Facebook Pixel

Shedding Pounds, Shedding Skin: Plastic Surgery After Weight Loss

Rate This

If you’re a fan of the television show The Biggest Loser—ok, yes, I watch almost every week—you will have noticed an interesting property of human skin. When we pack on the pounds, our skin stretches to accommodate the extra load. But when we lose weight, our skin doesn’t bounce back in the other direction quite so readily.

Ironically, the more successful a weight loss patient is, the more likely excess skin becomes a real issue. Unless the person is very young and has excellent skin tone, they may be headed for plastic surgery to complete their journey back from obesity.

Lest you think redundant skin is a simple aesthetic concern, let me assure you that the problems can run much deeper than that. Granted, it can be very disheartening to get back to a normal weight only to see rolls and flaps when you look in the mirror. One post-bariatric patient told me that having extra skin hanging around her newly slim body was almost worse than not having lost the weight at all.

But that extra skin can pose some significant life challenges. Many people find it interferes with the new, healthy lifestyle they’ve chosen. How can you jog with extra arm, belly or thigh skin jiggling with every move? How can you join a gym or swim club if you feel your physique is too unsightly to reveal to others?

Speaking of revealing yourself, many weight loss patients look forward to feeling more comfortable and confident in intimate relationships, as well they should. It’s common, however, to be held back by saggy skin. Both men and women are often embarrassed by the appearance of their chests (some women refer to their droopy breasts as “tube socks”). And in extreme cases low hanging belly skin can even get in the way of physical relations.

Another irony is that extra skin can make it even more difficult to find clothes to fit than it was before massive weight loss. What do you do if your lower half is now a size 6 but your muffin top—now mostly skin—has to be tucked in to a size 14? And if you can’t find ways to comfortably house skin you no longer need, you may have to deal with chafing and rashes that can be painful and become infected.

Add a Comment1 Comments


I have had numerous plastic surgeries to repair hanging skin after losing nearly 200lbs. I am now a Television and Magazine Fitness Expert, Personal Trainer, Sports Nutritionist Group Exercise and Pilates Instructor. I lost all the weight on my own without bariatric surgery or a lap band procedure. My weight gain was due to a Pituitary adenoma or benign tumor. I now experience side effects even several years after my numerous surgical procedures. I have lymphedema or swelling in the areas of my incisions and have had to cut back on the types of classes that I teach and running. Has anyone else ever had a problem like this? I saw a lymphatic specialist in Philadelphia, but just moved to the Phoenix area and am intent on finding answers, so I can get my activity level to where I want it again and hike, bike, run, kickbox, etc. to the level that I once was able to push toward! Check out my website www.fitnessanswer.com for my success story.

March 27, 2009 - 8:28am
Enter the characters shown in the image.
By submitting this form, you agree to EmpowHER's terms of service and privacy policy
Add a Comment

We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.

Weight Loss

Get Email Updates

Related Checklists

Health Newsletter

Receive the latest and greatest in women's health and wellness from EmpowHER - for free!