedure;
• good general state of health - It is important that the person is in good health, with no medical conditions that could complicate the surgery or recovery process, such as diabetes or high blood pressure;
• quit smoking - Smoking can adversely affect healing, so it is preferable that the person is a non-smoker or is willing to give up smoking before taking part in this procedure;
• realistic expectations - The candidate should have realistic expectations regarding the results of the procedure. Although the procedure improves body contours, it is not a substitute for maintaining a healthy lifestyle [2].

Main types of procedures to remove excess skin

There are several types of surgical procedures to remove excess skin, each of which is tailored to the specific needs of the patient. Only a qualified and experienced plastic surgeon can decide which procedures are needed to achieve the best possible results. In general, however, options include:

• abdominoplasty - is one of the most common procedures and involves removing excess skin and fat from the abdominal area. It may also include tightening the abdominal muscles;
• brahioplasty - Also known as an arm lift, this procedure removes excess skin and fat from the arms;
• thigh lift - involves removing excess skin from the thighs, contributing to a firmer contour of the legs [2];

These procedures can also be combined with other interventions, such as mastopexy to lift and tone the breasts or various non-invasive tissue-toning procedures.

How is the recovery process?

Recovery after the surgical removal of excess skin is a complex process, which requires sufficient time and patience. Here is what the process generally looks like:

First days post-op

Immediately after surgery, the patient will be monitored to prevent possible complications. Drains may need to be placed to remove excess fluid. Pain and discomfort are common during this period and will be managed with painkillers. Gradually begin gentle movement to stimulate circulation.

First weeks of recovery

In the first weeks after surgery, it is recommended to follow the instructions strictly specialist doctor on caring for incisions and avoiding strenuous physical activity. Light walking is recommended to maintain good blood circulation. The patient will wear compression garments that help reduce swelling and support skin healing. Regular visits to the doctor are essential to monitor progress and adjust treatment if necessary.

A balanced diet and proper hydration are recommended to support the healing process. Protein, vitamins and minerals are important for tissue regeneration.

Scar care

Scars are an inevitable part of surgery, but proper care can minimize their appearance. Your doctor will recommend using creams or gels to help fade scars. Avoid exposing them to the sun as this can negatively affect the healing process.

Long-term cure

The complete healing process can take several months, and the final results will not be visible until the swelling and bruising have completely receded. Every patient reacts differently to surgery, and the results depend on factors such as age, general health and adherence to post-operative instructions [1][2].

So, if you're experiencing excess skin after significant weight loss, having it surgically removed is an effective solution to redefine your body contours. If you want to take this step, Cronos Med is your ideal partner! In our clinics, renowned specialists with a wealth of experience are waiting for you, who will explain, in detail, the whole process and offer you personalized solutions!

Sources of information:

[1] Franziska Spritzler. "How to Tighten Loose Skin after Losing Weight." Healthline, Healthline Media, Oct 18, 2016, www.healthline.com/nutrition/loose-skin-after-weight-loss. Accessed on May 27, 2024.

[2] "Excess Skin Removal: What It Is, Surgery, Procedures & Recovery." Cleveland Clinic, 2021, my.clevelandclinic.org/health/treatments/22017-excess-skin-removal. Accessed on May 27, 2024.