Jul
2014

Q&A: After weight loss, how can I remove hanging skin and tissue?

Ask A Doctor Question: 

I have done very well with weight loss over the past four years and am feeling discomfort from the saggy skin of the upper arm which is like jello to be honest so when you wave it goes on and on... sounds funny but is uncomfortable and looks horrid when you try to fit in clothes that should fit with the weight loss and can not due simply to the left over hanging what ever it is... I have a lot of skin coming from my waist around and under the belly button area which is causing skin irritations under the flap hanging against my lower skin. The other major problem I am having is with the weight loss and recent of two years double knee replacement I find when I stand and try to walk the skin which was part of my thighs now slides down and some days actually can be seen below my knees. It has shifted my prosthesis a couple times and have to relax till it is coached back into place with physiotherapy. I understand this would be considerable work to do, but can it number one? Second at what cost? Third, is at what length of time between and what is the lay up time. I am 62 and not sure it is worth it for looks but for comfort of movement and to save the embarrassment of shopping for clothes to fit and the fact it would probably stop the shifting of the prosthesis, hopefully. Any help would help in this matter. Thank you for your time. Respectfully, Colleen

Answer: 

Remus Repta, MD - LocateADoc.com

Hello Colleen,
 
Loose skin after massive weight loss is a common problem today since more and more patients are turning to various outlets for weight loss help.  Currently, the only way to get rid of loose skin is to remove it surgically.  Every part of the body has a body contouring solution.  My recommendation is that you make a list of areas that you would like to improve from the most important to the least and share that with a plastic surgeon that is experienced in body contouring after weight loss.  After an examination he/she can provide your options and the pros and cons of each option so that you can make an educated decision.

--Remus Repta, MD
Scottsdale, AZ

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