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Plastic Surgery Following Weight Loss
Patients considering weight loss surgery and those who have already
undergone a bariatric procedure should be aware of the changes that occur in
the body following massive weight loss. With few exceptions, individuals
following significant weight loss develop generalized or focal areas of
excess skin.
Loose Skin
Probably the most important determinant of how much loose skin an individual
will have following weight loss is age. Younger patients tend to have less
loose skin. The next most important factor is the amount of weight loss. An
individual who loses 250 lbs. is likely to have more excess skin than
somebody losing 80 Ibs. Other less important variables include complexion,
amount of sun exposure received over a lifetime, heredity and whether
somebody is a smoker. Fair skinned people in general tend to develop more
loose skin than darker individuals. Sun worshippers tend to sustain more
tissue damage over the years and consequently more loose skin following
weight loss. Some people tend to have" better" skin than others of similar
complexion and lifestyle. This may be the result of hereditary factors that
are not readily apparent. Finally, smoking breaks down collagen, a major
component of skin and other structural components of the body. Smokers
develop more loose skin than their non-smoking counterparts.
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