But, motivation is essential for weight loss, no matter if you need to lose 10 or 100 pounds, its the most important element of success. It is important to realize that losing weight is well worth the effort because it has many benefits. More extreme weight-loss patients are choosing to remove the loose skin through cosmetic surgery, and a recent study showed that the bodies and minds of those who do end up faring much better.
Franklin Santana, a 29-year-old who lives in the Bronx, had gastric bypass surgery in October 2011, and before the surgery, he weighed 395 pounds. I’m wearing a fat suit; I feel like I’m a thin person inside wearing a body that’s twice the size of mine. Fantana had done his research before getting the surgery done, and he knew that he’d probably be saddled with “loose skin” after it was over.
Deborah Olmstead, who first had weight loss surgery done in 2001, knew to expect it, too; she just didn't know how awful it would make her feel.
The loose skin is caused by losing a huge amount of weight – as in, 100 pounds or more – in a very short amount of time.
Jasmin Maldonado shown before her gastric bypass surgery at left, and after her body contouring surgery at right. You've done all this work, you've made this big, massive change that you see on the scale, but you don't necessarily see it in your clothing, or the way you feel about yourself.


The most effective way to remove the excess skin is through cosmetic surgery, in one or more of an array of procedures known as body contouring.
People who had weight-loss surgery, and subsequently had the excess skin removed, were less likely to gain weight back than those who had the surgery but did not undergo a body contouring procedure, according to a recent study published in the journal Plastic and Reconstructive Surgery. Those who choose to have body contouring done usually pick the circumferential body lift: Doctors make an incision across the back, then around the flanks and abdomen, cutting away some of the excess skin and tightening the rest of it by suturing the incision back together. Stopping the painful chafing is important, and such a relief, say people who’ve had body contouring done. In fact, if it was easy to lose, obesity would not be worldwide epidemic that it has become. Scot Glasberg marks incision lines on Jasmin Maldonado at Lenox Hospital before her surgery to remove excess skin around her midsection. The body may be lighter, but it’s now weighed down with folds of sagging skin, causing a wild amount of emotional and physical (think: chafing) pain.
It can happen when the weight is lost through diet and exercise, but it happens more often to weight-loss surgery patients. Jasmin Maldonado, a 36-year-old living in Brooklyn who lost 130 pounds after weight-loss surgery nearly a decade ago, says a daily routine of squats, sit-ups and pull-ups has made a difference.
And those who do shed the extra skin generally fare better than those who don’t, both psychologically and physiologically.


The report followed about 100 patients who’d lost about 100 pounds after weight-loss surgery. Ali Modarressi of the University of Geneva in Switzerland, go so far as to argue that body contouring should be a routine part of bariatric surgery.
After the body contouring is done, patients routinely lose another 10 to 15 pounds of loose skin alone. She lost 130 pounds following gastric bypass surgery and was left with sagging skin on several areas of her body.
People who lose a massive amount of weight are often surprised at how unhappy they still are with their bodies. With a slower, more gradual weight loss, it's easier for a person’s skin elasticity to sort of snap back into place, shrinking back down as the fat is lost. Those who did not have any cosmetic procedures to remove the resulting excess skin ended up gaining back about 50 pounds, but those who did have body contouring done only gained back about 13 pounds. People go with the body lift because it makes the biggest difference in their appearance, doctors say; plus, it’s easier to talk their insurers into covering it, because the surgery has some real physiological benefits, in addition to the psychological improvements.



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