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Will my stretched skin tighten on its own or will I need surgery, following weight loss? (photo)

I am 19 years old, I am 5'10 and weigh 140 lbs. I have lost over 70 pounds over the course of 2 years, but I still have a fair amount off loose skin on my lower stomach. There are a bunch of little wrinkles on my lower stomach that kind of follow the path of my stretch marks. Will this tighten in time, or will have to pursue cosmetic solutions?

Doctor Answers (7)

Will my stretched skin tighten on its own or will I need surgery, following weight loss?

+1
  I would not pursue surgery at this time, as I do not think you would see much benefit.

Kenneth Hughes, MD

Los Angeles, CA


Los Angeles Plastic Surgeon
5.0 out of 5 stars 218 reviews

Lower body lift 360 body lift circumferential body lift massive weight loss

+1
Congratulations on your weight-loss. Since you have lost your weight over two years, it is unlikely that your skin will tighten much more.  After a 70 pound weight loss, some patients would be very content with your abdomen.  However, some patients still see areas of loose skin. If the loose skin bothers you, I would seek a board certified plastic surgeon who specializes in massive weight loss patients. This board-certified plastic surgeon should also have significant experience in the 360 lower bodylift.
The most important thing is that you have lost the weight. Now comes Part 2, namely what to do with the excess skin and fat. If the skin bothers you, I would seek reconstructive plastic surgery. If the skin doesn't bother you, then I would just continue dieting and exercising.

J. Timothy Katzen, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 27 reviews

Body lift or skin tightening ?

+1
Thanks for sharing photos.  You are very young and should have ability to have some skin retraction with weight loss.  Often a patient in their 30's or older has already started to lose elastic recoil in the skin, especially if they had a surgical weight loss procedure like gastric bypass, or lap band.

It doesn't appear that you have too much extra skin and undergoing a body lift would likely be too aggressive of a procedure for you. 

A visit with board certified and experienced plastic surgeon in your area for a full and complete evaluation is recommended

Steven M. Camp, MD
Fort Worth Plastic Surgeon
5.0 out of 5 stars 27 reviews

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Skin Tightening after weight loss. Body Lift or other options?

+1
Thank you for your question.

It doesn't appear that you have too much extra skin and undergoing a body lift would likely be too aggressive of a procedure for you.  You are young which means that you have the capacity to develop collagen.  Have you considered a nonsurgical skin tightening option, such as Exilis.  It might work well for you.  See the web reference.

To be sure, see two or more board certified and experienced plastic surgeons in your area for a full and complete evaluation.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 37 reviews

Will my stretched skin tighten on its own or will I need surgery, following weight loss? (photo)

+1
From the photos you submitted, it doesn’t appear that you have too much excess skin.  You have some pale stretch marks where you lost weight. Stretch marks are difficult to treat without excision, and it does not appear that you have enough excess skin to remove.  There may be other non-surgical options available for skin tightening and pale stretch marks such as dermal rolling or broad band light therapy that may help.  However, I would recommend that you consult with a board certified plastic surgeon to explore all your options.

James C. Grotting, MD, FACS
Birmingham Plastic Surgeon
5.0 out of 5 stars 4 reviews

Skin elasticity after weight loss

+1
You have pretty elastic skin at 19 and your weight loss was 70 lbs. so the skin does not look bad.  You would have to weigh the risk of excising skin and sustaining a scar with a slight amount of laxity in the abdomen.   I would say you don't really need to have skin excised with the photos that you submitted.

Benjamin Chu, MD, FACS
Honolulu Plastic Surgeon
5.0 out of 5 stars 38 reviews

Weight loss surgery

+1
After massive weight loss there is some skin stretch even in a 19 years old. The pictures do not look bad. Recommend seeing a plastic surgeon for consultation and discuss all the options available to you.
Samir Shureih MD. FACS
sshureih@msn.com

Samir Shureih, MD
Baltimore Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.