She thinks it weighs a stone. It has become oddly plastic, so that Haze can gather it in her hands and stretch and shake it, fold and mould it. But the one thing she can never do with her skin is forget it. Like many people with excess skin, Haze lost a lot of weight after bariatric surgery. In the 10 months after her gastric bypass — an operation the NHS has come to see as highly cost-effective — she shrank from kg She met all her targets.
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And yet, just when Haze should have felt she had achieved her goal, her skin held her back. The scales said she had reached the end of her journey, but the mirror told a different story. The same year, NHS England reported that the price of keyhole bariatric surgery for diabetes patients with a BMI of 35, for instance, is recoverable in just 26 months. But is the surgery causing a different kind of health crisis? Is such massive weight loss — MWL, as healthcare professionals call it — solving one problem only to create a new one, a generation of weight-loss survivors tormented by anxiety and depression because they no longer fit their skin?
Haze has a simple message to the NHS. Finish it. The NHS does perform some skin removal operations. This provision varies hugely by region. In theory, a patient needs to show that skin removal surgery is a health — rather than a cosmetic — intervention. In practice, the local clinical commissioning groups, which commission NHS healthcare, rarely approve such applications — which is why crowdfunding websites are full of people who have lost massive amounts of weight and are desperate to remove their skin, even if it means posting explicit, naked or near-naked photographs that play to a sort of pornography of excess skin.
She applied to the NHS — she suffers from skin infections, anxiety and depression, and believes the extra weight exacerbates her fibromyalgia she is registered disabled. But she was rejected. But for Haze, the surgery is the only way out of an unbearable predicament. It invades my thoughts, my feelings, all the time. Every time I get dressed. If I roll on you. If I see you getting dressed. Her daily life has evolved to make dozens of minute accommodations.
She must wash carefully, lying down and stretching her skin out in order to clean and dry it thoroughly.
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Everything is tucked away. Haze has gone from one kind of person to another, and the speed of her transformation has caught both her and Chris by surprise. The pair have been married for 13 years. But the surgery, so hyper-efficient and cost-effective, has not given their emotions, their instincts, their bodies, time to adjust. Very shocking. Providing, of course, that inflation does not outstrip them.
‘I just want to cut it off’: the weight-loss patients who no longer fit their skin
But Paul Watling , 34, from Manchester, has barely a week to wait. He was trying to get along with his skin, to live with it, until last summer when he picked up a friend from hospital after body lift surgery. The sight of his friend in his new skin made Paul see himself with unexpected clarity. We are talking in a breakout area of Manchester Metropolitan University where Paul works as a night-time duty manager for halls of residence.
Something that has been a negative aspect of my life for all my life is banished for ever. At 22, he weighed kg 30st.
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He was offered a gastric bypass after doctors discovered a lung tumour he was too fat to operate on and — this was in — was promised that his excess skin would be removed on the NHS. However, by the time his weight had stabilised, he was turned down for the skin surgery. Depressed by what he saw in the mirror, the nipples that sagged far below his chest, the reams of spare stomach and undereye sacks that made him look permanently tired, Paul began to eat and drink heavily.
Over the next 10 years his weight rose as he ate to fill up his skin; a gastric bypass is only a tool to help with weight loss, and depends on adjustments to diet and exercise to work. The excess skin is usually abdominal skin that reaches down well past the belly area. Loose skin after weight loss can happen in other areas as well. Some dieters experience saggy skin in the arms and around the bra line.
How to Tighten Loose Skin While Losing Weight
Some even get loose skin in the thigh and buttocks area. A slow and steady weight loss one or two pounds a week is the ideal rate and will help save your skin's elasticity. In addition to slow and steady weight loss, you can also build muscle to shape the tissue underneath sagging skin. If you notice loose skin, and especially if you are getting chafing or find the movement of loose skin annoying during activity, you may want to wear compression garments.
These are widely available for both men and women for sports as well smoothing your shape under clothing. There are different types of surgery available. Some patients consider a body lift , a cosmetic surgery procedure that lifts and tightens skin at various locations on the body. Some plastic surgeons can also perform a thigh lift for loose skin in the lower body. The procedures to remove loose skin are serious operations and, like other surgeries, pose a risk of complications.
Insurance rarely covers these types of procedures. If you have loose skin after weight loss, talk to your doctor about skin tightening surgeries and methods that can improve both the function and the look of your body. Get one simple hack every day to make your life healthier. Body contouring following massive weight loss. Indian J Plast Surg. Boswell CB. Mo Med.
Aspects of excess skin in obesity, after weight loss, after body contouring surgery and in a reference population.
Surg Obes Relat Dis.