Skin Removal After Massive Weight Loss

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Skin Removal After Massive Weight Loss

So, you had your gastric bypass operation 18 months ago, and you've managed to lose a whopping 8 stone. You feel great and you look great, except for one thing: you still have yet to deal with the unfortunate legacy of your weight loss: lots of loose, hanging, droopy skin.

People joke that a benefit of loose skin is that you can pull it over your head as a party trick. But suffering from unwanted excess flesh is no laughing matter, and if you've undergone through surgery or years of dieting to lose that poundage, you deserve to look good.

Luckily, there is way to get rid of excess skin: have a panniculectomy.

What is a Panniculectomy?

Whether you lost a massive amount of weight through bariatric surgery or diet and exercise, you still no doubt will have excess skin. Apart from being unwieldily and unsightly, it can cause lots of problems, such as chronic skin infections, hernias and back problems. How to get rid of it?

A panniculectomy removes excess skin and tissue in the area where it tends to congregate the most: in the abdominal region. This procedure can remove it all from the lower abdomen, making the pannus, or area commonly referred to as an “apron”, appear taut and smooth.

The procedure is similar to a tummy tuck, or abdominoplasty, but it is a much more complex one. In some cases it is carried out where the pannus is so big that the patient is unable to walk, and in other cases it is performed simply to allow patients to feel better about themselves.

Reconstructive abdominoplasty may be performed alongside this procedure if warranted, to help tighten the anterior wall muscles and keep the stomach in better condition.

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Good Candidates for Panniculectomies

A panniculectomy may be right for you if you have:

  • Lost at least 50lb
  • Have skin folds you want removed without excess fat
  • Are in good physical condition without any major health problems
  • Have stabilised your current weight for at least one year, and are following a good diet and exercise regimen
Please note that many surgeons have graded the size of a person's pannus, which can weigh anywhere from five to 120lb or more. Ask your surgeon to grade yours if you want to know if your operation is medically necessary or not. If so, see if you can have it done on the NHS.

Your situation may be slightly different. ask a question below ↓ and our editorial team will reply with our advice.

What are the Risks?

While risks are generally small, the abdominal area is a very important part of the human body, so operations involving it are not to be taken lightly. Risks may include infection, bleeding underneath the flap of skin, or clots. You might also heal poorly, develop skin loss or need a second op. Always use a Board-certified surgeon, or one who is a member of the British Association of Aesthetic Plastic Surgeons or its equivalent.

Most people find it takes several months to fully recover from a panniculectomy. But the majority say that after such a drawn-out weight loss journey, this final icing on the cake is worth it.

The Next Step

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Ask Explore Cosmetic Surgery a Question
Raps 05/02/2019 at 7:00 am
I loose the weight by exercise but I'm left with loose skin on my tummy, plz help I wanna get rid of them, And wat must I do.
Caz 27/05/2018 at 5:23 pm
I had gastric by pass surgury In February 2011 I'm now looking for some where to have my excess skin removed it's my thighs tummy breasts & possibly arms I've lost about 16 st May be more !! I'm now starting to get sores where the skin folds are I spoke to my gp before he retired about having dun on nhs but was adviced thst there's no funding here in tonbridge kent where I live
ExploreCosmeticSurgery Editor 13/11/2015 at 2:03 pm
I'm afraid we cannot recommend specific places or compare costs, this is something you would have to research yourself. However, I have included a link to the NHS giving more information regarding your question here. I hope this helps.
Lyn 12/11/2015 at 9:54 pm
I have lost 9st and my loose skin on my thighs hang down around my knees, my arms flap about and my tummy may need the excess skin removing as well, and my boobs are just flaps of skin now. I go to the gym 3 times a week, but nothing is helping, my skin makes a flapping noise when I work and I can't wear dresses, I am on anti depressants as well. Advice please on how much it will cost to get this done and where to go.
ExploreCosmeticSurgery Editor 06/03/2015 at 12:05 pm
@Asil! - I think the best thing is to go and visit your GP and see if they may do re-constructive surgery on the National Health. I'm afraid there is no quick fix for this and surgery really is the only route.
Asil! 02/03/2015 at 11:02 pm
I've lost 6 and a half stone in 2 years, I've gone from 15stone to 8 & a half stone but have been left with saggy skin on my stomach, Arms & thighs. I'm only 23 so wanting to go on holidays & wanting to be comfortable with my boyfriend is where I'm at but with this skin I feel it's extremely holding me back, I have no confidence & it's a very upsetting thing to cope with. I'm only 8 & a half stone so by no stretch of imagination am I fat but I still feel it whilst I have this skin.... Need help fast!! X
ExploreCosmeticSurgery Editor 24/11/2014 at 1:58 pm
@Martyg - NHS funding may be available for body contour surgery after significant weight loss if there is a symptomatic or functional requirement. Problems with activities of daily life will need to be demonstrated and supported by documentary evidence of significant morbidity which has necessitated medical intervention. The are conditions i.e; your target weight has been achieved, maintained for two years, with a stable BMI, and you are suffering from severe functional problems. Your GP should be able to advise you further. I hope this helps.
keith 10/09/2014 at 6:47 pm
i lost 14 stone in 10 months just with dieting and exercise but now i have loose skin just on my waist can i get help with it please
big dave 15/08/2014 at 12:53 am
I've lost 13 stone 3 years ago with slimming world I've got loose skin everywhere but I'm not bothered about it everywhere just want it of my stomach hop someone can help I suffer from multiple blood clots on my lungs reprecurent embolisms lost 13 stone 2 years ago maintained my loss 4 a year n half
lins 02/07/2014 at 5:23 pm
I would like to have excess skin removed from my upper arms and also fat removed from my thighs if possible
lisa 21/01/2014 at 10:45 am
I have had 2 children and lost 4.5 stone,but have a big over hang,which makes me really sad,could you help?

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